Comparison of Interlaminar and Transforaminal Approaches for Treatment of L 5 /S 1 Disc Herniation by Percutaneous Endoscopic Discectomy
The aim of this study was to compare the clinical efficacy of percutaneous endoscopic interlaminar discectomy (PEID) and percutaneous endoscopic transforaminal discectomy (PETD) in treating L /S disc herniation. A retrospective analysis of 76 patients with L /S intervertebral disc herniation was per...
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Published in | Orthopaedic surgery Vol. 13; no. 1; pp. 63 - 70 |
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Main Authors | , , , , , , , |
Format | Journal Article |
Language | English |
Published |
Australia
John Wiley & Sons, Inc
01.02.2021
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Subjects | |
Online Access | Get full text |
ISSN | 1757-7853 1757-7861 |
DOI | 10.1111/os.12831 |
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Abstract | The aim of this study was to compare the clinical efficacy of percutaneous endoscopic interlaminar discectomy (PEID) and percutaneous endoscopic transforaminal discectomy (PETD) in treating L
/S
disc herniation.
A retrospective analysis of 76 patients with L
/S
intervertebral disc herniation was performed. There were two surgical treatment groups: one with patients receiving PEID and the other with patients receiving PETD. The two groups were compared by length of surgery, times of intraoperative X-ray exposure, postoperative time in bed, length of hospital stay, operative complications, patient's assessment of pain using a visual analogue scale (VAS), and disability using the Oswestry disability index (ODI) before and after surgery.
Subjects in the PEID group were in surgery for 60.90 ± 13.11 min and needed intraoperative X-ray exposure 4.10 ± 1.09 times. Patients in this group were ambulatory by 7.52 ± 1.08 h after surgery and were hospitalized for 5.05 ± 0.92 days. In contrast, patients in the PETD group were in surgery for 84.06 ± 15.58 min and needed intraoperative X ray exposure 12.81 ± 8.46 times. These patients were ambulatory by 7.06 ± 0.91 h after surgery and remained in the hospital for 4.94 ± 0.80 days. Based on these data, operation time and fluoroscopy time were significantly less (P < 0.002 and P < 0.001, respectively) for subjects in the PEID group. However, ambulatory time and hospitalization were similar for both in terms of pain relief and decreased disability, and subjects in both groups responded well to the surgery and showed a significant decrease in both VAS and ODI scores at their 1-year follow-up (P < 0.01). Furthermore, there were no statistically significant differences between the two surgeries in terms of pain relief and decrease in disability.
For L
/S
disc herniation, PEID and PETD provide similar results for patients. However, PEID has the advantage over PETD in that it is a shorter procedure and exposes the patient to less radiation. |
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AbstractList | The aim of this study was to compare the clinical efficacy of percutaneous endoscopic interlaminar discectomy (PEID) and percutaneous endoscopic transforaminal discectomy (PETD) in treating L
/S
disc herniation.
A retrospective analysis of 76 patients with L
/S
intervertebral disc herniation was performed. There were two surgical treatment groups: one with patients receiving PEID and the other with patients receiving PETD. The two groups were compared by length of surgery, times of intraoperative X-ray exposure, postoperative time in bed, length of hospital stay, operative complications, patient's assessment of pain using a visual analogue scale (VAS), and disability using the Oswestry disability index (ODI) before and after surgery.
Subjects in the PEID group were in surgery for 60.90 ± 13.11 min and needed intraoperative X-ray exposure 4.10 ± 1.09 times. Patients in this group were ambulatory by 7.52 ± 1.08 h after surgery and were hospitalized for 5.05 ± 0.92 days. In contrast, patients in the PETD group were in surgery for 84.06 ± 15.58 min and needed intraoperative X ray exposure 12.81 ± 8.46 times. These patients were ambulatory by 7.06 ± 0.91 h after surgery and remained in the hospital for 4.94 ± 0.80 days. Based on these data, operation time and fluoroscopy time were significantly less (P < 0.002 and P < 0.001, respectively) for subjects in the PEID group. However, ambulatory time and hospitalization were similar for both in terms of pain relief and decreased disability, and subjects in both groups responded well to the surgery and showed a significant decrease in both VAS and ODI scores at their 1-year follow-up (P < 0.01). Furthermore, there were no statistically significant differences between the two surgeries in terms of pain relief and decrease in disability.
For L
/S
disc herniation, PEID and PETD provide similar results for patients. However, PEID has the advantage over PETD in that it is a shorter procedure and exposes the patient to less radiation. ObjectiveThe aim of this study was to compare the clinical efficacy of percutaneous endoscopic interlaminar discectomy (PEID) and percutaneous endoscopic transforaminal discectomy (PETD) in treating L5/S1 disc herniation.MethodsA retrospective analysis of 76 patients with L5/S1 intervertebral disc herniation was performed. There were two surgical treatment groups: one with patients receiving PEID and the other with patients receiving PETD. The two groups were compared by length of surgery, times of intraoperative X‐ray exposure, postoperative time in bed, length of hospital stay, operative complications, patient's assessment of pain using a visual analogue scale (VAS), and disability using the Oswestry disability index (ODI) before and after surgery.ResultsSubjects in the PEID group were in surgery for 60.90 ± 13.11 min and needed intraoperative X‐ray exposure 4.10 ± 1.09 times. Patients in this group were ambulatory by 7.52 ± 1.08 h after surgery and were hospitalized for 5.05 ± 0.92 days. In contrast, patients in the PETD group were in surgery for 84.06 ± 15.58 min and needed intraoperative X ray exposure 12.81 ± 8.46 times. These patients were ambulatory by 7.06 ± 0.91 h after surgery and remained in the hospital for 4.94 ± 0.80 days. Based on these data, operation time and fluoroscopy time were significantly less (P < 0.002 and P < 0.001, respectively) for subjects in the PEID group. However, ambulatory time and hospitalization were similar for both in terms of pain relief and decreased disability, and subjects in both groups responded well to the surgery and showed a significant decrease in both VAS and ODI scores at their 1‐year follow‐up (P < 0.01). Furthermore, there were no statistically significant differences between the two surgeries in terms of pain relief and decrease in disability.ConclusionFor L5/S1 disc herniation, PEID and PETD provide similar results for patients. However, PEID has the advantage over PETD in that it is a shorter procedure and exposes the patient to less radiation.Keywords |
Author | Gao, Aiguo Yang, Huilin Hu, Zhangjie Wang, Ye Gu, Xiaofeng Lu, Binbin Jin, Qi Zhu, Liyan |
Author_xml | – sequence: 1 givenname: Aiguo orcidid: 0000-0002-7573-1604 surname: Gao fullname: Gao, Aiguo organization: Department of Orthopaedics Wuxi People's Hospital Affiliated to Nanjing Medical University Wuxi City China – sequence: 2 givenname: Huilin surname: Yang fullname: Yang, Huilin organization: Department of Orthopaedics The First People's Hospital Affiliated to Suzhou University Suzhou City China – sequence: 3 givenname: Liyan surname: Zhu fullname: Zhu, Liyan organization: Department of Orthopaedics Wuxi People's Hospital Affiliated to Nanjing Medical University Wuxi City China – sequence: 4 givenname: Zhangjie surname: Hu fullname: Hu, Zhangjie organization: Department of Orthopaedics Wuxi People's Hospital Affiliated to Nanjing Medical University Wuxi City China – sequence: 5 givenname: Binbin surname: Lu fullname: Lu, Binbin organization: Department of Orthopaedics Wuxi People's Hospital Affiliated to Nanjing Medical University Wuxi City China – sequence: 6 givenname: Qi surname: Jin fullname: Jin, Qi organization: Department of Orthopaedics Wuxi People's Hospital Affiliated to Nanjing Medical University Wuxi City China – sequence: 7 givenname: Ye surname: Wang fullname: Wang, Ye organization: Department of Orthopaedics Wuxi People's Hospital Affiliated to Nanjing Medical University Wuxi City China – sequence: 8 givenname: Xiaofeng surname: Gu fullname: Gu, Xiaofeng organization: Department of Orthopaedics Wuxi People's Hospital Affiliated to Nanjing Medical University Wuxi City China |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/33274579$$D View this record in MEDLINE/PubMed |
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Cites_doi | 10.2152/jmi.62.100 10.1186/s13018-018-0759-4 10.1007/s00264-018-4253-8 10.4103/0019-5413.197520 10.1016/j.wneu.2016.04.127 10.1097/MD.0000000000002189 10.36076/ppj/2016.19.69 10.1097/BRS.0b013e31816c8af7 10.1097/MD.0000000000002899 10.3171/2017.6.SPINE172 10.3171/2017.7.SPINE161434 10.1097/BSD.0b013e31827649ea 10.21037/jss.2019.09.16 10.1016/j.wneu.2018.05.075 10.1016/j.ijsu.2016.01.034 10.1007/s00701-012-1432-z |
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SubjectTerms | Anesthesia Back surgery Disease Endoscopy Epidural Ligaments Patient positioning Pipelines Surgical apparatus & instruments |
Title | Comparison of Interlaminar and Transforaminal Approaches for Treatment of L 5 /S 1 Disc Herniation by Percutaneous Endoscopic Discectomy |
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