Clinical Results of Percutaneous Endoscopic Discectomy in Herniated Intervertebral disc of Lumbar Spine.
10.4184/jkss.2005.12.3.224
- Author:
Yung Khee CHUNG
1
;
Jung Han YOO
;
Kook Jin CHUNG
;
Jin Sik WANG
Author Information
1. Department of Orthopedic Surgery, Kangnam Sacred Heart Hospital, College of Medicine, Hallym University, Seoul, Korea. chungkjmd@dreamwiz.com
- Publication Type:Original Article
- Keywords:
Lumbar spine;
Disc herniation;
Percutaneous endoscopic discectomy
- MeSH:
Diskectomy*;
Follow-Up Studies;
Humans;
Intervertebral Disc Displacement;
Intervertebral Disc*;
Male;
Patient Selection;
Retrospective Studies;
Spine*
- From:Journal of Korean Society of Spine Surgery
2005;12(3):224-228
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
STUDY DESIGN: A retrospective study. OBJECTIVES: To assess the clinical outcomes and roentgenographic changes after an percutaneous endoscopic discetomy of an intervertebral disc herniation of the lumbar spine. SUMMARY OF LITERATURE REVIEW: Percutaneous endoscopic discectomy can preserve normal posterior element in the treatment for herniated intervertebral disc of lumbar spine. MATERIALS AND METHODS: Fifty two patients (41 men, 11 women), who had been treated with percutaneous endoscopic discectomy due to a herniated intevertebral disc of the lubar spine and were followed at least 1 year, were enrolled in this study. The mean age was 26.5 years (21~45) and the mean follow-up period was 42 months (12~76). Fifteen, 28 and 9 herniated discs were extracted from L3-L4, L4-L5 and L5-S1, respectively. RESULTS: After the percutaneous endoscopic discectomy, excellent and good results were obtained in 71% (37 cases) of patients but 9% (5 cases) of patients reported poor results. A roentgenographic assessment at the final follow-up showed no instability and no degenerative spondylotic finding. However, the intervertebral disc space was decreased in only 1 case. CONCLUSION: An percutaneous endoscopic discectomy is an effective method for treating a herniated intervertebral disc of the lumbar spine. However, prudent patient selection is very important for achieving good results.
