A case-control study on the treatment of protrusion of lumbar intervertebral disc through PELD and MED

Song,Hong-Pu; Sheng,Hong-Feng; Xu,Wei-Xing

doi:10.3892/etm.2017.4929

October-2017 Volume 14 Issue 4

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October-2017 Volume 14 Issue 4

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Article Open Access

A case-control study on the treatment of protrusion of lumbar intervertebral disc through PELD and MED

Authors:
- Hong-Pu Song
- Hong-Feng Sheng
- Wei-Xing Xu
View Affiliations / Copyright

Affiliations: Department of Orthopedics, Tongde Hospital of Zhejiang Province, Hangzhou, Zhejiang 310012, P.R. China

Copyright: © Song et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
Pages: 3708-3712
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Published online on: August 14, 2017

https://doi.org/10.3892/etm.2017.4929
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Abstract

We compared the clinical effects between the percutaneous endoscopic lumbar discectomy (PELD) and microendoscopic discectomy (MED) treatments for protrusion of lumbar intervertebral disc. We conducted a retrospective analysis on 60 patients who were diagnosed with single-segment protrusion of lumbar intervertebral disc during the period from January 2009 to June 2016. Patients were divided into two groups, the PELD and MED groups, which contained 30 cases each. We evaluated the operation results according to oswestry dysfunction index (ODI), visual analogue scale (VAS) and the improved MacNab standard. The average follow-up visit period after the operation was 18 months and the operation time of the two groups was not statistically different. The cadaverine quantity of bleeding in the PELD group is less than that in the MED group. Moreover, the average length of incision and the length of stay were shortened for the PELD group compared to the MED group. The ODI and VAS after operation for the two groups improved significantly compared to that before operation (P<0.05). The qualified rates of the PELD and MED groups were 93.0 and 90.0%, respectively, as of the improved MacNab method. The complication occurrence rates for the two groups during perioperative period were not different. Therefore, the short-term efficacy of the two minimally invasive operation methods (PELD and MED) on the treatment of protrusion of lumbar intervertebral disc is satisfactory. In cases where operation indications are chosen strictly, PELD can be regarded as a method of safety and efficiency due to the advantages of minimal incision, less bleeding, minimal trauma and faster postoperative recovery.

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1	Pandit P, Talbott JF, Pedoia V, Dillon W and Majumdar ST: T1ρ and T2-based characterization of regional variations in intervertebral discs to detect early degenerative changes. J Orthop Res. 34:1373–1381. 2016. View Article : Google Scholar : PubMed/NCBI
2	Shin JS, Lee J, Kim MR, Jung J, Shin BC, Lee MS and Ha IH: The short-term effect of integrated complementary and alternative medicine treatment in inpatients diagnosed with lumbar intervertebral disc herniation: A prospective observational study. J Altern Complement Med. 22:533–543. 2016. View Article : Google Scholar : PubMed/NCBI
3	Riesenburger RI and David CA: Lumbar microdiscectomy and microendoscopic discectomy. Minim Invasive Ther Allied Technol. 15:267–270. 2006. View Article : Google Scholar : PubMed/NCBI
4	Huang CJ, Tang HW, Liang DB, Lou YM and Guan W: Treatment of the recurrent lumbar disc herniation: A comparison between endoscopic surgery and open surgery. Zhongguo Gu Shang. 26:810–814. 2013.(In Chinese). PubMed/NCBI
5	Gadjradj PS and Harhangi BS: Percutaneous transforaminal endoscopic discectomy for lumbar disk herniation. Clin Spine Surg. 29:368–371. 2016.PubMed/NCBI
6	Gadjradj PS, van Tulder MW, Dirven CM, Peul WC and Harhangi BS: Clinical outcomes after percutaneous transforaminal endoscopic discectomy for lumbar disc herniation: A prospective case series. Neurosurg Focus. 40:E32016. View Article : Google Scholar : PubMed/NCBI
7	Orita S, Inage K, Sainoh T, Fujimoto K, Sato J, Shiga Y, Kanamoto H, Abe K, Yamauchi K, Aoki Y, et al: Lower lumbar segmental arteries can intersect over the intervertebral disc in the oblique lateral interbody fusion approach with a risk for arterial injury: Radiological analysis of lumbar segmental arteries by using magnetic resonance imaging. Spine (Phila Pa 1976). 42:135–142. 2017. View Article : Google Scholar : PubMed/NCBI
8	Zhao LJ, Jiang WY, Ma WH, Xu RM and Sun SH: Micro-endoscopic discectomy for the treatment of lumbar disc herniation in senile patients over seventy years old. Zhongguo Gu Shang. 24:811–815. 2011.(In Chinese). PubMed/NCBI
9	Ye CP and Zhu JJ: Treatment of senile lumbar nerve root canal stenosis with micro-endoscope discectomy. Zhongguo Gu Shang. 26:805–809. 2013.(In Chinese). PubMed/NCBI
10	Sinkemani A, Hong X, Gao ZX, Zhuang SY, Jiang ZL, Zhang SD, Bao JP, Zhu L, Zhang P, Xie XH, et al: Outcomes of microendoscopic discectomy and percutaneous transforaminal endoscopic discectomy for the treatment of lumbar disc herniation: A comparative retrospective study. Asian Spine J. 9:833–840. 2015. View Article : Google Scholar : PubMed/NCBI
11	Fan G, Guan X, Sun Q, Hu A, Zhu Y, Gu G, Zhang H and He S: Puncture reduction in percutaneous transforaminal endoscopic discectomy with HE's lumbar LOcation (HELLO) system: A cadaver study. PLoS One. 10:e01449392015. View Article : Google Scholar : PubMed/NCBI
12	Fan G, Guan X, Zhang H, Wu X, Gu X, Gu G, Fan Y and He S: Significant improvement of puncture accuracy and fluoroscopy reduction in percutaneous transforaminal endoscopic discectomy with novel lumbar location system: Preliminary report of prospective Hello study. Medicine (Baltimore). 94:e21892015. View Article : Google Scholar : PubMed/NCBI
13	Hu DX, Zheng Q, Zhu B, Ying XZ and Wang YF: Percutaneous intervertebral foramina endoscopic lumbar discectomy decompression for elder patients with lumbar spinal stenosis syndrome. Zhongguo Gu Shang. 27:194–198. 2014.(In Chinese). PubMed/NCBI

Journals

International Journal of Molecular Medicine

International Journal of Oncology

Molecular Medicine Reports

Oncology Reports

Experimental and Therapeutic Medicine

Oncology Letters

Biomedical Reports

Molecular and Clinical Oncology

World Academy of Sciences Journal

International Journal of Functional Nutrition

International Journal of Epigenetics

Medicine International

A case-control study on the treatment of protrusion of lumbar intervertebral disc through PELD and MED

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