Clinical efficacy of transforaminal endoscopic discectomy in the treatment of recurrent lumbar disc herniation: a single-center retrospective analysis

被引：6
作者：
Xu, Gang [1 ,2 ]
Zhang, Xuexue [1 ,2 ]
Zhu, Mengye [1 ,2 ]
Yan, Yi [1 ,2 ]
Zhang, Yong [1 ,2 ]
Zhang, Jinjin [1 ,2 ]
Li, Fan [1 ,2 ]
Xu, Mu [1 ,2 ]
Zhang, Daying [1 ,2 ]
机构：
[1] Nanchang Univ, Dept Pain Med, Affiliated Hosp 1, Nanchang 330006, Peoples R China
[2] Nanchang Univ, JXHC Key Lab Neuropath Pain, Affiliated Hosp 1, Nanchang 330006, Peoples R China
来源：
BMC MUSCULOSKELETAL DISORDERS | 2023年 / 24卷 / 01期
基金：
中国国家自然科学基金;
关键词：
Transforaminal endoscopic discectomy; Recurrent lumbar disc herniation; 2 years follow-up; RISK-FACTORS; LOW-BACK; SURGERY; MICRODISCECTOMY; DECOMPRESSION; FUSION; CARE;
D O I：
10.1186/s12891-023-06148-9
中图分类号：
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];
学科分类号：
摘要：
Purpose To investigate the clinical efficacy of transforaminal endoscopic discectomy (TED) in treating recurrent lumbar disc herniation. Methods Clinical datal of 31 patients who were hospitalized in the Department of Pain Management, First Affiliated Hospital of Nanchang University, between 2015 and 2018 due to recurrent lumbar disc herniation were collected and analyzed retrospectively. Visual analogue scale (VAS) scores and Japanese Orthopedic Association (JOA) scores were used to assess alterations of patients' leg pain intensity and nerve function, respectively. The Modified MacNab criteria were used to evaluate patients' excellent and good rates. Results Compared to clinical data before surgery, there was a significant reduction in VAS scores (P < 0.01) along with a significant improvement in JOA scores (P < 0.01) at 2 years after revision surgery. The patients' excellent and good rates were 83.9% at the 2 years after surgery. Conclusion The TED is safe and effective in the long term and is applicable to the treatment of recurrent lumbar disc herniation.
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页数：7
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共 32 条
  • [1] Fusion versus nonfusion treatment for recurrent lumbar disc herniation
    Ahsan, Kamrul
    Khan, Shahidul Islam
    Zaman, Naznin
    Ahmed, Nazmin
    Montemurro, Nicola
    Chaurasia, Bipin
    [J]. JOURNAL OF CRANIOVERTEBRAL JUNCTION AND SPINE, 2021, 12 (01) : 44 - 53
  • [2] RECURRENT LUMBAR DISC HERNIATION AFTER SINGLE-LEVEL LUMBAR DISCECTOMY: INCIDENCE AND HEALTH CARE COST ANALYSIS
    Ambrossi, Giannina L. Garces
    McGirt, Matthew J.
    Sciubba, Daniel M.
    Witham, Timothy F.
    Wolinsky, Jean-Paul
    Gokaslan, Ziya L.
    Long, Donlin M.
    [J]. NEUROSURGERY, 2009, 65 (03) : 574 - 578
  • [3] Percutaneous laser disc decompression versus conventional microdiscectomy for patients with sciatica: Two-year results of a randomised controlled trial
    Brouwer, Patrick A.
    Brand, Ronald
    van den Akker-van Marle, M. Elske
    Jacobs, Wilco C. H.
    Schenk, Barry
    van den Berg-Huijsmans, Annette A.
    Koes, Bart W.
    Arts, Mark A.
    van Buchem, M. A.
    Peul, Wilco C.
    [J]. INTERVENTIONAL NEURORADIOLOGY, 2017, 23 (03) : 313 - 324
  • [4] Long-term results of disc excision for recurrent lumbar disc herniation with or without posterolateral fusion
    Fu, TS
    Lai, PL
    Tsai, TT
    Niu, CC
    Chen, LH
    Chen, WJ
    [J]. SPINE, 2005, 30 (24) : 2830 - 2834
  • [5] Full endoscopic versus open discectomy for sciatica: randomised controlled non-inferiority trial
    Gadjradj, Pravesh S.
    Rubinstein, Sidney M.
    Peul, Wilco C.
    Depauw, Paul R.
    Vleggeert-Lankamp, Carmen L.
    Seiger, Ankie
    Susante, Job L. C.
    de Boer, Michiel R.
    van Tulder, Maurits W.
    Harhangi, Biswadjiet S.
    [J]. BMJ-BRITISH MEDICAL JOURNAL, 2022, 376
  • [6] Transforaminal endoscopic spinal surgery: The future 'gold standard' for discectomy? - A review
    Gibson, J. N. Alastair
    Cowie, Jonathan G.
    Iprenburg, Menno
    [J]. SURGEON-JOURNAL OF THE ROYAL COLLEGES OF SURGEONS OF EDINBURGH AND IRELAND, 2012, 10 (05): : 290 - 296
  • [7] Incidental durotomy during spine surgery: Incidence, management and complications. A retrospective review
    Guerin, Patrick
    El Fegoun, Abdelkrim Benchikh
    Obeid, Ibrahim
    Gille, Olivier
    Lelong, Luc
    Luc, Stephane
    Bourghli, Anouar
    Cursolle, Jean Christophe
    Pointillart, Vincent
    Vital, Jean-Marc
    [J]. INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED, 2012, 43 (04): : 397 - 401
  • [8] Surgical versus conservative treatment for lumbar disc herniation: a prospective cohort study
    Gugliotta, Marinella
    da Costa, Bruno R.
    Dabis, Essam
    Theiler, Robert
    Juni, Peter
    Reichenbach, Stephan
    Landolt, Hans
    Hasler, Paul
    [J]. BMJ OPEN, 2016, 6 (12):
  • [9] Reoperations after first lumbar disc herniation surgery;: a special interest on residives during a 5-year follow-up
    Haekkinen, Arja
    Kiviranta, Ilkka
    Neva, Marko H.
    Kautiainen, Hannu
    Ylinen, Jari
    [J]. BMC MUSCULOSKELETAL DISORDERS, 2007, 8 (1)
  • [10] Recurrent disc herniation following percutaneous endoscopic lumbar discectomy preferentially occurs when Modic changes are present
    Hao, Lu
    Li, Shengwen
    Liu, Junhui
    Shan, Zhi
    Fan, Shunwu
    Zhao, Fengdong
    [J]. JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH, 2020, 15 (01)
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