Surgical Outcome of Two-Level Transforaminal Percutaneous Endoscopic Lumbar Discectomy for Far-Migrated Disc Herniation

Objective. To describe the two-level percutaneous endoscopic lumbar discectomy (PELD) technique in transforaminal approach for highly migrated disc herniation and investigate its clinical outcomes. Methods. A total of 22 consecutive patients with highly migrated lumbar disc herniation were enrolled...

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Bibliographic Details
Published in:BioMed research international 2016-01, Vol.2016 (2016), p.1-6
Main Authors: Guan, Xiaofei, Gu, Xin, Fan, Guoxin, Wu, Xinbo, He, Shisheng
Format: Article
Language:English
Subjects:
Adult
Aged
Biomedical research
Clinical Study
Diskectomy, Percutaneous - methods
Female
Humans
Intervertebral Disc Displacement - surgery
Length of Stay
Lumbar Vertebrae - surgery
Male
Middle Aged
Nucleus Pulposus - pathology
Operative Time
Pain Measurement
Postoperative Complications
Remission Induction
Retrospective Studies
Treatment Outcome
Young Adult
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Summary:Objective. To describe the two-level percutaneous endoscopic lumbar discectomy (PELD) technique in transforaminal approach for highly migrated disc herniation and investigate its clinical outcomes. Methods. A total of 22 consecutive patients with highly migrated lumbar disc herniation were enrolled for the study from June 2012 to February 2014. Results. There were 12 males and 10 females, with a mean age of 41.1 (range 23–67) years. The mean follow-up period was 18.05 (range 14–33) months. According to the modified MacNab criteria, the clinical outcome at the final follow-up was excellent in 14, good in 6, and fair in 2 patients and the satisfactory rate (excellent and good) was 90.9%. The improvements in VAS and ODI were statistically significant. One patient had recurrent herniation in 18 months after the first surgery and underwent open discectomy. One patient showed symptoms of postoperative dysesthesia (POD), but the POD symptom was transient and partial remission was achieved in two months after conservative treatment. Conclusion. Two-level PELD in transforaminal approach can be a safe and effective procedure for highly migrated disc herniation.
ISSN:2314-6133
2314-6141
DOI:10.1155/2016/4924013