scholarly journals COMPARATIVE STUDY OF EFFICIENCY OF DESTANDAU ENDOSCOPIC DISCECTOMY AND OPEN MICROSURGICAL DISCECTOMY FOR LUMBAR DISC HERNIATION

2005 ◽  
pp. 063-068 ◽  
Author(s):  
Aleksandr Evgenyevich Simonovich ◽  
Sergey Petrovich Markin
Keyword(s):  
Surgical Treatment ◽  
Surgical Complications ◽  
Lumbar Disc ◽  
Analog Scale ◽  
Endoscopic Intervention ◽  
Endoscopic Discectomy ◽  
Disc Herniations ◽  
Invasive Method ◽  
Hospital Stays ◽  
Operation Results

Objectives. To estimate efficiency, safety and traumatizing impact of endoscopic discectomy in comparison with traditional microsurgical discectomy. Material and methods. A total of 330 patients underwent Destandau endoscopic discectomy and 964 – open microsurgical discectomy. The operative times, terms of patient postoperative bed and hospital stays, postoperative dynamics of neurologic deficiency, surgical complications and frequency of herniation recurrences were estimated in both groups. Pain intensity was assessed with the 10-score Visual Analog Scale (VAS), and functional activity – with the Oswestry Disability Index (ODI). Results of surgical treatment were estimated in 8–10 days, 6 and 12 months after operation. Results. VAS and ODI data have not revealed essential distinctions in pain regression dynamics after endoscopic and open surgeries. Surgical complications after endoscopic intervention were not more often, than after microsurgical discectomy. Damage of dura mater occurred in 2.4 % of cases, and increase in neurologic deficiency (hypoesthesia) – in 0.6 %. Herniation recurrences have evolved in 3.0 % of cases after endoscopic discectomy and in 4.7 % – after open microsurgical one. Conclusion. Destandau endoscopic surgery is a low invasive method of effective treatment for lumbar disc herniations, which by its technical opportunities and results is competitive with classical open microsurgical discectomy.

Surgical treatment of intraforaminal/extraforaminal lumbar disc herniations: Many approaches for few surgical routes

2017 ◽  
Vol 159 (7) ◽  
pp. 1273-1281 ◽  
Author(s):  
Giorgio Lofrese ◽  
Lorenzo Mongardi ◽  
Francesco Cultrera ◽  
Giorgio Trapella ◽  
Pasquale De Bonis
Keyword(s):  
Surgical Treatment ◽  
Lumbar Disc ◽  
Disc Herniations

Radiographic and clinical outcomes of huge lumbar disc herniations treated by transforaminal endoscopic discectomy

2019 ◽  
Vol 185 ◽  
pp. 105485 ◽  
Author(s):  
Sagar B. Sharma ◽  
Guang-Xun Lin ◽  
Hussam Jabri ◽  
Naveen D Sidappa ◽  
Myung Soo Song ◽  
...  
Keyword(s):  
Clinical Outcomes ◽  
Lumbar Disc ◽  
Endoscopic Discectomy ◽  
Disc Herniations

scholarly journals Surgical Treatment for Lumbar Disc Herniations in Athletes.

1993 ◽  
Vol 42 (2) ◽  
pp. 891-895
Author(s):  
Yasushi Mashima ◽  
Kazushi Haraguchi ◽  
Hiroshi Tachibana ◽  
Mitsuo Yoshida ◽  
Seigo Ikegawa ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Lumbar Disc ◽  
Disc Herniations

scholarly journals Surgical Outcomes for Upper Lumbar Disc Herniations: A Systematic Review and Meta-analysis

2020 ◽  
pp. 219256822094181
Author(s):  
Murray Echt ◽  
Ryan Holland ◽  
Wenzhu Mowrey ◽  
Phillip Cezayirli ◽  
Rafael De la Garza Ramos ◽  
...  
Keyword(s):  
Systematic Review ◽  
Surgical Treatment ◽  
Odds Ratio ◽  
Lumbar Disc ◽  
Meta Analysis ◽  
Minimally Invasive Surgical ◽  
Satisfactory Outcome ◽  
Prisma Statement ◽  
Disc Herniations ◽  
Meta Analyses

Study Design: Systematic review and meta-analysis. Objective: To conduct a literature review on outcomes of discectomy for upper lumbar disc herniations (ULDH), estimate pooled rates of satisfactory outcomes, compare open laminectomy/microdiscectomy (OLM) versus minimally invasive surgical (MIS) techniques, and compare results of disc herniations at L1-3 versus L3-4. Methods: A systematic review of articles reporting outcomes of nonfusion surgical treatment of L1-2, L2-3, and/or L3-4 disc herniations was performed. The inclusion and exclusion of studies was performed according to the latest version of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. Results: A total of 20 articles were included in the quantitative meta-analysis. Pooled proportion of satisfactory outcome (95% CI) was 0.77 (0.70, 0.83) for MIS and 0.82 (0.78, 0.84) for OLM. There was no significant improvement with MIS techniques compared with standard OLM, odds ratio (OR) = 0.86, 95% CI (0.42, 1.74), P = .66. Separating results by levels revealed a trend of higher satisfaction with L3-4 versus L1-3 with OLM surgery, OR = 0.46, 95% CI (0.19, 1.12), P = .08. Conclusion: Our analysis reveals that discectomy for ULDH has an overall success rate of approximately 80% and has not improved with MIS. Discectomy for herniations at L3-4 trends toward better outcomes compared with L1-2 and L2-3, but was not significant.

scholarly journals Minimally invasive direct lateral, retroperitoneal transforaminal approach for large L1–2 disc herniations with intraoperative CT navigational assistance: technical note and report of 3 cases

2018 ◽  
Vol 29 (1) ◽  
pp. 46-53 ◽  
Author(s):  
Adetokunbo A. Oyelese ◽  
Jared Fridley ◽  
David B. Choi ◽  
Albert Telfeian ◽  
Ziya L. Gokaslan
Keyword(s):  
Lumbar Disc ◽  
Technical Note ◽  
Neurological Injury ◽  
Ct Guided ◽  
Intraoperative Ct ◽  
Transforaminal Approach ◽  
Endoscopic Discectomy ◽  
Disc Herniations ◽  
Poor Outcomes ◽  
Lower Lumbar

Upper lumbar (L1–2, L2–3) disc herniations are distinct in their diffuse presenting clinical symptomatology and have poorer outcomes with surgical intervention than those following mid and lower lumbar disc herniations and disc surgery. The authors present the cases of 3 patients with L1–2 disc herniations and significant stenosis of the spinal canal. The surgical approach used here combined the principles of transforaminal percutaneous endoscopic discectomy and the extreme lateral lumbar interbody fusion procedures with intraoperative CT-guided navigational assistance. The approach provides a safe corridor of direct visualization to the ventral thecal sac with minimal bony resection and could, in principle, reduce neurological injury and biomechanical instability, which likely contribute to poor outcomes at this level.

scholarly journals Endoscopic transforaminal lumbar discectomy in the treatment of multilevel disc herniations

2019 ◽  
Author(s):  
Denglu Yan ◽  
Zaiheng Zhang ◽  
Zhi Zhang
Keyword(s):  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Lumbar Disc ◽  
Lumbar Discectomy ◽  
Cerebrospinal Fluid Leakage ◽  
Multiple Level ◽  
Endoscopic Procedures ◽  
Significant Difference ◽  
Endoscopic Discectomy ◽  
Disc Herniations

Abstract Background There were no studies in literature of multiple level lumbar disc herniation treatment by endoscopic procedures. The purpose of this study was to evaluate the efficacy of endoscopic treatment multiple level lumbar disc herniation by compare to the one level disc herniation. Methods A total of 267 patients of lumbar disc herniation who had endoscopic surgery were categorized into three different groups depending on the level number of endoscopic procedures. 78 cases had one level procedure (OL group), 54 cases had couple level procedures (CL group), and 35 cases had triple level procedures (TL group). Endoscopic discectomy procedures was performed and the clinical outcomes were recorded. Results There was no intraoperative death in this series. The hospital day were no significant difference among three groups. The operational time and blood loss were biggest in triple levels procedures and lest in one level procedure. When take into the influence the numbers of disc herniation, there were no significant difference per level among three groups. The pain index and ODI score were better than preoperational in all patients, and there were no significant difference among three groups. The disk and foramen height, and lumbar lordosis were no significant difference compare to preoperative in all patients, and there were no significant difference among three groups. All patients achieved pain free accomplished all surgery procedures, no infection, and no dural tear of cerebrospinal fluid leakage complication. Conclusions Endoscopic lumbar discectomy was effective and safe procedures in the treatment of multilevel lumbar disc herniation.

scholarly journals RADIO-FREQUENCY AND LASER SURGERY FOR LUMBAR DISC HERNIATIONS

2006 ◽  
pp. 059-063
Author(s):  
Aleksandr Kuzmich Chertkov ◽  
Aleksey Olegovich Dubskikh
Keyword(s):  
Lumbar Spine ◽  
Radio Frequency ◽  
Lumbar Disc ◽  
Lower Extremities ◽  
Study Groups ◽  
Main Group ◽  
Control Group ◽  
Duration Of Illness ◽  
Disc Herniations ◽  
Operation Results

Objective. To compare the effectiveness of laser discectomy and radio-frequency nucleoplasty in patients with nonsequestrated disc herniations accompanied with lumbar osteochondrosis. Material and Methods. Radio-frequency nucleoplasty and laser discectomy were performed in patients from 24 to 57 years old with nonsequestrated disc herniations. Thirty patients who underwent radio-frequency nucleoplasty (main group) and 30 patients after vaporization (control group) were included in the study. Groups were similar in age, gender, concomitant diseases, hernia localization and duration of illness. Pre- and postoperative examination consisted of clinical, radiological, CT and MRI data. The outcomes were assessed in two-three days, one month and 6 months after operation. Results. In two-three days all patients of both groups reported absence of pain or its significant reduction in the lumbar spine or lower extremities. In 6 months 5 patients of a control group suffered of lumbar spine and lower extremities pain, which restricted their labor ability and demanded inpatient treatment. In a main group only 2 patients demanded inpatient care for the reasons given above. Conclusion. The assessment of two technologies suggests that radio-frequency nucleoplasty is a safety technique for treatment of patients with disc herniation accompanied with osteochondrosis. It has obvious advantages over laser intervention.

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