Percutaneous Endoscopic Lumbar Discectomy (PELD) Using Interlaminar Approach in Lumbar Disc Herniation - Endoscopic Laminotomy - (요추 추간판 탈출증에서 내시경의 추궁간 도달법을 이용한 경피적 요추 추간판 제거술의 결과 - 내시경적 후궁제거술 -)

김응하; Ki-Hoon Rhyu (류기훈); Cheong-Kwan Kim, (김정관)

Percutaneous Endoscopic Lumbar Discectomy (PELD) Using Interlaminar Approach in Lumbar Disc Herniation - Endoscopic Laminotomy -

Journal of Korean Society of Spine Surgery
Abbr : J Kor Spine Sur
2008, 15(4), pp.250-256
Publisher : Korean Society Of Spine Surgery
Research Area : Medicine and Pharmacy > Orthopedic Surgery

김응하 ¹, Ki-Hoon Rhyu ², Cheong-Kwan Kim, ¹

¹순천향대학교
²순천향대학교부천병원

Candidate

ABSTRACT

Study Design: Retrospective study Objectives: This study examined the post-operative results of interlaminar percutaneous endoscopic lumbar discectomy (PELD) with or without endoscopic laminotomy in lumbar disc herniation. Summary of Literature Review: In addition to the technical feasibility, the indications of PELD surgery are usually the same as those for open discectomy. Materials and Methods: From January 2005 to August 2006, 62 cases treated with PELD using an interlaminar approach due to lumbar disc herniation were examined. The mean age of the subjects was 40.1 years (18-70) and the mean follow up period was 32.6 months (24-44). Thirty-four and 28 herniated discs were extracted from L4-L5 and L5-S1, respectively. The clinical results were evaluated using MacNab’s criteria. Results: The herniated discs were accessible in all cases. Excellent and good results were obtained in 85% (53 cases) of patients but 15% of patients (9 cases) showed unsatisfactory results or needed revision. There were 4 cases of incomplete removal, 2 cases of recurrence and 4 cases of persistent low back pain due to associated degenerative pathologies. Additional surgery was required in 7 cases which were open discectomy in 5 cases (3 cases of 4 incomplete removal and 2 of recurrence). There was one case of PLIF and 1 additional decompression. Cauda equina syndrome occurred in one case who underwent subsequent wide decompression and open discectomy. Conclusions: interlaminar PELD using endoscopic laminotomy is an effective method for treating lumbar disc herniation with moderate up and down migration. The clinical success rate can be improved by selecting patients with accessible discs and excluding those with an associated pathology.

KEYWORDS

Lumbar disc herniation, Percutaneous endoscopic discectomy, Interlaminar approach, Endoscopic laminotomy

Citation status

* References for papers published after 2023 are currently being built.

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