Endoscopic surgery for recurrent disc herniation after microscopic or endoscopic lumbar discectomy
Yükleniyor...
Dosyalar
Tarih
2020
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Turkish Neurosurgical Soc
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
AIM: To determine the feasibility and efficacy of full endoscopic interlaminar discectomy (FEID) for recurrent disc herniation. MATERIAL and METHODS: This retrospective single-center study included 60 patients. Among them, 36 who previously had microdiscectomy underwent revisional FEID (MD group), and 24 who previously had FEID underwent revisional FEID (FEID group). In addition to general parameters, the following measurement tools were used: visual analog scale (VAS) and Oswestry disability index (ODI) questionnaire. RESULTS: No statistically significant difference was observed in length of hospitalization, time to return to work, complications, and recurrences between the two groups. Both the FEID and MD groups had a significant decrease in postoperative VAS and ODI scores. The mean operation time was shorter in the FEID group than in the MD group, and the result was significantly different (p < 0.05). During the 36-month follow-up, no significant differences were observed in postoperative VAS and ODI scores between the two groups. Moreover, none of the patients developed complications correlated to surgery. However, three patients with a previous history of microdiscectomy or endoscopic discectomy had recurrence despite revisional endoscopic surgery. CONCLUSION: Percutaneous revisional full endoscopic lumbar disc surgery is a safe and effective procedure that does not cause additional structural damage. Full endoscopic technique can be used safely for recurrent disc herniations regardless if a patient underwent microscopic or endoscopic surgery.
Açıklama
Anahtar Kelimeler
Endoscopic Discectomy, Interlaminar Discectomy, Recurrent Lumbar Disc Herniation, Lumbar Microdiscectomy, Minimally Invasive Spine Surgery
Kaynak
Turkish Neurosurgery
WoS Q Değeri
Q4
Scopus Q Değeri
Q3
Cilt
30
Sayı
1
Künye
Goker, B., & Aydin, S. (2020). Endoscopic Surgery for Recurrent Disc Herniation After Microscopic or Endoscopic Lumbar Discectomy. Turkish Neurosurgery, 30(1).
