Comparison of Percutaneous Endoscopic Lumbar Discectomy and Open Lumbar Surgery for Adjacent Segment Degeneration and Recurrent Disc Herniation
Objective. The goal of the present study was to examine the clinical results of percutaneous endoscopic lumbar discectomy (PELD) and open lumbar surgery for patients with adjacent segment degeneration (ASD) and recurrence of disc herniation. Methods. From December 2011 to November 2013, we collected...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2015-01-01
|
| Series: | Neurology Research International |
| Online Access: | http://dx.doi.org/10.1155/2015/791943 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832566608659218432 |
|---|---|
| author | Huan-Chieh Chen Chih-Hsun Lee Li Wei Tai-Ngar Lui Tien-Jen Lin |
| author_facet | Huan-Chieh Chen Chih-Hsun Lee Li Wei Tai-Ngar Lui Tien-Jen Lin |
| author_sort | Huan-Chieh Chen |
| collection | DOAJ |
| description | Objective. The goal of the present study was to examine the clinical results of percutaneous endoscopic lumbar discectomy (PELD) and open lumbar surgery for patients with adjacent segment degeneration (ASD) and recurrence of disc herniation. Methods. From December 2011 to November 2013, we collected forty-three patients who underwent repeated lumbar surgery. These patients, either received PELD (18 patients) or repeated open lumbar surgery (25 patients), due to ASD or recurrence of disc herniation at L3-4, L4-5, or L5-S1 level, were assigned to different groups according to the surgical approaches. Clinical data were assessed and compared. Results. Mean blood loss was significantly less in the PELD group as compared to the open lumbar surgery group P<0.0001. Hospital stay and mean operating time were shorter significantly in the PELD group as compared to the open lumbar surgery group P<0.0001. Immediate postoperative pain improvement in VAS was 3.5 in the PELD group and −0.56 in the open lumbar surgery group P<0.0001. Conclusion. For ASD and recurrent lumbar disc herniation, PELD had more advantages over open lumbar surgery in terms of reduced blood loss, shorter hospital stay, operating time, fewer complications, and less postoperative discomfort. |
| format | Article |
| id | doaj-art-452242025917463d9c743968ef986d2e |
| institution | Kabale University |
| issn | 2090-1852 2090-1860 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Neurology Research International |
| spelling | doaj-art-452242025917463d9c743968ef986d2e2025-02-03T01:03:43ZengWileyNeurology Research International2090-18522090-18602015-01-01201510.1155/2015/791943791943Comparison of Percutaneous Endoscopic Lumbar Discectomy and Open Lumbar Surgery for Adjacent Segment Degeneration and Recurrent Disc HerniationHuan-Chieh Chen0Chih-Hsun Lee1Li Wei2Tai-Ngar Lui3Tien-Jen Lin4Department of Neurosurgery, Wan Fang Hospital, No. 111, Section 3, Xinglong Road, Wenshan District, Taipei City 116, TaiwanDepartment of Neurosurgery, Wan Fang Hospital, No. 111, Section 3, Xinglong Road, Wenshan District, Taipei City 116, TaiwanDepartment of Neurosurgery, Wan Fang Hospital, No. 111, Section 3, Xinglong Road, Wenshan District, Taipei City 116, TaiwanDepartment of Neurosurgery, Wan Fang Hospital, No. 111, Section 3, Xinglong Road, Wenshan District, Taipei City 116, TaiwanDepartment of Neurosurgery, Wan Fang Hospital, No. 111, Section 3, Xinglong Road, Wenshan District, Taipei City 116, TaiwanObjective. The goal of the present study was to examine the clinical results of percutaneous endoscopic lumbar discectomy (PELD) and open lumbar surgery for patients with adjacent segment degeneration (ASD) and recurrence of disc herniation. Methods. From December 2011 to November 2013, we collected forty-three patients who underwent repeated lumbar surgery. These patients, either received PELD (18 patients) or repeated open lumbar surgery (25 patients), due to ASD or recurrence of disc herniation at L3-4, L4-5, or L5-S1 level, were assigned to different groups according to the surgical approaches. Clinical data were assessed and compared. Results. Mean blood loss was significantly less in the PELD group as compared to the open lumbar surgery group P<0.0001. Hospital stay and mean operating time were shorter significantly in the PELD group as compared to the open lumbar surgery group P<0.0001. Immediate postoperative pain improvement in VAS was 3.5 in the PELD group and −0.56 in the open lumbar surgery group P<0.0001. Conclusion. For ASD and recurrent lumbar disc herniation, PELD had more advantages over open lumbar surgery in terms of reduced blood loss, shorter hospital stay, operating time, fewer complications, and less postoperative discomfort.http://dx.doi.org/10.1155/2015/791943 |
| spellingShingle | Huan-Chieh Chen Chih-Hsun Lee Li Wei Tai-Ngar Lui Tien-Jen Lin Comparison of Percutaneous Endoscopic Lumbar Discectomy and Open Lumbar Surgery for Adjacent Segment Degeneration and Recurrent Disc Herniation Neurology Research International |
| title | Comparison of Percutaneous Endoscopic Lumbar Discectomy and Open Lumbar Surgery for Adjacent Segment Degeneration and Recurrent Disc Herniation |
| title_full | Comparison of Percutaneous Endoscopic Lumbar Discectomy and Open Lumbar Surgery for Adjacent Segment Degeneration and Recurrent Disc Herniation |
| title_fullStr | Comparison of Percutaneous Endoscopic Lumbar Discectomy and Open Lumbar Surgery for Adjacent Segment Degeneration and Recurrent Disc Herniation |
| title_full_unstemmed | Comparison of Percutaneous Endoscopic Lumbar Discectomy and Open Lumbar Surgery for Adjacent Segment Degeneration and Recurrent Disc Herniation |
| title_short | Comparison of Percutaneous Endoscopic Lumbar Discectomy and Open Lumbar Surgery for Adjacent Segment Degeneration and Recurrent Disc Herniation |
| title_sort | comparison of percutaneous endoscopic lumbar discectomy and open lumbar surgery for adjacent segment degeneration and recurrent disc herniation |
| url | http://dx.doi.org/10.1155/2015/791943 |
| work_keys_str_mv | AT huanchiehchen comparisonofpercutaneousendoscopiclumbardiscectomyandopenlumbarsurgeryforadjacentsegmentdegenerationandrecurrentdischerniation AT chihhsunlee comparisonofpercutaneousendoscopiclumbardiscectomyandopenlumbarsurgeryforadjacentsegmentdegenerationandrecurrentdischerniation AT liwei comparisonofpercutaneousendoscopiclumbardiscectomyandopenlumbarsurgeryforadjacentsegmentdegenerationandrecurrentdischerniation AT taingarlui comparisonofpercutaneousendoscopiclumbardiscectomyandopenlumbarsurgeryforadjacentsegmentdegenerationandrecurrentdischerniation AT tienjenlin comparisonofpercutaneousendoscopiclumbardiscectomyandopenlumbarsurgeryforadjacentsegmentdegenerationandrecurrentdischerniation |