Clinical results of combined interlaminar and transforaminal endoscopic discectomy for central large disc herniation

Objective: The purpose of this study was to inscribe the combined interlaminar with transforaminal endoscopic discectomy for central large disc herniation and report clinical results. Methods: Patients diagnosed with large central lumbar herniated nucleus pulposus who underwent combined interlaminar...

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Autores principales:	Verapan Kuansongtham, Khin Myat Myat Lwin, Kanthika Wasinpongwanich
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2022
Materias:	Central large disc herniation Combined discectomy Full endoscopic discectomy Surgery RD1-811 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/e8b778f5c6f44b3088804ce07ba7747e
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spelling	oai:doaj.org-article:e8b778f5c6f44b3088804ce07ba7747e2021-11-20T05:06:27ZClinical results of combined interlaminar and transforaminal endoscopic discectomy for central large disc herniation2214-751910.1016/j.inat.2021.101423https://doaj.org/article/e8b778f5c6f44b3088804ce07ba7747e2022-03-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2214751921003352https://doaj.org/toc/2214-7519Objective: The purpose of this study was to inscribe the combined interlaminar with transforaminal endoscopic discectomy for central large disc herniation and report clinical results. Methods: Patients diagnosed with large central lumbar herniated nucleus pulposus who underwent combined interlaminar and transforaminal endoscopic discectomy between 2015 and 2020 were reviewed. Perioperative data, preoperative and postoperative Oswestry Disability Index (ODI) scores, visual analog scale (VAS) back pain scores, VAS leg pain scores, and complications were evaluated and recorded at 1 week and 3 and 6 months postoperatively and each year thereafter. Results: The study revealed 9 cases (22.22% female). The average age of patients was 42.33 ± 19.8 years old (range, 18–83 years old). The levels of surgery were L3-4 in 22.22%, L4-5 in 77.77%. This combined approach has an average operative time of 104.44 ± 22.42 min. The VAS Back and Leg were improved from pre-operative score from 5.0 ± 2.0, 4.42 ± 2.93 to 2.18 ± 1.97 and 2.55 ± 2.84 retrospectively at 1 week. The ODI score was improved pre-operative from 46.85 ± 15.61% to 14.94 ± 19.08% at 3 month follow up. There were 2 cases (22.22%) diagnosed of recurrent disc herniation. No case of epidural hematoma, infection, permanent neurological deterioration, cauda equina syndrome. Conclusions: Combined interlaminar and transforminal endoscopic discectomy is an option for central large lumbar disc herniation.Verapan KuansongthamKhin Myat Myat LwinKanthika WasinpongwanichElsevierarticleCentral large disc herniationCombined discectomyFull endoscopic discectomySurgeryRD1-811Neurology. Diseases of the nervous systemRC346-429ENInterdisciplinary Neurosurgery, Vol 27, Iss , Pp 101423- (2022)
institution	DOAJ
collection	DOAJ
language	EN
topic	Central large disc herniation Combined discectomy Full endoscopic discectomy Surgery RD1-811 Neurology. Diseases of the nervous system RC346-429
spellingShingle	Central large disc herniation Combined discectomy Full endoscopic discectomy Surgery RD1-811 Neurology. Diseases of the nervous system RC346-429 Verapan Kuansongtham Khin Myat Myat Lwin Kanthika Wasinpongwanich Clinical results of combined interlaminar and transforaminal endoscopic discectomy for central large disc herniation
description	Objective: The purpose of this study was to inscribe the combined interlaminar with transforaminal endoscopic discectomy for central large disc herniation and report clinical results. Methods: Patients diagnosed with large central lumbar herniated nucleus pulposus who underwent combined interlaminar and transforaminal endoscopic discectomy between 2015 and 2020 were reviewed. Perioperative data, preoperative and postoperative Oswestry Disability Index (ODI) scores, visual analog scale (VAS) back pain scores, VAS leg pain scores, and complications were evaluated and recorded at 1 week and 3 and 6 months postoperatively and each year thereafter. Results: The study revealed 9 cases (22.22% female). The average age of patients was 42.33 ± 19.8 years old (range, 18–83 years old). The levels of surgery were L3-4 in 22.22%, L4-5 in 77.77%. This combined approach has an average operative time of 104.44 ± 22.42 min. The VAS Back and Leg were improved from pre-operative score from 5.0 ± 2.0, 4.42 ± 2.93 to 2.18 ± 1.97 and 2.55 ± 2.84 retrospectively at 1 week. The ODI score was improved pre-operative from 46.85 ± 15.61% to 14.94 ± 19.08% at 3 month follow up. There were 2 cases (22.22%) diagnosed of recurrent disc herniation. No case of epidural hematoma, infection, permanent neurological deterioration, cauda equina syndrome. Conclusions: Combined interlaminar and transforminal endoscopic discectomy is an option for central large lumbar disc herniation.
format	article
author	Verapan Kuansongtham Khin Myat Myat Lwin Kanthika Wasinpongwanich
author_facet	Verapan Kuansongtham Khin Myat Myat Lwin Kanthika Wasinpongwanich
author_sort	Verapan Kuansongtham
title	Clinical results of combined interlaminar and transforaminal endoscopic discectomy for central large disc herniation
title_short	Clinical results of combined interlaminar and transforaminal endoscopic discectomy for central large disc herniation
title_full	Clinical results of combined interlaminar and transforaminal endoscopic discectomy for central large disc herniation
title_fullStr	Clinical results of combined interlaminar and transforaminal endoscopic discectomy for central large disc herniation
title_full_unstemmed	Clinical results of combined interlaminar and transforaminal endoscopic discectomy for central large disc herniation
title_sort	clinical results of combined interlaminar and transforaminal endoscopic discectomy for central large disc herniation
publisher	Elsevier
publishDate	2022
url	https://doaj.org/article/e8b778f5c6f44b3088804ce07ba7747e
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Clinical results of combined interlaminar and transforaminal endoscopic discectomy for central large disc herniation

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