Evaluation of clinical outcomes of 271 patients undergoing lumbar microdiscectomy in the light of literature

Evaluation of clinical outcomes of 271 patients undergoing lumbar microdiscectomy in the light of literature

Aim: Lumbar microdiscectomy (LMD) is considered as a gold standard surgical technique for the treatment of patients with lumbardisc hernia (LDH) although various types of treatment are being developed. This study aimed to investigate the safety and efficacyof LMD in our clinic.Material and Methods: The study exclusively included 271 patients undergoing LMD due to LDH. Preoperative and postoperative(10th day, 1st month, and long-term) Visual Analog Scale (VAS) and Oswestry Disability Index (ODI) scores of the patients werecompared. Clinical outcomes were analyzed retrospectively based on modified Macnab criteria. Complications were noted. SPSSStatistics 22.0 software package was used to analyse the data for pre- and postoperative VAS and ODI scores. A p value of

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  • 1. Campbell P, Wynne-Jones G, Muller S, et al. The influence of employment social support for risk and prognosis in nonspecific back pain: a systematic review and critical synthesis. Int Arch Occup Environ Health 2013;86:119-37.
  • 2. Dey PC, Nanda SN. Functional Outcome after Endoscopic Lumbar Discectomy by Destandau’s Technique: A Prospective Study of 614 Patients. Asian Spine J 2019;13:786-92.
  • 3. Gelalis ID, Papanastasiou EI, Pakos EE, et al. Clinical outcomes after lumbar spine microdiscectomy: a 5-year follow-up prospective study in 100 patients. Eur J Orthop Surg Traumatol 2019;29:321-7.
  • 4. Veresciagina K, Spakauskas B, Ambrozaitis KV. Clinical outcomes of patients with lumbar disc herniation, selected for one-level open-discectomy and microdiscectomy. Eur Spine J 2010;19:1450-8.
  • 5. Weinstein JN, Lurie JD, Tosteson TD, et al. Surgical versus nonoperative treatment for lumbar disc herniation: four-year results for the Spine Patient Outcomes Research Trial (SPORT). Spine (Phila Pa 1976) 2008;33:2789-800.
  • 6. Lau D, Han SJ, Lee JG, Lu DC, Chou D. Minimally invasive compared to open microdiscectomy for lumbar disc herniation. J Clin Neurosci 2011;18:81-4.
  • 7. Cetin A, Gokdemir TM. Evaluation of pain status and quality of life in patients with lumbar disc hernia who underwent microdiscectomy. Medicine Science 2018; 7:745-7.
  • 8. Ahn Y, Lee SG, Son S, et al. Transforaminal Endoscopic Lumbar Discectomy Versus Open Lumbar Microdiscectomy: A Comparative Cohort Study with a 5-Year Follow-Up. Pain Physician 2019; 22: 295-304.
  • 9. Zahid H, Ali I, Choudhary N, Rashid J, Mehmood K. Microscopic Discectomy Outcomes in Lumbar Disc Herniation Patients. Pak J of Neurol Surg 2019;23: 142-5.
  • 10. Lee DY, Shim CS, Ahn Y, et al. Comparison of percutaneous endoscopic lumbar discectomy and open lumbar microdiscectomy for recurrent disc herniation. J Korean Neurosurg Soc 2009;46:515-21.
  • 11. Camino Willhuber G, Kido G, et al. Factors associated with lumbar disc hernia recurrence after microdiscectomy. Rev Esp Cir Ortop Traumatol 2017;61:397-403.
  • 12. Tzaan W. “Transforaminal percutaneous endoscopic lumbar discectomy.” Chang Gung Med J 2007;30: 226-34.
  • 13. Galarza M, Gazzeri R, De la Rosa P, et al. Microdiscectomy with and without insertion of interspinous device for herniated disc at the L5–S1 level. J Clin Neurosci 2014;21:1934-9.
  • 14. Martín-Láez R, Martínez-Agüeros JÁ, SuárezFernández D, et al. Complications of endoscopic microdiscectomy using the EASYGO! system: is there any difference with conventional discectomy during the learning-curve period? Acta Neurochir (Wien) 2012;154:1023-32.
  • 15. Singhal A, Bernstein M. Outpatient lumbar microdiscectomy: a prospective study in 122 patients. Can J Neurol Sci 2002;29:249-52.
  • 16. Diren F, Can H, Onal MB, et al. The rate of spondylodiscitis in patients with lomber discectomy using single dose prophylactic antibiotics. JAREM 2019;9:1-6.
  • 17. Calikoglu C, Cakir M. Open Discectomy vs. Microdiscectomy: Results from 519 Patients Operated for Lumbar Disc Herniation. Eurasian J Med 2018;50: 178-81.
  • 18. Kao FC, Tsai TT, Chen LH, et al. Symptomatic epidural hematoma after lumbar decompression surgery. European Spine Journal 2015;24:348-57.
  • 19. Somay H,Karaarslan N.Sequestrectomy or microdiscectomy in patients with lumbar disc herniation.Ann Med Res 2019;26:753-78.
  • 20. Choi KC, Kim SJ, Park CK. Percutaneous endoscopic lumbar discectomy as an alternative to open lumbar microdiscectomy for large lumbar disc herniation. Pain physician 2016;19:291-300.
  • 21. Debono B, Sabatier P, Garnault V, et al. Outpatient lumbar microdiscectomy in France: from an economic imperative to a clinical standard-an observational study of 201 cases. World Neurosurg 2017;106:891-7.
  • 22. Hubbe U, Franco-Jimenez P, Klingler JH, et al. Minimally invasive tubular microdiscectomy for recurrent lumbar disc herniation. J Neurosurg Spine 2016;24:48-53.
  • 23. Nada D, Julien C, Rompré PH, et al. Association of Circulating YKL-40 Levels and CHI3L1 Variants with the Risk of Spinal Deformity Progression in Adolescent Idiopathic Scoliosis. Sci Rep 2019;9:1-13.
Annals of Medical Research-Cover
  • Yayın Aralığı: Aylık
  • Yayıncı: İnönü Üniversitesi Tıp Fakültesi
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