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01:24
Full-Endoscopic Transforaminal Approach for Lumbar Discectomy
Published on: September 8, 2023
Symptomatic post-discectomy pseudocyst after endoscopic lumbar discectomy.
Suk Hyung Kang1, Seung Won Park
1Department of Neurological Surgery, Yong-San hospital, Chung-Ang University College of Medicine, Seoul, Korea.
Journal of Korean Neurosurgical Society
|April 16, 2011
Summary
Symptomatic postdiscectomy pseudocysts (PP) occurred in 1.0% of endoscopic lumbar discectomy cases. Both surgical and conservative treatments showed similar outcomes for PP, but the interlaminar approach may increase PP risk.
Area of Science:
- Neurosurgery
- Spinal Surgery
- Radiology
Background:
- Postdiscectomy pseudocyst (PP) is a potential complication following lumbar discectomy.
- Endoscopic lumbar discectomy is a minimally invasive surgical technique.
- Understanding the incidence and management of PP is crucial for patient outcomes.
Purpose of the Study:
- To determine the frequency of symptomatic postdiscectomy pseudocyst (PP) after endoscopic lumbar discectomy.
- To compare the efficacy of surgical versus conservative management for symptomatic PP.
Main Methods:
- A retrospective review of 1,503 endoscopic lumbar discectomy cases was conducted.
- Postoperative MRI scans were used to identify pseudocysts (PP).
- Patients with symptomatic PP were divided into surgical and conservative management groups, with outcomes assessed using VAS and ODI.
Main Results:
- Symptomatic PP was detected in 1.0% (15/1,503) of cases, with a mean detection interval of 53.7 days post-surgery.
- The interlaminar approach was significantly correlated with PP formation compared to the transforaminal approach (p=0.001).
- Both surgical and conservative management groups showed improvements in pain and disability scores, with no significant difference in treatment outcomes.
Conclusions:
- Symptomatic postdiscectomy pseudocysts occur in approximately 1% of patients following endoscopic lumbar discectomy.
- The interlaminar surgical approach may be associated with a higher risk of PP formation.
- Surgical and conservative management strategies yield comparable outcomes for symptomatic PP.
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