Comparison of Percutaneous Endoscopic Lumbar Discectomy with Minimally Invasive Transforaminal Lumbar Interbody Fusion as a Revision Surgery for Recurrent Lumbar Disc Herniation after Percutaneous Endoscopic Lumbar Discectomy

The purpose of this study was to compare the outcomes between percutaneous endoscopic lumbar discectomy (PELD) and minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) for the revision surgery for recurrent lumbar disc herniation (rLDH) after PELD surgery. A total of 46 patients with...

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Bibliographic Details
Published in:Therapeutics and clinical risk management 2020-01, Vol.16, p.1185-1193
Main Authors: Wang, Anqi, Yu, Zhengrong
Format: Article
Language:English
Subjects:
Endoscopy
Hospitals
Magnetic resonance imaging
minimally invasive transforaminal lumbar interbody fusion
Original Research
Pain
Patients
percutaneous endoscopic lumbar discectomy
recurrent lumbar disc herniation
revision surgery
Skin
Surgeons
Surgery
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Summary:The purpose of this study was to compare the outcomes between percutaneous endoscopic lumbar discectomy (PELD) and minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) for the revision surgery for recurrent lumbar disc herniation (rLDH) after PELD surgery. A total of 46 patients with rLDH were retrospectively assessed in this study. All the patients had received a PELD in Peking University First Hospital between January 2015 and June 2019, before they underwent a revision surgery by either PELD (n=24) or MIS-TLIF (n=22). The preoperative data, perioperative conditions, complications, recurrence condition, and clinical outcomes of the patients were compared between the two groups. Compared to the MIS-TLIF group, the PELD group had significantly shorter operative time, less intraoperative hemorrhage, and shorter postoperative hospitalization, but higher recurrence rate (
ISSN:1176-6336
1178-203X
1178-203X
DOI:10.2147/TCRM.S283652