Clinical study of Microendoscopic Discectomy + Fibrous Ring Suture Versus Microendoscopic Discectomy alone in the treatment of lumbar disc herniation in young and middle-aged patients

• Published in: Pakistan journal of medical sciences 2024-04, Vol.40 (4), p.690-694
• Main Authors: Cui, Hong-Xun, Wang, Yi-di, Liu, Yong-Hui, Guo, Ma-Long
• Format: Article
• Language: English
• Subjects: Cardiovascular disease; Clinical outcomes; Clinical trials; Degenerative disc disease; Hospitals; Length of stay; Middle age; Original; Orthopedics; Pain; Surgery; Sutures
• ISSN: 1682-024X; 1681-715X
• DOI: 10.12669/pjms.40.4.7935

To compare the clinical efficacy of microendoscopic discectomy + fibrous ring suture versus microendoscopic discectomy alone in the treatment of lumbar disc herniation (LDH) in young and middle-aged patients. A retrospective analysis was performed on the clinical data of 66 young and middle-aged patients with single-segment LDH diagnosed in Orthopedic Hospital of Henan Province from October 2019 to October 2022. All patients were divided into two groups: the microendoscopic discectomy + fibrous ring suture group and the microendoscopic discectomy alone group, with 33 cases in each group. The Visual Analogue Scale (VAS) and the Oswestry Disability Index (ODI) scores of the two groups were recorded before surgery and six and twelve months after surgery. Both groups completed the surgery and postoperative follow-up successfully and showed no statistically significant differences in terms of incision length, duration of surgery, intraoperative blood loss and length of hospital stay (all P>0.05). VAS, ODI and JOA scores were significantly improved in both groups at 6 and 12 months after surgery compared with those before surgery (all P