A Modified Translaminar Osseous Channel-Assisted Percutaneous Endoscopic Lumbar Discectomy for Highly Migrated and Sequestrated Disc Herniations of the Upper Lumbar: Clinical Outcomes, Surgical Indications, and Technical Considerations
Objective is to describe a safe and effective percutaneous endoscopic approach for removal of highly migrated and sequestrated disc herniations of the upper lumbar spine and to report the results, surgical indications, and technical considerations of the new technique. Eleven patients who had highly...
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doaj-2f4cfc8b0b804aa6896ed7311ef9d8d42020-11-24T22:57:11ZengHindawi LimitedBioMed Research International2314-61332314-61412017-01-01201710.1155/2017/30695753069575A Modified Translaminar Osseous Channel-Assisted Percutaneous Endoscopic Lumbar Discectomy for Highly Migrated and Sequestrated Disc Herniations of the Upper Lumbar: Clinical Outcomes, Surgical Indications, and Technical ConsiderationsZhijun Xin0Wenbo Liao1Jun Ao2Jianpu Qin3Fang Chen4Zhiyuan Ye5Yuqiang Cai6Department of Spinal Surgery, The First Affiliated Hospital of Zunyi Medical College, Zunyi, ChinaDepartment of Spinal Surgery, The First Affiliated Hospital of Zunyi Medical College, Zunyi, ChinaDepartment of Spinal Surgery, The First Affiliated Hospital of Zunyi Medical College, Zunyi, ChinaDepartment of Spinal Surgery, The First Affiliated Hospital of Zunyi Medical College, Zunyi, ChinaDepartment of Spinal Surgery, The First Affiliated Hospital of Zunyi Medical College, Zunyi, ChinaDepartment of Spinal Surgery, The First Affiliated Hospital of Zunyi Medical College, Zunyi, ChinaDepartment of Spinal Surgery, The First Affiliated Hospital of Zunyi Medical College, Zunyi, ChinaObjective is to describe a safe and effective percutaneous endoscopic approach for removal of highly migrated and sequestrated disc herniations of the upper lumbar spine and to report the results, surgical indications, and technical considerations of the new technique. Eleven patients who had highly migrated and sequestrated disc herniations in the upper lumbar were included in this study. A retrospective study was performed for all patients after translaminar osseous channel-assisted PELD was performed. Radiologic findings were investigated, and pre-and postoperative visual analog scale (VAS) assessments for back and leg pain and Oswestry disability index (ODI) evaluations were performed. Surgical outcomes were evaluated under modified MacNab criteria. All of the patients were followed for more than 1 year. The preoperative and postoperative radiologic findings revealed that the decompression of the herniated nucleus pulposus (HNP) was complete. After surgery, the mean VAS scores for back and leg pain immediately improved from 8.64 (range, 7–10) and 8.00 (range, 6–10) to 2.91 (range, 2–4) and 2.27 (range, 1–3), respectively. The mean preoperative ODI was 65.58 (range, 52.2–86), which decreased to 7.51 (range, 1.8–18) at the 12-month postoperative follow-up. The MacNab scores at the final follow-up included nine excellent, one good, and one fair. The modified translaminar osseous channel-assisted PELD could be a safe and effective option for the treatment of highly migrated and sequestrated disc herniations of the upper lumbar.http://dx.doi.org/10.1155/2017/3069575 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Zhijun Xin Wenbo Liao Jun Ao Jianpu Qin Fang Chen Zhiyuan Ye Yuqiang Cai |
spellingShingle |
Zhijun Xin Wenbo Liao Jun Ao Jianpu Qin Fang Chen Zhiyuan Ye Yuqiang Cai A Modified Translaminar Osseous Channel-Assisted Percutaneous Endoscopic Lumbar Discectomy for Highly Migrated and Sequestrated Disc Herniations of the Upper Lumbar: Clinical Outcomes, Surgical Indications, and Technical Considerations BioMed Research International |
author_facet |
Zhijun Xin Wenbo Liao Jun Ao Jianpu Qin Fang Chen Zhiyuan Ye Yuqiang Cai |
author_sort |
Zhijun Xin |
title |
A Modified Translaminar Osseous Channel-Assisted Percutaneous Endoscopic Lumbar Discectomy for Highly Migrated and Sequestrated Disc Herniations of the Upper Lumbar: Clinical Outcomes, Surgical Indications, and Technical Considerations |
title_short |
A Modified Translaminar Osseous Channel-Assisted Percutaneous Endoscopic Lumbar Discectomy for Highly Migrated and Sequestrated Disc Herniations of the Upper Lumbar: Clinical Outcomes, Surgical Indications, and Technical Considerations |
title_full |
A Modified Translaminar Osseous Channel-Assisted Percutaneous Endoscopic Lumbar Discectomy for Highly Migrated and Sequestrated Disc Herniations of the Upper Lumbar: Clinical Outcomes, Surgical Indications, and Technical Considerations |
title_fullStr |
A Modified Translaminar Osseous Channel-Assisted Percutaneous Endoscopic Lumbar Discectomy for Highly Migrated and Sequestrated Disc Herniations of the Upper Lumbar: Clinical Outcomes, Surgical Indications, and Technical Considerations |
title_full_unstemmed |
A Modified Translaminar Osseous Channel-Assisted Percutaneous Endoscopic Lumbar Discectomy for Highly Migrated and Sequestrated Disc Herniations of the Upper Lumbar: Clinical Outcomes, Surgical Indications, and Technical Considerations |
title_sort |
modified translaminar osseous channel-assisted percutaneous endoscopic lumbar discectomy for highly migrated and sequestrated disc herniations of the upper lumbar: clinical outcomes, surgical indications, and technical considerations |
publisher |
Hindawi Limited |
series |
BioMed Research International |
issn |
2314-6133 2314-6141 |
publishDate |
2017-01-01 |
description |
Objective is to describe a safe and effective percutaneous endoscopic approach for removal of highly migrated and sequestrated disc herniations of the upper lumbar spine and to report the results, surgical indications, and technical considerations of the new technique. Eleven patients who had highly migrated and sequestrated disc herniations in the upper lumbar were included in this study. A retrospective study was performed for all patients after translaminar osseous channel-assisted PELD was performed. Radiologic findings were investigated, and pre-and postoperative visual analog scale (VAS) assessments for back and leg pain and Oswestry disability index (ODI) evaluations were performed. Surgical outcomes were evaluated under modified MacNab criteria. All of the patients were followed for more than 1 year. The preoperative and postoperative radiologic findings revealed that the decompression of the herniated nucleus pulposus (HNP) was complete. After surgery, the mean VAS scores for back and leg pain immediately improved from 8.64 (range, 7–10) and 8.00 (range, 6–10) to 2.91 (range, 2–4) and 2.27 (range, 1–3), respectively. The mean preoperative ODI was 65.58 (range, 52.2–86), which decreased to 7.51 (range, 1.8–18) at the 12-month postoperative follow-up. The MacNab scores at the final follow-up included nine excellent, one good, and one fair. The modified translaminar osseous channel-assisted PELD could be a safe and effective option for the treatment of highly migrated and sequestrated disc herniations of the upper lumbar. |
url |
http://dx.doi.org/10.1155/2017/3069575 |
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