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Full-Endoscopic Transforaminal Approach for Lumbar Discectomy
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[Intertransverse approach microendoscopic discectomy for far lateral lumbar disc herniation]
Shu-Wen Li1, He-Ping Yin, Zhen-Hua Cao
1Second Affiliated Hospital of Inner Mongolia Medical University, Huhhot, China.
Zhongguo Gu Shang = China Journal of Orthopaedics and Traumatology
|January 10, 2015
Summary
Intertransverse approach microendoscopic discectomy effectively treats far lateral lumbar disc herniation. This minimally invasive technique significantly improves pain and quality of life for patients.
Area of Science:
- Neurosurgery
- Minimally Invasive Spine Surgery
- Lumbar Disc Herniation
Context:
- Far lateral lumbar disc herniation presents unique surgical challenges.
- Traditional open discectomy may involve significant muscle disruption.
- Microendoscopic techniques offer a less invasive alternative.
Purpose:
- To evaluate the clinical efficacy of the intertransverse approach microendoscopic discectomy for far lateral lumbar disc herniation.
- To assess patient outcomes regarding pain relief and functional recovery.
Summary:
- A retrospective analysis of 73 patients with far lateral lumbar disc herniation treated via intertransverse approach microendoscopic discectomy was conducted.
- The procedure demonstrated successful outcomes with significant improvements in Visual Analogue Scale (VAS) pain scores and Oswestry Disability Index (ODI) scores post-operation.
- Low complication rates, including one case of incision infection and one of incomplete nerve root injury, were reported.
Impact:
- The intertransverse approach microendoscopic discectomy is a feasible and effective surgical option for far lateral lumbar disc herniation.
- This minimally invasive approach leads to substantial patient recovery and improved quality of life.
- The findings support the adoption of this technique in clinical practice for selected patients.
