Saving Ligamentum Flavum in One Day Care Microscopic Lumbar Disc Surgery

Background Data Decompression discectomy is a common procedure for treatment of sciatica caused by lumbar disc herniation. Conventional discectomy may damage many important motion segment structures. Microscopic lumbar disc surgery can offer better visualization, magnification and illumination that...

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Autores principales:	Mohamed Khattab, Ayman Galhom, Ahmed Elsawaf
Formato:	article
Lenguaje:	EN
Publicado:	Egyptian Spine Association 2017
Materias:	Microscopic lumbar discectomy one day care ligamentum flavum Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/22bed54b58e245729703f0f62cb8a90f
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spelling	oai:doaj.org-article:22bed54b58e245729703f0f62cb8a90f2021-12-02T00:13:28ZSaving Ligamentum Flavum in One Day Care Microscopic Lumbar Disc SurgeryDOI:10.21608/ESJ.2017.56342314-89502314-8969https://doaj.org/article/22bed54b58e245729703f0f62cb8a90f2017-04-01T00:00:00Zhttp://www.esj.journals.ekb.eg/article_5634.htmlhttps://doaj.org/toc/2314-8950https://doaj.org/toc/2314-8969Background Data Decompression discectomy is a common procedure for treatment of sciatica caused by lumbar disc herniation. Conventional discectomy may damage many important motion segment structures. Microscopic lumbar disc surgery can offer better visualization, magnification and illumination that lead to less invasive disc surgery. Shorter hospital stay, rapid recovery, and decrease the surgical cost is a trend to broaden the types of procedures that can be safely performed as one day care procedure. Purpose: To assess the safety and efficacy of microscopic lumbar discectomy with partial ligamentum flavum preservation in treating L5-S1 lumbar disc herniation as outpatient procedure in one day care hospital. Study design: Prospective clinical case study. Patients and Methods: Between the period of 2012 and 2015 seventy cases were treated for prolapsed L5-S1 disc after failure of conservative treatment. All patients were operated by microscopic lumbar discectomy with partial preservation of the ligamentum flavum as outpatient one day surgery. Visual analogue scale (VAS), Oswestry Disability Index (ODI), and patient satisfaction questionnaire were used to assess the safety and efficacy of our procedure. Preoperative and postoperative MRI was done to confirm ligamentum flavum preservation. Results: At the last follow up, VAS improved from 7.29±0.89 to 1.8±0.93 with P value P<0.002. ODI was improved from 42.01±6.77 to 13.4±4.72 with P value<0.002. One cases had pseudomeningeocele treated conservatively; three patients suffered paresthesia improved with medical conservative treatment. Two patients had limited postoperative superficial infections. Recurrence of lumbar disc herniation was reported in one case 1.5 years after surgery. Conclusion: According to the result, one day microscopic L5-S1 lumbar discectomy with partial ligamentum flavum preservation is possible with favorable clinical outcomes. (2017ESJ132)Mohamed KhattabAyman GalhomAhmed ElsawafEgyptian Spine AssociationarticleMicroscopiclumbar discectomyone day careligamentum flavumNeurology. Diseases of the nervous systemRC346-429ENEgyptian Spine Journal, Vol 22, Iss 1, Pp 23-31 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	Microscopic lumbar discectomy one day care ligamentum flavum Neurology. Diseases of the nervous system RC346-429
spellingShingle	Microscopic lumbar discectomy one day care ligamentum flavum Neurology. Diseases of the nervous system RC346-429 Mohamed Khattab Ayman Galhom Ahmed Elsawaf Saving Ligamentum Flavum in One Day Care Microscopic Lumbar Disc Surgery
description	Background Data Decompression discectomy is a common procedure for treatment of sciatica caused by lumbar disc herniation. Conventional discectomy may damage many important motion segment structures. Microscopic lumbar disc surgery can offer better visualization, magnification and illumination that lead to less invasive disc surgery. Shorter hospital stay, rapid recovery, and decrease the surgical cost is a trend to broaden the types of procedures that can be safely performed as one day care procedure. Purpose: To assess the safety and efficacy of microscopic lumbar discectomy with partial ligamentum flavum preservation in treating L5-S1 lumbar disc herniation as outpatient procedure in one day care hospital. Study design: Prospective clinical case study. Patients and Methods: Between the period of 2012 and 2015 seventy cases were treated for prolapsed L5-S1 disc after failure of conservative treatment. All patients were operated by microscopic lumbar discectomy with partial preservation of the ligamentum flavum as outpatient one day surgery. Visual analogue scale (VAS), Oswestry Disability Index (ODI), and patient satisfaction questionnaire were used to assess the safety and efficacy of our procedure. Preoperative and postoperative MRI was done to confirm ligamentum flavum preservation. Results: At the last follow up, VAS improved from 7.29±0.89 to 1.8±0.93 with P value P<0.002. ODI was improved from 42.01±6.77 to 13.4±4.72 with P value<0.002. One cases had pseudomeningeocele treated conservatively; three patients suffered paresthesia improved with medical conservative treatment. Two patients had limited postoperative superficial infections. Recurrence of lumbar disc herniation was reported in one case 1.5 years after surgery. Conclusion: According to the result, one day microscopic L5-S1 lumbar discectomy with partial ligamentum flavum preservation is possible with favorable clinical outcomes. (2017ESJ132)
format	article
author	Mohamed Khattab Ayman Galhom Ahmed Elsawaf
author_facet	Mohamed Khattab Ayman Galhom Ahmed Elsawaf
author_sort	Mohamed Khattab
title	Saving Ligamentum Flavum in One Day Care Microscopic Lumbar Disc Surgery
title_short	Saving Ligamentum Flavum in One Day Care Microscopic Lumbar Disc Surgery
title_full	Saving Ligamentum Flavum in One Day Care Microscopic Lumbar Disc Surgery
title_fullStr	Saving Ligamentum Flavum in One Day Care Microscopic Lumbar Disc Surgery
title_full_unstemmed	Saving Ligamentum Flavum in One Day Care Microscopic Lumbar Disc Surgery
title_sort	saving ligamentum flavum in one day care microscopic lumbar disc surgery
publisher	Egyptian Spine Association
publishDate	2017
url	https://doaj.org/article/22bed54b58e245729703f0f62cb8a90f
work_keys_str_mv	AT mohamedkhattab savingligamentumflavuminonedaycaremicroscopiclumbardiscsurgery AT aymangalhom savingligamentumflavuminonedaycaremicroscopiclumbardiscsurgery AT ahmedelsawaf savingligamentumflavuminonedaycaremicroscopiclumbardiscsurgery
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Saving Ligamentum Flavum in One Day Care Microscopic Lumbar Disc Surgery

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