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Related Experiment Videos

Early experience with percutaneous lateral discectomy.

M B Stern

    Clinical Orthopaedics and Related Research
    |January 1, 1989
    PubMed
    Summary
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    Percutaneous lumbar discectomy effectively treated herniated discs and sciatica in 17 patients. This minimally invasive procedure offered significant symptom relief for most, demonstrating an 87.5% success rate.

    Area of Science:

    • Neurosurgery
    • Minimally Invasive Procedures
    • Spinal Surgery

    Background:

    • Herniated discs causing sciatica often require advanced treatment.
    • Conservative therapies may fail for persistent lumbar disc issues.
    • Percutaneous discectomy offers an alternative surgical approach.

    Purpose of the Study:

    • To evaluate the efficacy and safety of percutaneous lumbar discectomy.
    • To assess outcomes for patients with herniated discs and sciatica unresponsive to conservative care.
    • To determine the success rate of this minimally invasive technique.

    Main Methods:

    • Seventeen patients with confirmed lumbar disc herniation and sciatica underwent percutaneous lumbar discectomy.
    • The Hijikata method was employed under local anesthesia.

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  • Inclusion criteria specified neural compression, persistent sciatica, and failed conservative treatment.

    • Main Results:

    • Fourteen of sixteen patients experienced symptom relief, achieving an 87.5% success rate.
    • The average follow-up period was six and a half months.
    • One case was aborted, and one patient sustained an L5 nerve root injury resulting in drop foot.

    Conclusions:

    • Percutaneous lumbar discectomy is a viable treatment for selected patients with herniated discs and sciatica.
    • The procedure demonstrates a high success rate with manageable risks.
    • Careful patient selection is crucial, excluding those with extruded disc fragments.