{"title":"[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]。","authors":"I A Stepanov, V A Beloborodov","doi":"10.17116/hirurgia202412152","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To analyze the short- and mid-term results of posterolateral endoscopic discectomy (PLED) in patients with lumbosacral junction intervertebral discs (IVD) herniations.</p><p><strong>Material and methods: </strong>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.</p><p><strong>Results: </strong>VAS scores of back and lower limb pain significantly decreased after 1, 3, 6, 9 and 12 months (<i>p</i><0.01). Disability significantly improved in short- and mid-term follow-up period (Oswestry Disability Index, <i>p</i><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.</p><p><strong>Conclusion: </strong>PLED is effective and safe in patients with lumbosacral joint IVD herniations. No significant complications were noted in our respondents.</p>","PeriodicalId":35986,"journal":{"name":"Khirurgiya","volume":" 12","pages":"52-59"},"PeriodicalIF":0.0000,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"[Short- and mid-term outcomes after posterolateral endoscopic discectomy in patients with lumbosacral junction disc herniations].\",\"authors\":\"I A Stepanov, V A Beloborodov\",\"doi\":\"10.17116/hirurgia202412152\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>To analyze the short- and mid-term results of posterolateral endoscopic discectomy (PLED) in patients with lumbosacral junction intervertebral discs (IVD) herniations.</p><p><strong>Material and methods: </strong>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.</p><p><strong>Results: </strong>VAS scores of back and lower limb pain significantly decreased after 1, 3, 6, 9 and 12 months (<i>p</i><0.01). Disability significantly improved in short- and mid-term follow-up period (Oswestry Disability Index, <i>p</i><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.</p><p><strong>Conclusion: </strong>PLED is effective and safe in patients with lumbosacral joint IVD herniations. No significant complications were noted in our respondents.</p>\",\"PeriodicalId\":35986,\"journal\":{\"name\":\"Khirurgiya\",\"volume\":\" 12\",\"pages\":\"52-59\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Khirurgiya\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.17116/hirurgia202412152\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Khirurgiya","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.17116/hirurgia202412152","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
[Short- and mid-term outcomes after posterolateral endoscopic discectomy in patients with lumbosacral junction disc herniations].
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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