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Full-endoscopic foraminoplasty for highly down-migrated lumbar disc herniation.
Hanhua Cai1, Chunhua Liu2, Haibin Lin1
1Department of Orthopaedic Surgery, Affiliated Hospital of Putian University, Putian, Fujian Province, China.
BMC Musculoskeletal Disorders
|March 30, 2022
Summary
Full-endoscopic foraminoplasty effectively treats highly downward migrated lumbar disc herniation (LDH). This minimally invasive technique significantly reduces pain and improves function, offering a safe alternative for patients.
Area of Science:
- Neurosurgery
- Minimally Invasive Spine Surgery
- Spinal Disorders
Background:
- Multiple surgical techniques exist for removing downward migrated lumbar disc herniation (LDH).
- The efficacy and safety of full-endoscopic foraminoplasty for this specific condition require further investigation.
Purpose of the Study:
- To evaluate the effectiveness of full-endoscopic foraminoplasty in treating highly downward migrated LDH.
- To assess the safety and patient outcomes associated with this minimally invasive approach.
Main Methods:
- Retrospective analysis of 37 patients with highly down-migrated LDH treated between January 2018 and January 2020.
- Clinical outcomes assessed using Oswestry Disability Index (ODI) and Visual Analog Scale (VAS) for pain at 1, 6, and 12 months postoperatively.
- Patient satisfaction evaluated using the modified MacNab criteria.
Main Results:
- Significant reductions in VAS scores for both leg and back pain were observed post-surgery (P < 0.05).
- Oswestry Disability Index (ODI) scores showed substantial improvement at 1 and 12 months post-surgery (P < 0.05).
- Excellent or good outcomes were achieved in 97.30% of patients (36 out of 37) based on the modified MacNab criteria.
Conclusions:
- Full-endoscopic foraminoplasty is a successful surgical option for removing highly down-migrated LDH.
- This technique offers an efficient and safe alternative for managing patients with this challenging spinal condition.
