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Trans-sacral epiduroscopic laser decompression versus the microscopic open interlaminar approach for L5-S1 disc herniation
Context/Objective: Trans-sacral epiduroscopic laser decompression (SELD) is an alternative to microscopic open lumbar discectomy (OLD). SELD and OLD for L5-S1 lumbar disc herniation (LDH) have not been compared. We compared clinical results, including pain control, between SELD and OLD. Design: Retr...
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| Published in: | The journal of spinal cord medicine 2020-01, Vol.43 (1), p.46-52 |
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| creator | Kim, Seung-Kook Lee, Su-Chan Park, Seung-Woo |
| description | Context/Objective: Trans-sacral epiduroscopic laser decompression (SELD) is an alternative to microscopic open lumbar discectomy (OLD). SELD and OLD for L5-S1 lumbar disc herniation (LDH) have not been compared. We compared clinical results, including pain control, between SELD and OLD.
Design: Retrospective analysis.
Setting: Korean hospital.
Participants: Eighty patients treated with SELD (n = 40) or microscopic OLD (n = 40) for L5-S1 LDH.
Interventions: N/A.
Outcome Measures: Clinical data were compared over 6 months. Functional status was evaluated using Oswestry Disability Index (ODI, 0-100%) and time to return to work. Preoperative and postoperative pain was measured using a visual analog scale (VAS, 0-10). Radiological assessment was performed preoperatively and postoperatively.
Results: The ODI and VAS scores for leg and back pain significantly improved in both groups. At 6-months after the procedure, the average ODI decreased to 13.2 ± 11.2 from 54.5 ± 14.5 for SELD and 9.5 ± 10.4 from 57.5 ± 16.0 for OLD. The average leg VAS decreased to 1.9 ± 1.2 from 6.0 ± 1.4 for SELD and 2.3 ± 1.3 from 6.7 ± 1.6 for OLD. Back VAS reduced to 2.6 ± 1.3 from 7.2 ± 1.5 for OLD. Time to return to work was 1.1 ± 1.1 weeks for SELD and 5.4 ± 2.1 weeks for OLD. Clinical outcomes of SELD were non-inferior to those of OLD in terms of pain control.
Conclusion: A scar-free procedure and early return to normal life are advantages of SELD. |
| doi_str_mv | 10.1080/10790268.2018.1442285 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7006732</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2009213975</sourcerecordid><originalsourceid>FETCH-LOGICAL-c468t-5d0a3c1524e7a25223af1c884480fc410b191d867b8eec25aef4be64a601bb4d3</originalsourceid><addsrcrecordid>eNp9kcFu1DAQhi0EotuWRwD5yCWL7diJc0GgCijSShxoz9bEmbBGiR3spFV5ehztdkUvPfkw3_zjmY-Qt5xtOdPsA2d1w0Slt4JxveVSCqHVC7IRTKqirkX5kmxWplihM3Ke0m_GVNOU5WtyJhqpta74hvy9ieBTkcBGGChOrltiSDZMztIBEkbaoQ3jFDElFzy9w5iWROc90tHZExom9NT5GeMAo_MQKUxTDGD3tA-R7lTxk9POJUv3GL2DOWddklc9DAnfHN8Lcvv1y83VdbH78e371eddYWWl50J1DErLlZBYg1BClNBzq7WUmvVWctbyhne6qluNaIUC7GWLlYSK8baVXXlBPh5yp6UdsbPo57yrmaIbIT6YAM48rXi3N7_CnakZq-pS5ID3x4AY_iyYZjPmTXAYwGNYkhGMNYKXTa0yqg7oepoUsT-N4cys3syjN7N6M0dvue_d_388dT2KysCnA-B8PugI9yEOnZnhYQixzwqtS6Z8fsY_5gWrNg</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2009213975</pqid></control><display><type>article</type><title>Trans-sacral epiduroscopic laser decompression versus the microscopic open interlaminar approach for L5-S1 disc herniation</title><source>Taylor and Francis:Jisc Collections:Taylor and Francis Read and Publish Agreement 2024-2025:Medical Collection (Reading list)</source><source>PubMed Central</source><creator>Kim, Seung-Kook ; Lee, Su-Chan ; Park, Seung-Woo</creator><creatorcontrib>Kim, Seung-Kook ; Lee, Su-Chan ; Park, Seung-Woo</creatorcontrib><description>Context/Objective: Trans-sacral epiduroscopic laser decompression (SELD) is an alternative to microscopic open lumbar discectomy (OLD). SELD and OLD for L5-S1 lumbar disc herniation (LDH) have not been compared. We compared clinical results, including pain control, between SELD and OLD.
Design: Retrospective analysis.
Setting: Korean hospital.
Participants: Eighty patients treated with SELD (n = 40) or microscopic OLD (n = 40) for L5-S1 LDH.
Interventions: N/A.
Outcome Measures: Clinical data were compared over 6 months. Functional status was evaluated using Oswestry Disability Index (ODI, 0-100%) and time to return to work. Preoperative and postoperative pain was measured using a visual analog scale (VAS, 0-10). Radiological assessment was performed preoperatively and postoperatively.
Results: The ODI and VAS scores for leg and back pain significantly improved in both groups. At 6-months after the procedure, the average ODI decreased to 13.2 ± 11.2 from 54.5 ± 14.5 for SELD and 9.5 ± 10.4 from 57.5 ± 16.0 for OLD. The average leg VAS decreased to 1.9 ± 1.2 from 6.0 ± 1.4 for SELD and 2.3 ± 1.3 from 6.7 ± 1.6 for OLD. Back VAS reduced to 2.6 ± 1.3 from 7.2 ± 1.5 for OLD. Time to return to work was 1.1 ± 1.1 weeks for SELD and 5.4 ± 2.1 weeks for OLD. Clinical outcomes of SELD were non-inferior to those of OLD in terms of pain control.
Conclusion: A scar-free procedure and early return to normal life are advantages of SELD.</description><identifier>ISSN: 1079-0268</identifier><identifier>EISSN: 2045-7723</identifier><identifier>DOI: 10.1080/10790268.2018.1442285</identifier><identifier>PMID: 29488861</identifier><language>eng</language><publisher>England: Taylor & Francis</publisher><subject>Adult ; Decompression, Surgical ; Disability Evaluation ; Diskectomy ; Endoscopic spine surgery ; Endoscopic surgical procedure ; Endoscopy ; Female ; Humans ; Intervertebral Disc Degeneration ; Intervertebral disc displacement ; Intervertebral Disc Displacement - diagnostic imaging ; Intervertebral Disc Displacement - surgery ; Laser surgery ; Lasers ; Lumbosacral Region - surgery ; Male ; Middle Aged ; Minimally invasive surgery ; Pain Measurement ; Return to Work</subject><ispartof>The journal of spinal cord medicine, 2020-01, Vol.43 (1), p.46-52</ispartof><rights>The Academy of Spinal Cord Injury Professionals, Inc. 2018 2018</rights><rights>The Academy of Spinal Cord Injury Professionals, Inc. 2018 2018 The Academy of Spinal Cord Injury Professionals, Inc.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c468t-5d0a3c1524e7a25223af1c884480fc410b191d867b8eec25aef4be64a601bb4d3</citedby><cites>FETCH-LOGICAL-c468t-5d0a3c1524e7a25223af1c884480fc410b191d867b8eec25aef4be64a601bb4d3</cites><orcidid>0000-0002-4632-521X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7006732/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7006732/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27922,27923,53789,53791</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29488861$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kim, Seung-Kook</creatorcontrib><creatorcontrib>Lee, Su-Chan</creatorcontrib><creatorcontrib>Park, Seung-Woo</creatorcontrib><title>Trans-sacral epiduroscopic laser decompression versus the microscopic open interlaminar approach for L5-S1 disc herniation</title><title>The journal of spinal cord medicine</title><addtitle>J Spinal Cord Med</addtitle><description>Context/Objective: Trans-sacral epiduroscopic laser decompression (SELD) is an alternative to microscopic open lumbar discectomy (OLD). SELD and OLD for L5-S1 lumbar disc herniation (LDH) have not been compared. We compared clinical results, including pain control, between SELD and OLD.
Design: Retrospective analysis.
Setting: Korean hospital.
Participants: Eighty patients treated with SELD (n = 40) or microscopic OLD (n = 40) for L5-S1 LDH.
Interventions: N/A.
Outcome Measures: Clinical data were compared over 6 months. Functional status was evaluated using Oswestry Disability Index (ODI, 0-100%) and time to return to work. Preoperative and postoperative pain was measured using a visual analog scale (VAS, 0-10). Radiological assessment was performed preoperatively and postoperatively.
Results: The ODI and VAS scores for leg and back pain significantly improved in both groups. At 6-months after the procedure, the average ODI decreased to 13.2 ± 11.2 from 54.5 ± 14.5 for SELD and 9.5 ± 10.4 from 57.5 ± 16.0 for OLD. The average leg VAS decreased to 1.9 ± 1.2 from 6.0 ± 1.4 for SELD and 2.3 ± 1.3 from 6.7 ± 1.6 for OLD. Back VAS reduced to 2.6 ± 1.3 from 7.2 ± 1.5 for OLD. Time to return to work was 1.1 ± 1.1 weeks for SELD and 5.4 ± 2.1 weeks for OLD. Clinical outcomes of SELD were non-inferior to those of OLD in terms of pain control.
Conclusion: A scar-free procedure and early return to normal life are advantages of SELD.</description><subject>Adult</subject><subject>Decompression, Surgical</subject><subject>Disability Evaluation</subject><subject>Diskectomy</subject><subject>Endoscopic spine surgery</subject><subject>Endoscopic surgical procedure</subject><subject>Endoscopy</subject><subject>Female</subject><subject>Humans</subject><subject>Intervertebral Disc Degeneration</subject><subject>Intervertebral disc displacement</subject><subject>Intervertebral Disc Displacement - diagnostic imaging</subject><subject>Intervertebral Disc Displacement - surgery</subject><subject>Laser surgery</subject><subject>Lasers</subject><subject>Lumbosacral Region - surgery</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Minimally invasive surgery</subject><subject>Pain Measurement</subject><subject>Return to Work</subject><issn>1079-0268</issn><issn>2045-7723</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><recordid>eNp9kcFu1DAQhi0EotuWRwD5yCWL7diJc0GgCijSShxoz9bEmbBGiR3spFV5ehztdkUvPfkw3_zjmY-Qt5xtOdPsA2d1w0Slt4JxveVSCqHVC7IRTKqirkX5kmxWplihM3Ke0m_GVNOU5WtyJhqpta74hvy9ieBTkcBGGChOrltiSDZMztIBEkbaoQ3jFDElFzy9w5iWROc90tHZExom9NT5GeMAo_MQKUxTDGD3tA-R7lTxk9POJUv3GL2DOWddklc9DAnfHN8Lcvv1y83VdbH78e371eddYWWl50J1DErLlZBYg1BClNBzq7WUmvVWctbyhne6qluNaIUC7GWLlYSK8baVXXlBPh5yp6UdsbPo57yrmaIbIT6YAM48rXi3N7_CnakZq-pS5ID3x4AY_iyYZjPmTXAYwGNYkhGMNYKXTa0yqg7oepoUsT-N4cys3syjN7N6M0dvue_d_388dT2KysCnA-B8PugI9yEOnZnhYQixzwqtS6Z8fsY_5gWrNg</recordid><startdate>20200102</startdate><enddate>20200102</enddate><creator>Kim, Seung-Kook</creator><creator>Lee, Su-Chan</creator><creator>Park, Seung-Woo</creator><general>Taylor & Francis</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-4632-521X</orcidid></search><sort><creationdate>20200102</creationdate><title>Trans-sacral epiduroscopic laser decompression versus the microscopic open interlaminar approach for L5-S1 disc herniation</title><author>Kim, Seung-Kook ; Lee, Su-Chan ; Park, Seung-Woo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c468t-5d0a3c1524e7a25223af1c884480fc410b191d867b8eec25aef4be64a601bb4d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adult</topic><topic>Decompression, Surgical</topic><topic>Disability Evaluation</topic><topic>Diskectomy</topic><topic>Endoscopic spine surgery</topic><topic>Endoscopic surgical procedure</topic><topic>Endoscopy</topic><topic>Female</topic><topic>Humans</topic><topic>Intervertebral Disc Degeneration</topic><topic>Intervertebral disc displacement</topic><topic>Intervertebral Disc Displacement - diagnostic imaging</topic><topic>Intervertebral Disc Displacement - surgery</topic><topic>Laser surgery</topic><topic>Lasers</topic><topic>Lumbosacral Region - surgery</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Minimally invasive surgery</topic><topic>Pain Measurement</topic><topic>Return to Work</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kim, Seung-Kook</creatorcontrib><creatorcontrib>Lee, Su-Chan</creatorcontrib><creatorcontrib>Park, Seung-Woo</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>The journal of spinal cord medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kim, Seung-Kook</au><au>Lee, Su-Chan</au><au>Park, Seung-Woo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Trans-sacral epiduroscopic laser decompression versus the microscopic open interlaminar approach for L5-S1 disc herniation</atitle><jtitle>The journal of spinal cord medicine</jtitle><addtitle>J Spinal Cord Med</addtitle><date>2020-01-02</date><risdate>2020</risdate><volume>43</volume><issue>1</issue><spage>46</spage><epage>52</epage><pages>46-52</pages><issn>1079-0268</issn><eissn>2045-7723</eissn><abstract>Context/Objective: Trans-sacral epiduroscopic laser decompression (SELD) is an alternative to microscopic open lumbar discectomy (OLD). SELD and OLD for L5-S1 lumbar disc herniation (LDH) have not been compared. We compared clinical results, including pain control, between SELD and OLD.
Design: Retrospective analysis.
Setting: Korean hospital.
Participants: Eighty patients treated with SELD (n = 40) or microscopic OLD (n = 40) for L5-S1 LDH.
Interventions: N/A.
Outcome Measures: Clinical data were compared over 6 months. Functional status was evaluated using Oswestry Disability Index (ODI, 0-100%) and time to return to work. Preoperative and postoperative pain was measured using a visual analog scale (VAS, 0-10). Radiological assessment was performed preoperatively and postoperatively.
Results: The ODI and VAS scores for leg and back pain significantly improved in both groups. At 6-months after the procedure, the average ODI decreased to 13.2 ± 11.2 from 54.5 ± 14.5 for SELD and 9.5 ± 10.4 from 57.5 ± 16.0 for OLD. The average leg VAS decreased to 1.9 ± 1.2 from 6.0 ± 1.4 for SELD and 2.3 ± 1.3 from 6.7 ± 1.6 for OLD. Back VAS reduced to 2.6 ± 1.3 from 7.2 ± 1.5 for OLD. Time to return to work was 1.1 ± 1.1 weeks for SELD and 5.4 ± 2.1 weeks for OLD. Clinical outcomes of SELD were non-inferior to those of OLD in terms of pain control.
Conclusion: A scar-free procedure and early return to normal life are advantages of SELD.</abstract><cop>England</cop><pub>Taylor & Francis</pub><pmid>29488861</pmid><doi>10.1080/10790268.2018.1442285</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-4632-521X</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Adult Decompression, Surgical Disability Evaluation Diskectomy Endoscopic spine surgery Endoscopic surgical procedure Endoscopy Female Humans Intervertebral Disc Degeneration Intervertebral disc displacement Intervertebral Disc Displacement - diagnostic imaging Intervertebral Disc Displacement - surgery Laser surgery Lasers Lumbosacral Region - surgery Male Middle Aged Minimally invasive surgery Pain Measurement Return to Work |
| title | Trans-sacral epiduroscopic laser decompression versus the microscopic open interlaminar approach for L5-S1 disc herniation |
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