| Clinical Outcome of Percutaneous Endoscopic Lumbar Discectomy for Symptomatic Lumbar Disc Herniation
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Chong Jin Park , Jeong Gyun Kim , Jong Joo Rhee , Jong Won Lee , Jin Woo Hur , Hyun Koo Lee |
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Department of Neurosurgery, Cheongju St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Cheongju, Korea |
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| Abstract |
Objective
This study aimed to evaluate the initial clinical outcomes of percutaneous endoscopic lumbar discectomy (PELD) for symptomatic lumbar disc herniation.
Methods
One hundred forty-seven patients with lumbar disc herniation who were treated with PELD from January 2017 to December 2017 were included in this retrospective study. Of these 147 patients, there were 79 male patients and 68 female patients. Their ages ranged from 14-83 years, with the average age being 51.2 years old. Five cases were performed at L2-L3, 11 cases were performed at L3-L4, 76 cases were performed at L4-L5, and 55 cases were performed at L5-S1.
Results
The follow-up period was one year and the overall complication rate in this time was 21/147(14.29%). Of the 147 patients, seven(4.76%) underwent a second endoscopic discectomy, three(2.04%) underwent an open surgery, and 11(7.48%) underwent blocks or further imaging study due to relapsing symptoms. There were no cases of infection.
Conclusion
PELD can be performed on a day care basis and has few complications. The procedure has only minor tissue trauma, thus improving the quality of life. Therefore, PELD is a safe and effective method for disc herniation. |
| Key Words:
Diskectomy, Percutaneous, Endoscopes, Intervertebral disc, Spine |
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