E-ISSN: 2147-5903
EARLY RESULTS OF LUMBAR PERCUTANEOUS ENDOSCOPIC DISCECTOMY
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Original Article
VOLUME: 25 ISSUE: 3
P: 205-209
July 2014

EARLY RESULTS OF LUMBAR PERCUTANEOUS ENDOSCOPIC DISCECTOMY

J Turk Spinal Surg 2014;25(3):205-209
Sevda UĞRAŞ 1
İsmail OLTULU 2
Mehmet İŞYAR 3
Melih MALKOÇ 3
Akın UĞRAŞ 4
1. Neurosurgery Specialist, Private Duygu Hospital, İstanbul.
2. Orthopedics and Traumatology Specialist, İstanbul Medipol University, Medical School, Orthopedics and Traumatology Department, İstanbul.
3. Assist. Dr, Orthopedics and Traumatology Specialist, İstanbul Medipol University, Medical School, Orthopedics and Traumatology Department, İstanbul.
4. Assoc. Dr, Orthopedics and Traumatology Specialist, İstanbul Medipol University, Medical School, Orthopedics and Traumatology Department İstanbul
No information available.
No information available
Received Date: 11.03.2014
Accepted Date: 17.06.2014
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ABSTRACT

Aim:

To discuss the early results of lumbar percutaneous endoscopic discectomy.

History:

Endoscopic disc surgery, which allows minimally invasive discectomy, is a method that has recently begun to be used in Turkey.

Materials and Methods:

23 cases, who were followed up for at least 12 months, were included in this study. The average age was 44.3 ± 13.5 years. 73.9% had disc hernia at the L4–5 level, 21.7% at the L5– S1 level, and one case at the L3–4 level. Regarding the anatomical localization, 47.8% were foraminal, 21.7% were paracentral, 17.4% were extraforaminal, and 13% were central.

Results:

The visual analogue scale (VAS) score for leg pain was 1.8 ± 1.4 postoperatively. Recurrence was seen in five cases. At the last follow-up, the VAS score for lower back pain was 3.2 ± 3 and the VAS score for leg pain was 1.4 ± 1.5. According to the MacNab criteria, 66.7% of the patients showed perfect results, 13.3% of the patients showed good results, and 20% of the patients showed average results. 80% of patients described themselves as fully healed. 93.3% of patients reported that they would choose the same procedure again.

Result:

Percutaneous endoscopic discectomy, which is as successful as microscopic discectomy, is a minimally invasive procedure resulting in high patient satisfaction.