[Short- and mid-term outcomes after posterolateral endoscopic discectomy in patients with lumbosacral junction disc herniations].

Q4 Medicine Khirurgiya Pub Date : 2024-01-01 DOI:10.17116/hirurgia202412152

I A Stepanov, V A Beloborodov

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Abstract

Objective: To analyze the short- and mid-term results of posterolateral endoscopic discectomy (PLED) in patients with lumbosacral junction intervertebral discs (IVD) herniations.

Material and methods: A retrospective observational cohort study included 95 medical records of respondents (35 (36.8%) males, 60 (63.2%) females, age 21 - 72 years), who underwent PLED for lumbar IVD herniations. Mean postoperative follow-up period was 14.4±3.2 months. Clinical outcomes and incidence of complications were studied.

Results: VAS scores of back and lower limb pain significantly decreased after 1, 3, 6, 9 and 12 months (p<0.01). Disability significantly improved in short- and mid-term follow-up period (Oswestry Disability Index, p<0.01). Analysis of subjective satisfaction with surgical intervention (modified MacNab scale) revealed that 92 (92.9%) respondents had excellent results. Complications occurred in 5 (5.2%) patients.

Conclusion: PLED is effective and safe in patients with lumbosacral joint IVD herniations. No significant complications were noted in our respondents.

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[腰骶交界处椎间盘突出症后外侧内镜椎间盘切除术后的中短期预后]。

目的：分析后外侧内镜下椎间盘切除术（PLED）治疗腰骶交界处椎间盘（IVD）突出症的中短期疗效。材料和方法：回顾性观察队列研究纳入95份病历，其中男性35例（36.8%），女性60例（63.2%），年龄21 - 72岁，因腰椎IVD突出接受了PLED。术后平均随访14.4±3.2个月。观察两组患者的临床结局及并发症发生率。结果：1、3、6、9、12个月后腰骶关节IVD突出症患者腰下肢疼痛VAS评分明显降低（ppp）。结论：plp治疗腰骶关节IVD突出症有效、安全。在我们的应答者中没有发现明显的并发症。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Khirurgiya Medicine-Medicine (all)

CiteScore

0.70

自引率

0.00%

发文量

161

期刊介绍： Хирургия отдельных областей сердце, сосуды легкие пищевод молочная железа желудок и двенадцатиперстная кишка кишечник желчевыводящие пути печень