Current Approaches, Significance and Prognostic Impact of Lumbar Ligament Flavum Preserving Surgeries

B. C. Alpergin, Murat Zaimoğlu, Ömer Mert Özpi̇şki̇n, Elif Gokalp, Murat Buyuktepe, F. Yakar, Ümit Eroğlu
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Abstract

Objectives: The aim of this study is to evaluate the use of flavum-preserving surgeries in lumbar disc herniation surgery, compare their clinical outcomes with standard microdiscectomy techniques, and demonstrate the transflaval microdiscectomy technique. Material and Methods: Between 2020 and 2023, a total of 48 patients who underwent transflaval microdiscectomy and 48 patients who underwent standard microdiscectomy at a single center were included in the study. Epidemiologic characteristics of the groups were described, and preoperative and postoperative visual analoge scale scores for leg pain (LPVAS) and back pain (BPVAS) were retrospectively analyzed. Results: There is no significant difference between the groups in preoperative mean LPVAS scores (p=0,474) and there is no significant difference between the groups in postoperative mean LPVAS scores (p=0,598). There is no significant difference between the groups in preoperative mean BPVAS scores (p=0,608). However there is a significant difference between the groups in postoperative mean BPVAS scores (p
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保留腰椎韧带手术的当前方法、意义和预后影响
研究目的本研究旨在评估腰椎间盘突出症手术中黄体保留手术的使用情况,比较其与标准显微椎间盘切除术技术的临床效果,并展示经腹股沟显微椎间盘切除术技术。材料与方法:在 2020 年至 2023 年期间,共有 48 名患者在一个中心接受了经腰椎沟显微椎间盘切除术,48 名患者接受了标准显微椎间盘切除术。研究人员对两组患者的流行病学特征进行了描述,并对术前和术后腿部疼痛(LPVAS)和背部疼痛(BPVAS)的视觉模拟评分进行了回顾性分析。结果显示术前平均 LPVAS 评分组间无明显差异(P=0,474),术后平均 LPVAS 评分组间无明显差异(P=0,598)。术前平均 BPVAS 评分组间无明显差异(P=0,608)。然而,术后平均 BPVAS 评分在组间有显著差异(p
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