Out Come of Endoscopic Discectomy

Authors

  • Hammad Nasir Assistant Professor Department of Neurosurgery, PGMI / AMC / Lahore General Hospital, Lahore
  • Mukhtiar Ahmed Senior Registrar,Department of Neurosurgery, PGMI / AMC / Lahore General Hospital, Lahore
  • Dr Sikandar Department of Neurosurgery, PGMI / AMC / Lahore General Hospital, Lahore
  • Dr Fazal Department of Neurosurgery, PGMI / AMC / Lahore General Hospital, Lahore
  • Anjum Habib Vohra Professor, Department of Neurosurgery, PGMI / AMC / Lahore General Hospital, Lahore

Keywords:

Lumbar disc herniation, endoscopic discectomy

Abstract

Objectives: To evaluate the outcome of endoscopic discectomy, in terms of symptomatic recovery in patients with unilateral and monosegmental nerve root compression due to prolapsed, sequestrated or migrated disc in lumbar spine.
Study Design: This was a descriptive case series.
Setting: Department of Neurosurgery, Lahore General Hospital, Lahore.
Materials and Methods: This study included 35 patients with symptomatic lumbar disc herniation. All the patients were treated with endoscopic discectomy. The outcome was determined at 6 months follow up based on McNab’s classification system. Duration of study was 1 year from June 2014 to June 2015.
Results: According to McNab’s classification system, 31(88.57%) patients had successful outcome including excellent and good results. Discitis was seen among 3 (8.57%) patients, dural tear in 3(8.57%) patients and recurrence in 1(2.86%) patient.
Conclusion: Endoscopic Discectomy is a safe and effective treatment modality for patients with unilateral and monosegmental lumbar disc herniation.

References

1. Awad JN, Moskovich R. Lumbar disc herniations: sur-gical versus nonsurgical treatment. Clin Orthop Relat Res. 2006; 443: 183-197.
2. Battie MC, Videman T. Lumbar disc degeneration: epi-demiology and genetics. J Bone Joint Surg Am. 2006; 88: 3-9.
3. Haughton VM. MR imaging of the spine. Radiology, 1988; 166: 297-301.
4. Jhala A, Mistry M. Endoscopic lumbar discectomy: Experience of first 100 cases. Indian J Orthop. 2010; 44: 184-190.
5. Lurie JD, Tosteson AN, Tosteson TD, Carragee E, Car-rino J, Kaiser J. Reliability of magnetic resonance ima-ging readings for lumbar disc herniation in the Spine Patient Outcomes Research Trial (SPORT). Spine, 2008; 33: 991-998.
6. Ju C, Kim HS, Kim SW, Lee SM, Shin H. Percutaneous Endoscopic: In Discectomy In Lumbar Disc Herniation Combined With Spinal Stenosis Having Severe Unila-teral Radiculopathic Leg Pain Caused By Dominant Root Compression: Transforaminal Suprapedicular Approach. The Internet Journal of Minimally Invasive Spinal Technology, 2009; 3: Supplement II – to IJ-MIST.
7. Mixter WJ, Barr JS. Rupture of the intervertebral disc with involvement of the spinal canal. N Engl J Med. 1934; 211: 210-214.
8. Haughton V. Imaging intervertebral disc degeneration. J Bone Joint Surg Am. 2006; 88: 15-20.
9. Lee DY, Ahn Y, Lee SH. Percutaneous endoscopic lumbar discectomy for adolescent lumbar disc herni-ation: surgical outcomes in 46 consecutive patients. Mt Sinai J Med. 2006; 73: 864-870.
10. Lee SH, Chung SE, Ahn Y, Kim TH, Park JY, Shin
SW. Comparative Radiologic Evaluation of Percuta-neous Endoscopic Lumbar Discectomy and Open Microdiscectomy: A Matched Cohort Analysis. The Mount Sinai Journal of Medicine, 2006; 73: 795-801.
11. Peng B, et al. Possible pathogenesis of painful interver-tebral disc degeneration. Spine (Phila Pa 1976), 2006; 31: 560-566.
12. Peng CWB, Yeo W, TanSB. Percutaneous endoscopic lumbar discectomy: clinical and quality of life out-comes with a minimum 2 year follow-up. J Orthop Surg Res. 2009; 4: 20.
13. Perez – Cruet MJ, Foley KT, Isaacs RE, Rice – Wyllie L, Wellington R, Smith MM, Fessler RG. Microendo-scopic lumbar discectomy: technical note. Neurosur-gery, 2002; 51: 129-136.
14. Peng B, et al. Possible pathogenesis of painful interver-tebral disc degeneration. Spine (Phila Pa 1976), 2006; 31: 560-566.
15. Sharma P, Ranjan A, Lath R. Lumbar nerve root hernia: An unusual complication of micro-endoscopic discec-tomy, 2011; 59: 313-4.
16. Takahashi H, Iida Y, Yokoyama Y, Takamatsu R, Fukutake K. Recurrent Lumbar Disc Herniation after Microendoscopic Discectomy. J Spine Neurosurg. 2014; 3: 3.
17. Tzaan WC. Transforaminal Percutaneous Endoscopic Lumbar Discectomy. Chang Gung Med J. 2007; 30: 226-234.
18. van Rijn CJ, Klemetsö N, Reitsma JB, Majoie CB, Hulsmans FJ, Peul WC. Observer variation in MRI eva-luation of patients suspected of lumbar disk herniation. AJR. 2005; 184: 299-303.

Downloads

Published

2018-10-03

Issue

Vol. 20 No. 1 (2016): January-March

Section

Original Articles

License

The work published by PJNS is licensed under a Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0). Copyrights on any open access article published by Pakistan Journal of Neurological Surgery are retained by the author(s).