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One-Stage Percutaneous Endoscopic Lumbar Discectomy for Symptomatic Double-Level Contiguous Adolescent Lumbar Disc
Lu Mao1, Bin Zhu2, Xiao-Tao Wu1
1Department of Spine Surgery, Zhongda Hospital, School of Medicine, Southeast University, Nanjing, China.
Orthopaedic Surgery
|June 3, 2021
Summary
One-stage percutaneous endoscopic lumbar discectomy (PELD) effectively treats adolescent lumbar disc herniation. This minimally invasive procedure significantly improved pain and outcomes in patients with double-level contiguous disc issues.
Area of Science:
- Minimally invasive spine surgery
- Adolescent spinal disorders
- Lumbar disc herniation treatment
Background:
- Adolescent lumbar disc herniation (ALDH) can cause significant pain and disability.
- Surgical options for double-level contiguous ALDH require careful consideration for efficacy and invasiveness.
Purpose of the Study:
- To evaluate the clinical effectiveness of one-stage percutaneous endoscopic lumbar discectomy (PELD) for adolescent patients with symptomatic double-level contiguous lumbar disc herniation.
- To assess pain reduction and functional outcomes following PELD in this specific patient population.
Main Methods:
- Retrospective analysis of 16 adolescent patients with double-level contiguous lumbar disc herniation who underwent one-stage PELD.
- Clinical outcomes were assessed using Numeric Rating Scale (NRS) for pain and modified Macnab criteria.
- Follow-up averaged 17.3 months, with statistical comparison of pre- and post-operative NRS scores using the Wilcoxon two-sample test.
Main Results:
- A significant decrease in NRS scores was observed at both early and late follow-up evaluations (P < 0.05).
- Excellent outcomes (modified Macnab criteria) were achieved in 87.5% of patients, with an overall success rate of 93.75%.
Conclusions:
- One-stage PELD demonstrates a promising and effective treatment strategy for carefully selected adolescent patients with symptomatic double-level contiguous lumbar disc herniation.
- The minimally invasive nature of PELD offers significant pain relief and favorable functional recovery in this cohort.
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