Initial clinical outcomes of percutaneous full-endoscopic lumbar discectomy using an interlaminar approach at the l5/s1

Nguyen Vu, Lê Đức Tâm

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Abstract

This study aimed to evaluate the initial clinical outcomes of percutaneous endoscopic lumbar discectomy (PELD) via interlaminar approach to L5/S1 disc herniation. A longitudinal non-controlled prospective clinical study was conducted at Hanoi Medical University Hospital from January 2019 to December 2020. Inclusion criteria included patients with L5/S1 disc herniation refractory to appropriate medical treatment after 5 - 8 weeks. During the two years, we conducted 15 PELDs via interlaminar approach. Mean age was 43.4 ± 11.26. Male accounted for 40%. On the first postoperative day, median VAS lumbar and leg pain decreased significantly postoperative with p < 0.0001, and this result remained until 12 months postoperative. The recurrent herniation requiring reoperation was not found in 2 years postoperative. Spine stability after surgery were preserved in all patients. PELD via interlaminar approach is a minimally invasive surgery with rapid recovery time and a safe and effective treatment in L5/S1 disc herniation.

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Lê Đức Tâm,

 

 

References

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