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Functional Evolution after Percutaneous Endoscopic Lumbar Discectomy, an Earlier Evaluation of 32 Cases
Bruno César Aprile1, Marcelo Campos Moraes Amato2, Cézar Augusto de Oliveira1
1Departamento de Coluna, Clínica SOU, São Paulo, SP, Brasil.
Revista Brasileira De Ortopedia
|September 9, 2020
Summary
Patients undergoing percutaneous endoscopic lumbar discectomy (PELD) experience rapid hospital discharge within six hours. Significant improvements in pain and function are observed within 48 hours post-PELD, continuing to progress over three months.
Area of Science:
- Orthopedics
- Neurosurgery
- Minimally Invasive Surgery
Background:
- Percutaneous endoscopic lumbar discectomy (PELD) is a minimally invasive surgical technique for lumbar disc herniation.
- Assessing early recovery metrics like discharge time, pain reduction, and functional improvement is crucial for patient outcomes.
Purpose of the Study:
- To evaluate the hospital discharge time for patients undergoing PELD.
- To determine the timeline for pain and functional recovery after PELD.
Main Methods:
- Retrospective analysis of 32 patients who underwent PELD.
- Collected data on length of hospital stay.
- Assessed pain (Visual Analog Scale - VAS) and function (Oswestry Disability Index - ODI, Roland-Morris Questionnaire) preoperatively and at multiple postoperative time points up to 12 weeks.
Main Results:
- All patients were discharged within 6 hours of PELD.
- Statistically significant improvements in VAS, ODI, and Roland-Morris scores were noted by 2 days post-surgery.
- Continuous and progressive functional and pain improvements were observed up to 12 weeks, with minimum Oswestry scores at 6 weeks.
Conclusions:
- PELD allows for rapid hospital discharge, typically within 6 hours.
- Significant pain relief and functional restoration occur within 48 hours post-PELD.
- Patients experience sustained and progressive recovery over the first three months following PELD.
