Lumbar percutaneous transforaminal endoscopic discectomy: a retrospective survey on the first 172 adult patients treated in Denmark

Purpose To evaluate patient demographics, surgery characteristics, and patient-reported clinical outcomes related to the implementation of lumbar PTED in Denmark by surgeons novice to the PTED technique. Methods All adult patients treated with a lumbar PTED from our first surgery in October 2020 to...

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Bibliographic Details
Published in:Acta neurochirurgica 2024-03, Vol.166 (1), p.155-155, Article 155
Main Authors: Terkelsen, Jacob Holmen, Hundsholt, Torben, Bjarkam, Carsten Reidies
Format: Article
Language:English
Subjects:
Adult
Analgesia
Analgesics
Denmark
Diskectomy - methods
Diskectomy, Percutaneous - methods
Endoscopy - methods
Humans
Interventional Radiology
Intervertebral Disc Displacement - surgery
Lumbar Vertebrae - surgery
Medicine
Medicine & Public Health
Minimally Invasive Surgery
Neurology
Neuroradiology
Neurosurgery
Neurosurgical technique evaluation
Original
Original Article
Pain - surgery
Pain perception
Paresis
Paresthesia
Patients
Retrospective Studies
Surgeons
Surgery
Surgical Orthopedics
Treatment Outcome
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Summary:Purpose To evaluate patient demographics, surgery characteristics, and patient-reported clinical outcomes related to the implementation of lumbar PTED in Denmark by surgeons novice to the PTED technique. Methods All adult patients treated with a lumbar PTED from our first surgery in October 2020 to December 2021 were included. Data was generated by journal audit and telephone interview. Results A total of 172 adult patients underwent lumbar PTED. Surgery duration was a median of 45.0 (35.0–60.0) minutes and patients were discharged a median of 0 (0–1.0) days after. Per operatively one procedure was converted to open microdiscectomy due to profuse bleeding. Post operatively one patient complained of persistent headache (suggestive of a dural tear), two patients developed new L5 paresthesia, and three patients had a newly developed dorsal flexion paresis (suggestive of a root lesion). Sixteen patients did not complete follow-up and 24 (14.0%) underwent reoperation of which 54.2% were due to residual disk material. Among the remaining 132 patients, lower back and leg pain decreased from 7.0 (5.0–8.5) to 2.5 (1.0–4.5) and from 8.0 (6.0–9.1) to 2.0 (0–3.6) at follow-up, respectively ( p  
ISSN:0942-0940
0001-6268
0942-0940
DOI:10.1007/s00701-024-06038-6