Repeat Surgery after Percutaneous Endoscopic Lumbar Discectomy for Adolescent Lumbar Disc Herniation: A Multicenter Observational Study
Lu MaoKun WangWeiye ZhuZi‐cong ShenXianjun ZhangZhi‐Yang XieFan PanHang ShiBin ZhuLijun LiGuanyi LiuYingqing RenXiao‐Tao Wu
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Abstract:
The reported date in the repeat surgical intervention for adolescent lumbar disc herniation (ALDH) after percutaneous endoscopic lumbar discectomy (PELD) was quite scarce. This study aims to introduce cases of repeat surgeries after PELD for ALDH and assess the incidence, chief causes, repeat surgery methods, and surgical outcomes of repeat surgeries after PELD for ALDH.Keywords:
Lumbar disc herniation
Diskectomy
Discectomy
Objective To investigate the effect of the different operation ways in treating lumbar disc herniation.Method 518 cases were undergone various operation ways for lumbar disc hernation including 63 percutaneous ozone nucleolysis,24 micro-endoscopy discectomy,305 discectomy through a small window,41 semilaminectomy,26 total laminectomy decompression,48 interbody fusion follow transpedicular screw system and 11 replacement with prosthetic disc nucleus.Result The patients were followed up for 2~5 years and the symptoms were improved obviously.Effect of operation for treating by Nakai was:Excellent in 398 cases,good in 70 cases,fair in 45 cases,poor in 5 cases.The excellent rate was 90.35%.Conclusion The surgery is a major method in treating lumbar disc herniation.The various methods are appropriate for the specific symptom with its advantages.
Lumbar disc herniation
Discectomy
Disc herniation
Lateral recess
Diskectomy
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Objective To study the therapeutic effects of microendoscopic discectomy with smallincision fenestration discectomy for lumbar disc herniation.Methods The clinical data of 68 patients who underwent lumbar disc herniation in Taihe Hospital Affiliated to Hubei University of Medicine during April 2010 and April 2011 were collected,and randomly divided into observation group and control group,34 cases in each group.The observation group was treated with small-incision fenestration discectomy,the control group were treated with microendoscopic discectomy.The clinical efficacy of the two groups was observed.Results The VAS and ODI in both groups were reduced significantly after operation(P 0.05) and there were no significant differences between the two groups(P 0.05).The operating time of the observation group was shorter and blood loss was more than those of the control group(P 0.05).Conclusion Microendoscopic discectomy and small-incision fenestration discectomy both have own advantages and disadvantages for lumbar disc herniation with similar therapeutic effect,and the optimal solution can be chosen according to the particular situation.
Discectomy
Fenestration
Lumbar disc herniation
Therapeutic effect
Clinical efficacy
Disc herniation
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Diskectomy
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The results of lumbar diskography at post-diskectomy and nonoperative disk levels in postoperative patients and patients without prior back surgery were reviewed over 3 years. Other possible predictive factors, including disk degeneration (per the Adam's classification), end-point resistance, gender, and age, also were reviewed. The results revealed that no statistically significant association was noted between the presence of a prior diskectomy and the outcome of diskography. However, disk degeneration classified as ruptured and fissured correlated statistically with positive diskography. Additionally, age between 30 and 39 years and male gender were statistically associated with a positive diskogram. Disk levels displaying a poor end point during diskography injection (not amendable to pressurization) were statistically related to ruptured or fissured disk levels and thus positive diskography. Based on these results, the assumption that disabling low-back pain presenting after lumbar procedure is due to diskogenic disease arising from the surgical level is not supported.
Diskectomy
Intervertebral disk
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Objective To compare the result differences between primary discectomies and revision discectomies. Methods From January 2000 to January 2007, 31 patients with recurrent lumbar disc herniation underwent revision discectomy. Twenty-one cases underwent primary surgeries in the same hospital were set up as control group. Data of symptomatic relief duration, the side of recurrent disc herniation, operation time, blood loss, hospital day, complications and symptomatic improvement which was assessed by Macnab standard were recorded and compared with Student’s-t test and χ2 test. Results All patients were followed up for 6~48 month. Average symptomatic relief duration was 85 months after primary surgery. Recurrent disc herniation occurred in 22 patients on same sides and 9 on opposite side. Operation time, average blood loss and complications of primary surgery were less than revision surgery (P0.05). The differences in the average hospital day and symptomatic improvement rate was insignificant (P0.05). Conclusion Revision discectomy alone was effective for patients suffered from recurrent lumbar disc herniation without spinal stenosis or instability.
Lumbar disc herniation
Discectomy
Disc herniation
Diskectomy
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As one of the effective treatment methods for lumbar disc herniation,satisfactory effects can be obtained in most patients after discectomy.But some patients still have remaining nerve symptoms, thus influence the curative outcome.This article reviewed the advances in causes and preventions of remai- ning nerve symptoms after discectomy for lumbar disc herniation according to the achievements made by clinical researohers scientists in recent years.
Discectomy
Lumbar disc herniation
Disc herniation
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Microendosopic discectomy (MED) is a minimally-invasive operative therapy for lumbar disc herniation. The purpose of this study is to review our clinical results and the problems of MED. We have obtained good cosmetic results by this method and reduced pain in early postoperative days. Patients are usually very satisfied with the results of MED because it dose not cause severe complications in short and mid-clinical term. However there is still room for improving our skills and the MED system to expand indications and obtain a good field of vision. Despite certain limits of indications, it way be possible to switch the operative method safely for lumbar disc herniation from conventional LOVE method to MED in certain cases.
Lumbar disc herniation
Discectomy
Disc herniation
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Objective: To study the operative tactics and preventing or handling methods for complication of the microendoscopy discectomy in the treatment of lumbar disc herniation. Methods: 22 cases with treatment of microendoscopy discectomy in lumbar disc herniation were analyzed at follow - up. Single disc herniation were in 10 cases,postlateral disc herniation in 18 cases. Centerlateral disc herniation in 4 cases. Results: All of cases were followed up 3 to 10 months,average 6.5 months,The injury of dural was in 2 cases in operation,1 were injured spinal nerve. The good rate was 86.36% . Conclusion:The advantage of microendoscopy discectomy was minimal invasion, no influence on the stability of spine, high distinguishing - rate, adequate decompression of the nerve root and rapid recovery, the suitable indication and precise surgical technique are the key point for this operation.
Discectomy
Lumbar disc herniation
Disc herniation
Diskectomy
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Objective:To analyze the clinical effect of small incision fenestration pulposus discectomy for lumbar disc herniation. Method:40 cases of lumbar in our hospital in 2011 April to 2013 April were disc herniation patients as the research object, and randomly divided into two groups, each of 20 cases, the control group underwent conventional operation treatment, the patients in the experimental group received small incision fenestration discectomy treatment, carries on the contrast analysis to the situation and the treatment the operation effect of the two groups.Result:8 cases of the experimental group one(40%), good in 8 cases(40%),the excellent and good rate was 80%; the control group was excellent in 4 cases(20%), good in 8 cases(40%), the excellent and good rate was 60%, there was significant difference between two groups(P0.05).In addition,the two groups had statistical significance of operative time, intraoperative bleeding volume and time of lying in bed in the differences(P0.05).Conclusion:Compared with conventional surgery,small incision fenestration discectomy with little trauma, short operation time, rapid postoperative recovery characteristics, can be used as the main means of the treatment of lumbar disc herniation.
Discectomy
Fenestration
Lumbar disc herniation
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Objective To study the characters of the lumbar disc herniations in the aged patients and surgical selection between microendoscopic and conventional discectomies.Methods 175 aged patients who received surgical operations for lumbar disc herniation were retrospectively analyzed.93 patients were undergone microendoscopic diskectomy,82 patients by conventional diskectomy.Results 147 patients were followed up for 4.3 years.The results were evaluated using modified MacNab′s criteria,and were graded as excellent and good in 34 patients (89.5%) with microendoscopic and 60 patients (87.0%) with conventional diskectomy respectively.The results was similar by Ridit analysis.Conclusions Microendoscopic diskectomy is an alternative operation for the localized lumbar disc herniation in the aged patients,and it is of great benefit to early rehabilitation in the aged patients because of its minimal invasion.
Diskectomy
Lumbar disc herniation
Disc herniation
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