Fully Endoscopic Interlaminar and Transforaminal Lumbar Discectomy: Short-Term Clinical Results of 163 Surgically Treated Patients

被引：90
作者：
Sencer, Altay [1 ]
Yorukoglu, Ali Guven [2 ]
Akcakaya, Mehmet Osman [3 ]
Aras, Yavuz [1 ]
Aydoseli, Aydin [1 ]
Boyali, Osman [1 ]
Sencan, Fahir [1 ]
Sabanci, Pulat Akin [1 ]
Gomleksiz, Cengiz [4 ]
Imer, Murat [1 ]
Kiris, Talat [1 ]
Hepgul, Kemal [1 ]
Unal, Omer Faruk [1 ]
Izgi, Nail [1 ]
Canbolat, Ali Tuncay [1 ]
机构：
[1] Istanbul Univ, Istanbul Sch Med, Dept Neurosurg, Istanbul, Turkey
[2] Artvin State Hosp, Dept Neurosurg, Artvin, Turkey
[3] Taksim Training & Res Hosp, Dept Neurosurg, Istanbul, Turkey
[4] Erzincan Univ, Fac Med, Dept Neurosurg, Erzincan, Turkey
来源：
WORLD NEUROSURGERY | 2014年 / 82卷 / 05期
关键词：
Endoscopic discectomy; Interlaminar discectomy; Lumbar disc herniation; Minimally invasive spine surgery; Percutaneous discectomy; Transforaminal discectomy; DISC HERNIATIONS; ARTHROSCOPIC MICRODISCECTOMY; PERCUTANEOUS NUCLEOTOMY; LEARNING-CURVE; OUTCOMES; DISCECTOMY; SPINE; DISCOSCOPY; OPERATION; EXCISION;
D O I：
10.1016/j.wneu.2014.05.032
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
OBJECTIVE: To evaluate the clinical outcomes of patients with lumbar disc disease undergoing fully endoscopic surgery at a single clinic. METHODS: Between August 2009 and January 2012, 163 patients (74 men and 89 women) underwent fully endoscopic lumbar discectomy. All patients were followed for 1 year after surgery. The Oswestry Disability Index and a visual analog scale were used to analyze outcomes. RESULTS: During the follow-up period, 114 (70%) patients had no complaints, 30 (18%) patients had occasional pain, and 19 (12%) patients had no improvement. During postoperative follow-up, 8 patients required repeat surgery for recurrence or residual fragments. Postoperatively, 4 patients experienced dysesthesia, which completely resolved in time. Neurologic deterioration occurred in 5 patients, 4 of whom recovered completely without any intervention. Dural tears occurred in 6 patients. ONCLUSIONS: Fully endoscopic interlaminar or transforaminal surgeries are safe and effective treatment modalities for lumbar disc herniations. Despite the difficulties of acquiring this new technique, good results can be achieved with sufficient experience.
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页码：884 / 890
页数：7
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