A Modified Translaminar Osseous Channel-Assisted Percutaneous Endoscopic Lumbar Discectomy for Highly Migrated and Sequestrated Disc Herniations of the Upper Lumbar: Clinical Outcomes, Surgical Indications, and Technical Considerations
Joint Authors
Liao, Wenbo
Ao, Jun
Qin, Jianpu
Cai, Yuqiang
Xin, Zhijun
Chen, Fang
Ye, Zhiyuan
Source
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-03-30
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Objective is to describe a safe and effective percutaneous endoscopic approach for removal of highly migrated and sequestrated disc herniations of the upper lumbar spine and to report the results, surgical indications, and technical considerations of the new technique.
Eleven patients who had highly migrated and sequestrated disc herniations in the upper lumbar were included in this study.
A retrospective study was performed for all patients after translaminar osseous channel-assisted PELD was performed.
Radiologic findings were investigated, and pre-and postoperative visual analog scale (VAS) assessments for back and leg pain and Oswestry disability index (ODI) evaluations were performed.
Surgical outcomes were evaluated under modified MacNab criteria.
All of the patients were followed for more than 1 year.
The preoperative and postoperative radiologic findings revealed that the decompression of the herniated nucleus pulposus (HNP) was complete.
After surgery, the mean VAS scores for back and leg pain immediately improved from 8.64 (range, 7–10) and 8.00 (range, 6–10) to 2.91 (range, 2–4) and 2.27 (range, 1–3), respectively.
The mean preoperative ODI was 65.58 (range, 52.2–86), which decreased to 7.51 (range, 1.8–18) at the 12-month postoperative follow-up.
The MacNab scores at the final follow-up included nine excellent, one good, and one fair.
The modified translaminar osseous channel-assisted PELD could be a safe and effective option for the treatment of highly migrated and sequestrated disc herniations of the upper lumbar.
American Psychological Association (APA)
Xin, Zhijun& Liao, Wenbo& Ao, Jun& Qin, Jianpu& Chen, Fang& Ye, Zhiyuan…[et al.]. 2017. A Modified Translaminar Osseous Channel-Assisted Percutaneous Endoscopic Lumbar Discectomy for Highly Migrated and Sequestrated Disc Herniations of the Upper Lumbar: Clinical Outcomes, Surgical Indications, and Technical Considerations. BioMed Research International،Vol. 2017, no. 2017, pp.1-7.
https://search.emarefa.net/detail/BIM-1135663
Modern Language Association (MLA)
Xin, Zhijun…[et al.]. A Modified Translaminar Osseous Channel-Assisted Percutaneous Endoscopic Lumbar Discectomy for Highly Migrated and Sequestrated Disc Herniations of the Upper Lumbar: Clinical Outcomes, Surgical Indications, and Technical Considerations. BioMed Research International No. 2017 (2017), pp.1-7.
https://search.emarefa.net/detail/BIM-1135663
American Medical Association (AMA)
Xin, Zhijun& Liao, Wenbo& Ao, Jun& Qin, Jianpu& Chen, Fang& Ye, Zhiyuan…[et al.]. A Modified Translaminar Osseous Channel-Assisted Percutaneous Endoscopic Lumbar Discectomy for Highly Migrated and Sequestrated Disc Herniations of the Upper Lumbar: Clinical Outcomes, Surgical Indications, and Technical Considerations. BioMed Research International. 2017. Vol. 2017, no. 2017, pp.1-7.
https://search.emarefa.net/detail/BIM-1135663
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1135663