AI Summary & Key Takeaways
AI InsightResult: Percutaneous endoscopic discectomy is a minimally invasive procedure with a high patient satisfaction which is as successful as microscopic discectomy.
📌 3 Key Takeaways
Abstract
Aim: To show early results of lomber percutaneous endoscopic discectomy History: Endoscopic disc surgery which allows minimally inva- sive discectomy is a recently utilized method in our country. Material - method: In our study 23 cases were included who have been followed at least 12 months. Average age was 44.3- ± 13.5. 73.9% were at L4-5 level, 21.7% were at L5-S1 level and one case was at L3-4 level. According to anatomic localization 47.8% were foraminal, 21.7% were para-central, 17.4% were extraforaminal and 13% were central. Results: Visual analogue scale (VAS) score for leg pain was 1.8±1.4 preoperatively. On the last follow-up, VAS score for back pain was 3.2± 3, VAS score for leg pain was 1.4±1.5. Ac- cording to Mac Nab criteria, 66.7% of patients have perfect re- sults, 13.3% of patients have good results and, 20% of patients have average results. Recurrence was seen in five cases. 80% of patients specified that they are fully healed. 93.3% of patients reported that they would have been performed the same pro- cedure again. Result: Percutaneous endoscopic discectomy is a minimally invasive procedure with a high patient satisfaction which is as successful as microscopic discectomy.
Özet
Amaç: Lomber perkütan endoskopik diskektomi erken dönem sonuçlarını tartışmak. Tarihçe: Lomber disk cerrahisinde minimal invazif diskektomiye izin veren endoskopik disk cerrahisi ülkemizde yeni kullanılan bir yöntemdir. Materyal metod: Son takipleri yapılan ve en az 12 ay izlenen ortalama yaşları 44.3 ± 13.5 olan 23 olgu incelendi. Olguların % 73.9u L4-5 seviyesinde, % 21.7si L5-S1 seviyesindeyken bir olguda L3-4 lomber herni mevcuttu. Anatomik olarak % 47.8 foraminal, % 21.7 parasantral, % 17.4 ekstraforaminal ve % 13 santral yerleşimli lomber herni opere edildi. Bulgular: Olguların operasyon sonrası bacak ağrısı VAS skoru ortalama 1.8 ± 1.4 idi. 5 olgu nüksetti. Son kontrol VAS skoru bel için ortalama 3.2 ± 3, bacak için 1.4 ± 1.5 bulundu. Mac Nab skoruna göre olguların % 66.7si mükemmel sonuç, % 13.3ü iyi sonuç ve % 20si orta sonuç aldı. Olguların % 80i tam iyileştiğini ve % 93.3ü tekrar aynı cerrahiyi olabileceğini bildirdi. Sonuç: Perkütan endoskopik diskektomi lomber disk hastalığı için yüksek hasta memnuniyeti olan ve mikroskopik diskektomi kadar başarılı bir yöntemdir.