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Outcomes of Microendoscopic Discectomy and Percutaneous Transforaminal Endoscopic Discectomy for the Treatment of Lumbar Disc Herniation: A Comparative Retrospective Study

STUDY DESIGN: Retrospective, case control evaluation of 86 patients who underwent microendoscopic discectomy (MED) and percutaneous transforaminal endoscopic discectomy (PTED) for the treatment of lumbar disc herniation (LDH). PURPOSE: To evaluate the safety and the outcomes of MED and PTED for the...

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Autores principales: Sinkemani, Arjun, Hong, Xin, Gao, Zeng-Xin, Zhuang, Su-Yang, Jiang, Zan-Li, Zhang, Shao-Dong, Bao, Jun-Ping, Zhu, Lei, Zhang, Pei, Xie, Xin-Hui, Wang, Feng, Wu, Xiao-Tao
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Society of Spine Surgery 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4686386/
https://www.ncbi.nlm.nih.gov/pubmed/26713113
http://dx.doi.org/10.4184/asj.2015.9.6.833
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author Sinkemani, Arjun
Hong, Xin
Gao, Zeng-Xin
Zhuang, Su-Yang
Jiang, Zan-Li
Zhang, Shao-Dong
Bao, Jun-Ping
Zhu, Lei
Zhang, Pei
Xie, Xin-Hui
Wang, Feng
Wu, Xiao-Tao
author_facet Sinkemani, Arjun
Hong, Xin
Gao, Zeng-Xin
Zhuang, Su-Yang
Jiang, Zan-Li
Zhang, Shao-Dong
Bao, Jun-Ping
Zhu, Lei
Zhang, Pei
Xie, Xin-Hui
Wang, Feng
Wu, Xiao-Tao
author_sort Sinkemani, Arjun
collection PubMed
description STUDY DESIGN: Retrospective, case control evaluation of 86 patients who underwent microendoscopic discectomy (MED) and percutaneous transforaminal endoscopic discectomy (PTED) for the treatment of lumbar disc herniation (LDH). PURPOSE: To evaluate the safety and the outcomes of MED and PTED for the treatment of LDH. OVERVIEW OF LITERATURE: MED and PTED are minimally invasive surgical techniques for lower back pain. Studies to date have shown that MED and PTED are safe and effective treatment modalities for LDH. METHODS: A retrospective study was performed in patients with LDH treated with MED (n=50) and transforaminal endoscopic discectomy (PTED; n=36) in our hospital. All patients were followed-up with self-evaluation questionnaires, Oswestry disability index (ODI), medical outcomes study 36-item short form health survey and MacNab criteria. All the patients in both groups were followed up to 12 months after the operation. RESULTS: ODI questionnaire responses were not statistically different between the MED and PTED groups (53.00 vs. 48.72) before treatment. Average scores and minimal disability after 5 days to 12 months of follow-up were 4.96 in the MED group and 3.61 in the PTED group. According to MacNab criteria, 92.0% of the MED group and 94.4% of the PTED group had excellent or good results with no significant difference. CONCLUSIONS: There was no significant difference between MED and PTED outcomes. Further large-scale, randomized studies with long-term follow-up are needed.
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spelling pubmed-46863862015-12-28 Outcomes of Microendoscopic Discectomy and Percutaneous Transforaminal Endoscopic Discectomy for the Treatment of Lumbar Disc Herniation: A Comparative Retrospective Study Sinkemani, Arjun Hong, Xin Gao, Zeng-Xin Zhuang, Su-Yang Jiang, Zan-Li Zhang, Shao-Dong Bao, Jun-Ping Zhu, Lei Zhang, Pei Xie, Xin-Hui Wang, Feng Wu, Xiao-Tao Asian Spine J Clinical Study STUDY DESIGN: Retrospective, case control evaluation of 86 patients who underwent microendoscopic discectomy (MED) and percutaneous transforaminal endoscopic discectomy (PTED) for the treatment of lumbar disc herniation (LDH). PURPOSE: To evaluate the safety and the outcomes of MED and PTED for the treatment of LDH. OVERVIEW OF LITERATURE: MED and PTED are minimally invasive surgical techniques for lower back pain. Studies to date have shown that MED and PTED are safe and effective treatment modalities for LDH. METHODS: A retrospective study was performed in patients with LDH treated with MED (n=50) and transforaminal endoscopic discectomy (PTED; n=36) in our hospital. All patients were followed-up with self-evaluation questionnaires, Oswestry disability index (ODI), medical outcomes study 36-item short form health survey and MacNab criteria. All the patients in both groups were followed up to 12 months after the operation. RESULTS: ODI questionnaire responses were not statistically different between the MED and PTED groups (53.00 vs. 48.72) before treatment. Average scores and minimal disability after 5 days to 12 months of follow-up were 4.96 in the MED group and 3.61 in the PTED group. According to MacNab criteria, 92.0% of the MED group and 94.4% of the PTED group had excellent or good results with no significant difference. CONCLUSIONS: There was no significant difference between MED and PTED outcomes. Further large-scale, randomized studies with long-term follow-up are needed. Korean Society of Spine Surgery 2015-12 2015-12-08 /pmc/articles/PMC4686386/ /pubmed/26713113 http://dx.doi.org/10.4184/asj.2015.9.6.833 Text en Copyright © 2015 by Korean Society of Spine Surgery http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Clinical Study
Sinkemani, Arjun
Hong, Xin
Gao, Zeng-Xin
Zhuang, Su-Yang
Jiang, Zan-Li
Zhang, Shao-Dong
Bao, Jun-Ping
Zhu, Lei
Zhang, Pei
Xie, Xin-Hui
Wang, Feng
Wu, Xiao-Tao
Outcomes of Microendoscopic Discectomy and Percutaneous Transforaminal Endoscopic Discectomy for the Treatment of Lumbar Disc Herniation: A Comparative Retrospective Study
title Outcomes of Microendoscopic Discectomy and Percutaneous Transforaminal Endoscopic Discectomy for the Treatment of Lumbar Disc Herniation: A Comparative Retrospective Study
title_full Outcomes of Microendoscopic Discectomy and Percutaneous Transforaminal Endoscopic Discectomy for the Treatment of Lumbar Disc Herniation: A Comparative Retrospective Study
title_fullStr Outcomes of Microendoscopic Discectomy and Percutaneous Transforaminal Endoscopic Discectomy for the Treatment of Lumbar Disc Herniation: A Comparative Retrospective Study
title_full_unstemmed Outcomes of Microendoscopic Discectomy and Percutaneous Transforaminal Endoscopic Discectomy for the Treatment of Lumbar Disc Herniation: A Comparative Retrospective Study
title_short Outcomes of Microendoscopic Discectomy and Percutaneous Transforaminal Endoscopic Discectomy for the Treatment of Lumbar Disc Herniation: A Comparative Retrospective Study
title_sort outcomes of microendoscopic discectomy and percutaneous transforaminal endoscopic discectomy for the treatment of lumbar disc herniation: a comparative retrospective study
topic Clinical Study
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4686386/
https://www.ncbi.nlm.nih.gov/pubmed/26713113
http://dx.doi.org/10.4184/asj.2015.9.6.833
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