Comparison of Transforaminal Percutaneous Endoscopic Lumbar Discectomy with and without Foraminoplasty for Lumbar Disc Herniation: A 2-Year Follow-Up
Background. Both transforaminal percutaneous endoscopic lumbar discectomy with foraminoplasty (TF PELF) and transforaminal percutaneous endoscopic lumbar discectomy without foraminoplasty (TF PELD) were developed for lumbar disc herniation (LDH) patients. However, the safety and effectiveness betwee...
Saved in:
| Main Authors: | , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2019-01-01
|
| Series: | Pain Research and Management |
| Online Access: | http://dx.doi.org/10.1155/2019/6924941 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849406976107216896 |
|---|---|
| author | Binbin Wu Gonghao Zhan Xinyi Tian Linyu Fan Chenchen Jiang Beekoo Deepti Hong Cao Jun Li Qingquan Lian Xixi Huang Feng Xu |
| author_facet | Binbin Wu Gonghao Zhan Xinyi Tian Linyu Fan Chenchen Jiang Beekoo Deepti Hong Cao Jun Li Qingquan Lian Xixi Huang Feng Xu |
| author_sort | Binbin Wu |
| collection | DOAJ |
| description | Background. Both transforaminal percutaneous endoscopic lumbar discectomy with foraminoplasty (TF PELF) and transforaminal percutaneous endoscopic lumbar discectomy without foraminoplasty (TF PELD) were developed for lumbar disc herniation (LDH) patients. However, the safety and effectiveness between the TF PELF and TF PELD have not been investigated. Methods. Of the included 140 LDH patients, 62 patients received TF PELF (PELF group) and 78 patients received TF PELD (PELD group). The operation time, the duration of staying at the hospital, and complication incidences were recorded. All patients were followed up for 2 years, where low back and leg visual analogue scale (VAS) pain ratings and Oswestry Disability Index (ODI) were compared between the 2 groups before and after surgery. Modified Macnab criterion was estimated for all patients at postoperative 2 years. Results. There were no significant difference of the operation time, number of days staying at the hospital, and the incidence of complications between the 2 groups (P>0.05). Two cases in the PELF group and 1 case in the PELD group received a second surgery due to unrelieved symptoms postoperatively. Low back and leg VAS and ODI scores decreased in both groups after operation (P<0.01), respectively, but were not significant between the 2 groups over time (P>0.05). Six patients in the PELF group and 3 patients in the PELD group did not continue the follow-up; thus, only 131 patients completed Macnab evaluation. The satisfactory rate was reported as 80.4% in the PELF group and 90.7% in the PELD group (P>0.05). Conclusions. This study suggested that the safety and effectiveness of TF PELF are comparable to TF PELD for LDH patients. |
| format | Article |
| id | doaj-art-46ba272884624a2fa60ff8fbd56e9109 |
| institution | Kabale University |
| issn | 1203-6765 1918-1523 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Pain Research and Management |
| spelling | doaj-art-46ba272884624a2fa60ff8fbd56e91092025-08-20T03:36:13ZengWileyPain Research and Management1203-67651918-15232019-01-01201910.1155/2019/69249416924941Comparison of Transforaminal Percutaneous Endoscopic Lumbar Discectomy with and without Foraminoplasty for Lumbar Disc Herniation: A 2-Year Follow-UpBinbin Wu0Gonghao Zhan1Xinyi Tian2Linyu Fan3Chenchen Jiang4Beekoo Deepti5Hong Cao6Jun Li7Qingquan Lian8Xixi Huang9Feng Xu10Department of Pain Medicine, The Second Affiliated Hospital and Yuying Children’s Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, ChinaDepartment of Pain Medicine, The Second Affiliated Hospital and Yuying Children’s Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, ChinaDepartment of Pain Medicine, The Second Affiliated Hospital and Yuying Children’s Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, ChinaChina-USA Neuroimaging Research Institute, The Second Affiliated Hospital and Yuying Children’s Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, ChinaDepartment of Clinical Research Center, The Second Affiliated Hospital and Yuying Children’s Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, ChinaDepartment of Anesthesiology, The Second Affiliated Hospital and Yuying Children’s Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, ChinaDepartment of Pain Medicine, The Second Affiliated Hospital and Yuying Children’s Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, ChinaDepartment of Anesthesiology, The Second Affiliated Hospital and Yuying Children’s Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, ChinaDepartment of Anesthesiology, The Second Affiliated Hospital and Yuying Children’s Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, ChinaDepartment of Pain Medicine, The Second Affiliated Hospital and Yuying Children’s Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, ChinaDepartment of Pain Medicine, The Second Affiliated Hospital and Yuying Children’s Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, ChinaBackground. Both transforaminal percutaneous endoscopic lumbar discectomy with foraminoplasty (TF PELF) and transforaminal percutaneous endoscopic lumbar discectomy without foraminoplasty (TF PELD) were developed for lumbar disc herniation (LDH) patients. However, the safety and effectiveness between the TF PELF and TF PELD have not been investigated. Methods. Of the included 140 LDH patients, 62 patients received TF PELF (PELF group) and 78 patients received TF PELD (PELD group). The operation time, the duration of staying at the hospital, and complication incidences were recorded. All patients were followed up for 2 years, where low back and leg visual analogue scale (VAS) pain ratings and Oswestry Disability Index (ODI) were compared between the 2 groups before and after surgery. Modified Macnab criterion was estimated for all patients at postoperative 2 years. Results. There were no significant difference of the operation time, number of days staying at the hospital, and the incidence of complications between the 2 groups (P>0.05). Two cases in the PELF group and 1 case in the PELD group received a second surgery due to unrelieved symptoms postoperatively. Low back and leg VAS and ODI scores decreased in both groups after operation (P<0.01), respectively, but were not significant between the 2 groups over time (P>0.05). Six patients in the PELF group and 3 patients in the PELD group did not continue the follow-up; thus, only 131 patients completed Macnab evaluation. The satisfactory rate was reported as 80.4% in the PELF group and 90.7% in the PELD group (P>0.05). Conclusions. This study suggested that the safety and effectiveness of TF PELF are comparable to TF PELD for LDH patients.http://dx.doi.org/10.1155/2019/6924941 |
| spellingShingle | Binbin Wu Gonghao Zhan Xinyi Tian Linyu Fan Chenchen Jiang Beekoo Deepti Hong Cao Jun Li Qingquan Lian Xixi Huang Feng Xu Comparison of Transforaminal Percutaneous Endoscopic Lumbar Discectomy with and without Foraminoplasty for Lumbar Disc Herniation: A 2-Year Follow-Up Pain Research and Management |
| title | Comparison of Transforaminal Percutaneous Endoscopic Lumbar Discectomy with and without Foraminoplasty for Lumbar Disc Herniation: A 2-Year Follow-Up |
| title_full | Comparison of Transforaminal Percutaneous Endoscopic Lumbar Discectomy with and without Foraminoplasty for Lumbar Disc Herniation: A 2-Year Follow-Up |
| title_fullStr | Comparison of Transforaminal Percutaneous Endoscopic Lumbar Discectomy with and without Foraminoplasty for Lumbar Disc Herniation: A 2-Year Follow-Up |
| title_full_unstemmed | Comparison of Transforaminal Percutaneous Endoscopic Lumbar Discectomy with and without Foraminoplasty for Lumbar Disc Herniation: A 2-Year Follow-Up |
| title_short | Comparison of Transforaminal Percutaneous Endoscopic Lumbar Discectomy with and without Foraminoplasty for Lumbar Disc Herniation: A 2-Year Follow-Up |
| title_sort | comparison of transforaminal percutaneous endoscopic lumbar discectomy with and without foraminoplasty for lumbar disc herniation a 2 year follow up |
| url | http://dx.doi.org/10.1155/2019/6924941 |
| work_keys_str_mv | AT binbinwu comparisonoftransforaminalpercutaneousendoscopiclumbardiscectomywithandwithoutforaminoplastyforlumbardischerniationa2yearfollowup AT gonghaozhan comparisonoftransforaminalpercutaneousendoscopiclumbardiscectomywithandwithoutforaminoplastyforlumbardischerniationa2yearfollowup AT xinyitian comparisonoftransforaminalpercutaneousendoscopiclumbardiscectomywithandwithoutforaminoplastyforlumbardischerniationa2yearfollowup AT linyufan comparisonoftransforaminalpercutaneousendoscopiclumbardiscectomywithandwithoutforaminoplastyforlumbardischerniationa2yearfollowup AT chenchenjiang comparisonoftransforaminalpercutaneousendoscopiclumbardiscectomywithandwithoutforaminoplastyforlumbardischerniationa2yearfollowup AT beekoodeepti comparisonoftransforaminalpercutaneousendoscopiclumbardiscectomywithandwithoutforaminoplastyforlumbardischerniationa2yearfollowup AT hongcao comparisonoftransforaminalpercutaneousendoscopiclumbardiscectomywithandwithoutforaminoplastyforlumbardischerniationa2yearfollowup AT junli comparisonoftransforaminalpercutaneousendoscopiclumbardiscectomywithandwithoutforaminoplastyforlumbardischerniationa2yearfollowup AT qingquanlian comparisonoftransforaminalpercutaneousendoscopiclumbardiscectomywithandwithoutforaminoplastyforlumbardischerniationa2yearfollowup AT xixihuang comparisonoftransforaminalpercutaneousendoscopiclumbardiscectomywithandwithoutforaminoplastyforlumbardischerniationa2yearfollowup AT fengxu comparisonoftransforaminalpercutaneousendoscopiclumbardiscectomywithandwithoutforaminoplastyforlumbardischerniationa2yearfollowup |