Full-endoscopic foraminoplasty for highly down-migrated lumbar disc herniation

Multiple surgical approaches have been studied and accepted for the removal of highly downward migrated lumbar disc herniation (LDH). Here, we investigated the efficacy and safety of full-endoscopic foraminoplasty for highly downward migrated LDH. Thirty-seven patients with highly down-migrated LDH...

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Bibliographic Details
Published in:BMC musculoskeletal disorders 2022-03, Vol.23 (1), p.303-303, Article 303
Main Authors: Cai, Hanhua, Liu, Chunhua, Lin, Haibin, Wu, Zhiqiang, Chen, Xuanhuang, Zhang, Huaizhi
Format: Article
Language:English
Subjects:
Back pain
Back Pain - surgery
Care and treatment
Clinical outcomes
Diskectomy, Percutaneous - methods
Downward migration
Electrodes
Endoscopy
Epidural
Foraminoplasty
Full-endoscopic discectomy
Hernia
Humans
Intervertebral Disc Displacement - diagnostic imaging
Intervertebral Disc Displacement - surgery
Intervertebral discs
Intervertebral disk
Intervertebral disk displacement
Local anesthesia
Lumbar disc herniation
Lumbar Vertebrae - diagnostic imaging
Lumbar Vertebrae - surgery
Pain
Patient outcomes
Patients
Retrospective Studies
Spine
Surgery
Treatment Outcome
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Summary:Multiple surgical approaches have been studied and accepted for the removal of highly downward migrated lumbar disc herniation (LDH). Here, we investigated the efficacy and safety of full-endoscopic foraminoplasty for highly downward migrated LDH. Thirty-seven patients with highly down-migrated LDH treated by the full-endoscopic foraminoplasty between January 2018 and January 2020 were retrospectively investigated. Clinical parameters were evaluated preoperatively and 1, 6, and 12 months postoperatively, using pre- and post-operative Oswestry Disability Index (ODI) scores for functional improvement, visual analog scale (VAS) for leg and back pain, and modified MacNab criteria for patients satisfactory. Thirty-seven patients with highly downward migrated LDH were successfully removed via the transforaminal full-endoscopic discectomy. The average VAS back and leg pain scores were significantly reduced from 7.41 ± 1.17 and 8.68 ± 1.06 before operation to 3.14 ± 0.89 and 2.70 ± 0.46 at postoperative 1 month, and 1.76 ± 0.59 and 0.92 ± 0.28 at postoperative 12 months, respectively (P 
ISSN:1471-2474
1471-2474
DOI:10.1186/s12891-022-05254-4