Full-Endoscopic Soft Tissue Approach for Lumbar Disc Herniation

Background Data: Open lumbar microdiscectomy has been considered the gold standard in the management of lumbar disc herniation (LDH) because of its favorable outcomes in long-term follow up. Nowadays, minimally invasive discectomy is gaining recognition due to its advantages. The advantages endoscop...

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Autores principales:	Walid Abouzeid, Tamer Hassan, Hesham Abo Rahma, Ahmed Azab
Formato:	article
Lenguaje:	EN
Publicado:	Egyptian Spine Association 2016
Materias:	Endoscopic lumbar disc Interlaminar Transforaminal Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/38a2a6e378f348fa87f77ecda5b7039b
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spelling	oai:doaj.org-article:38a2a6e378f348fa87f77ecda5b7039b2021-12-02T00:13:26ZFull-Endoscopic Soft Tissue Approach for Lumbar Disc HerniationDOI:10.21608/ESJ.2016.39862314-89502314-8969https://doaj.org/article/38a2a6e378f348fa87f77ecda5b7039b2016-04-01T00:00:00Zhttp://www.esj.journals.ekb.eg/article_3986.htmlhttps://doaj.org/toc/2314-8950https://doaj.org/toc/2314-8969Background Data: Open lumbar microdiscectomy has been considered the gold standard in the management of lumbar disc herniation (LDH) because of its favorable outcomes in long-term follow up. Nowadays, minimally invasive discectomy is gaining recognition due to its advantages. The advantages endoscopic lumbar discectomy includes clear visualization, less injury to the paraspinal muscle, protection of spinal stiffness and dynamic structure better cosmetic effect, and less postoperative symptoms and open surgeryrelated complications with subsequent earlier return to work. Purpose: This study was conducted to evaluate the efficacy of transforaminal and interlaminar endoscopic lumbar discectomy in the treatment of lumbar disc prolapse. Study Design: A prospective descriptive case series study. Patients and Methods: A prospective descriptive case series study was carried out on 42 patients who had lumbar disc herniation not responding to medical treatment for 6 months. Patients included from those attending the neurosurgical department of Alexandria University, Sohag University Hospital, and Menonfya University; in the period from January 2012 to February 2015. All patients underwent either transforaminal or interlaminar endoscopic lumbar discectomy. Results: All patients had significant improvement in VAS score. According to Mac Nab's criteria; 79% of patients have excellent results and 11% have good results; thus giving about 90% satisfactory outcome. Out of the 25 patients undergone interlaminar approach, 24 (96%) had completed the planned operative procedure. On the other hand, out of the 17 patients who undergone transforaminal approach; only 12 patients (70.6%) had completed the planned operative procedure. Conclusion: Pure endoscopic discectomy is an effective surgical method for treatment of lumbar discprolapse. (2016ESJ104)Walid Abouzeid Tamer Hassan Hesham Abo Rahma Ahmed AzabEgyptian Spine AssociationarticleEndoscopiclumbar discInterlaminarTransforaminalNeurology. Diseases of the nervous systemRC346-429ENEgyptian Spine Journal, Vol 18, Iss 1, Pp 15-27 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	Endoscopic lumbar disc Interlaminar Transforaminal Neurology. Diseases of the nervous system RC346-429
spellingShingle	Endoscopic lumbar disc Interlaminar Transforaminal Neurology. Diseases of the nervous system RC346-429 Walid Abouzeid Tamer Hassan Hesham Abo Rahma Ahmed Azab Full-Endoscopic Soft Tissue Approach for Lumbar Disc Herniation
description	Background Data: Open lumbar microdiscectomy has been considered the gold standard in the management of lumbar disc herniation (LDH) because of its favorable outcomes in long-term follow up. Nowadays, minimally invasive discectomy is gaining recognition due to its advantages. The advantages endoscopic lumbar discectomy includes clear visualization, less injury to the paraspinal muscle, protection of spinal stiffness and dynamic structure better cosmetic effect, and less postoperative symptoms and open surgeryrelated complications with subsequent earlier return to work. Purpose: This study was conducted to evaluate the efficacy of transforaminal and interlaminar endoscopic lumbar discectomy in the treatment of lumbar disc prolapse. Study Design: A prospective descriptive case series study. Patients and Methods: A prospective descriptive case series study was carried out on 42 patients who had lumbar disc herniation not responding to medical treatment for 6 months. Patients included from those attending the neurosurgical department of Alexandria University, Sohag University Hospital, and Menonfya University; in the period from January 2012 to February 2015. All patients underwent either transforaminal or interlaminar endoscopic lumbar discectomy. Results: All patients had significant improvement in VAS score. According to Mac Nab's criteria; 79% of patients have excellent results and 11% have good results; thus giving about 90% satisfactory outcome. Out of the 25 patients undergone interlaminar approach, 24 (96%) had completed the planned operative procedure. On the other hand, out of the 17 patients who undergone transforaminal approach; only 12 patients (70.6%) had completed the planned operative procedure. Conclusion: Pure endoscopic discectomy is an effective surgical method for treatment of lumbar discprolapse. (2016ESJ104)
format	article
author	Walid Abouzeid Tamer Hassan Hesham Abo Rahma Ahmed Azab
author_facet	Walid Abouzeid Tamer Hassan Hesham Abo Rahma Ahmed Azab
author_sort	Walid Abouzeid
title	Full-Endoscopic Soft Tissue Approach for Lumbar Disc Herniation
title_short	Full-Endoscopic Soft Tissue Approach for Lumbar Disc Herniation
title_full	Full-Endoscopic Soft Tissue Approach for Lumbar Disc Herniation
title_fullStr	Full-Endoscopic Soft Tissue Approach for Lumbar Disc Herniation
title_full_unstemmed	Full-Endoscopic Soft Tissue Approach for Lumbar Disc Herniation
title_sort	full-endoscopic soft tissue approach for lumbar disc herniation
publisher	Egyptian Spine Association
publishDate	2016
url	https://doaj.org/article/38a2a6e378f348fa87f77ecda5b7039b
work_keys_str_mv	AT walidabouzeid fullendoscopicsofttissueapproachforlumbardischerniation AT tamerhassan fullendoscopicsofttissueapproachforlumbardischerniation AT heshamaborahma fullendoscopicsofttissueapproachforlumbardischerniation AT ahmedazab fullendoscopicsofttissueapproachforlumbardischerniation
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Full-Endoscopic Soft Tissue Approach for Lumbar Disc Herniation

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