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SURGICAL OUTCOME OF ENDOSCOPIC INTERLAMINAR LUMBAR DISCECTOMY FOR DISC HERNIATION
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Abstract
Background: Lumbar disc herniation is the most common spinal disease, about 10% of herniated discs require surgery. Although open surgery for discectomy of the lumbar herniation is quite good, many authors continue to develop minimally invasive techniques to provide the best treatment. Endoscopic surgery is a minimally invasive surgery with many advantages. Objective: To evaluate the surgical outcome of lumbar disc herniation by endoscopic interlaminar approach. Materials and methods: An uncontrolled clinical prospective study at S.I.S Can Tho International General Hospital from 7/2022 to 10/2022. Selection criteria included patients with lumbar disc herniation with symptoms of radiculopathy, who did not respond to appropriate medical treatment after 5-8 weeks. Results: In 3 months, we performed the surgery in 9 cases. The mean age is 43,11 ± 5,06. Men account for 55,56%. All patients underwent magnetic resonance imaging, and a preoperative x-ray of the spine evaluated no cases of instability. The median value of VAS back pain and VAS leg pain post-op decreased statistically significantly with p<0.001. We did not record any intra- or postoperative complications. Conclusion: The endoscopic interlaminar approach is a safe and effective minimally invasive surgery in the treatment of lumbar disc herniation in case of appropriate indication.
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Keywords
Lumbar disc herniation, endoscopic interlaminar approach, minimally invasive surgery, surgical results
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