Outcomes of Microendoscopic Discectomy and Percutaneous Transforaminal Endoscopic Discectomy for the Treatment of Lumbar Disc Herniation: A Comparative Retrospective Study.
- Author:
Arjun SINKEMANI
1
;
Xin HONG
;
Zeng Xin GAO
;
Su Yang ZHUANG
;
Zan Li JIANG
;
Shao Dong ZHANG
;
Jun Ping BAO
;
Lei ZHU
;
Pei ZHANG
;
Xin Hui XIE
;
Feng WANG
;
Xiao Tao WU
Author Information
- Publication Type:Original Article
- Keywords: Intervertebral disc degeneration; Lumber disc herniation; Endoscopic discectomy; Minimally invasive surgery
- MeSH: Case-Control Studies; Diagnostic Self Evaluation; Diskectomy*; Follow-Up Studies; Health Surveys; Humans; Intervertebral Disc Degeneration; Low Back Pain; Retrospective Studies*; Surgical Procedures, Minimally Invasive
- From:Asian Spine Journal 2015;9(6):833-840
- CountryRepublic of Korea
- Language:English
- Abstract: STUDY DESIGN: Retrospective, case control evaluation of 86 patients who underwent microendoscopic discectomy (MED) and percutaneous transforaminal endoscopic discectomy (PTED) for the treatment of lumbar disc herniation (LDH). PURPOSE: To evaluate the safety and the outcomes of MED and PTED for the treatment of LDH. OVERVIEW OF LITERATURE: MED and PTED are minimally invasive surgical techniques for lower back pain. Studies to date have shown that MED and PTED are safe and effective treatment modalities for LDH. METHODS: A retrospective study was performed in patients with LDH treated with MED (n=50) and transforaminal endoscopic discectomy (PTED; n=36) in our hospital. All patients were followed-up with self-evaluation questionnaires, Oswestry disability index (ODI), medical outcomes study 36-item short form health survey and MacNab criteria. All the patients in both groups were followed up to 12 months after the operation. RESULTS: ODI questionnaire responses were not statistically different between the MED and PTED groups (53.00 vs. 48.72) before treatment. Average scores and minimal disability after 5 days to 12 months of follow-up were 4.96 in the MED group and 3.61 in the PTED group. According to MacNab criteria, 92.0% of the MED group and 94.4% of the PTED group had excellent or good results with no significant difference. CONCLUSIONS: There was no significant difference between MED and PTED outcomes. Further large-scale, randomized studies with long-term follow-up are needed.
