EVALUATION OF TREATMENT OUTCOMES OF LUMBAR DISC HERNIATION TREATED WITH UNILATERAL BIPORTAL ENDOSCOPIC SURGERY
Main Article Content
Abstract
Background: Lumbar disc herniation is a common spinal disorder that significantly affects patients’ quality of life and work capacity. Unilateral biportal endoscopic (UBE) lumbar discectomy is a minimally invasive surgical technique that provides effective pain relief and functional improvement following surgery. Objectives: To evaluate the efficacy and safety of unilateral biportal endoscopic lumbar discectomy in the treatment of lumbar disc herniation. Materials and methods: This is an analytical cross-sectional study including 31 patients diagnosed with single-level lumbar disc herniation who underwent UBE lumbar discectomy at Can Tho University of Medicine and Pharmacy Hospital. Pain intensity and functional outcomes were assessed preoperatively and at the time of hospital discharge using the Visual Analogue Scale (VAS) and the modified MacNab criteria. Results: The mean VAS score significantly decreased from 7.52 (leg pain) and 4.06 (low back pain) preoperatively to 2.52 and 1.77 postoperatively, respectively. The mean operative time was 95.35 ± 24.26 minutes. The mean postoperative hospital stay was 4.52 ± 1.48 days, indicating rapid recovery and early return to normal activities. According to the modified MacNab criteria, 100% of patients achieved either “Excellent” or “Good” outcomes, accounting for 70.97% and 29.03%, respectively. No intraoperative or postoperative complications were observed. Conclusion: Unilateral biportal endoscopic lumbar discectomy is an effective and safe surgical technique for the treatment of lumbar disc herniation, providing significant pain reduction, functional improvement, shorter hospital stays, and a low complication rate.
Keywords
Lumbar disc herniation, unilateral biportal endoscopic surgery, treatment outcomes, low back pain, leg pain, length of hospital stay
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
References
2. Zhang, A. S., Xu, A., Ansari, K., Hardacker, K., Anderson, G., et al. Lumbar Disc Herniation: Diagnosis and Management. The American Journal of Medicine. 2023. 136(7), 645-651, doi: 10.1016/j.amjmed.2023.03.024.
3. Guo, Z., Zhang, Y., Wang, H. Efficacy and safety of unilateral biportal endoscopic discectomy and conventional endoscopic discectomy in the treatment of lumbar disc herniation: a systematic review and meta-analysis. Annals of Palliative Medicine. 2023. 12(1), 171-180, doi: 10.21037/apm-22-1364.
4. Vu Hoang Duong, T., Anh Tuan, P., Van Tri, T., Quoc Linh, P., Binh Duong, L., et al. Outcomes of patient with lumbar disc herniation undergoing unilateral biportal endoscopic surgery. Interdisciplinary Neurosurgery. 2023. 34, 101851, doi: 10.1016/j.inat.2023.101851.
5. Ito, S., Nakashima, H., Sato, K., Deguchi, M., Matsubara, Y., et al. Laterality of lumbar disc herniation. Journal of Orthopaedic Science. 2023. 28(6), 1207-1213, doi:10.1016/j.jos.2022.10.003.
6. Vũ Văn Tú, Đánh giá kết quả sớm điều trị thoát vị đĩa đệm cột sống thắt lưng bằng phẫu thuật nội soi lối sau qua đường liên bản sống tại Bệnh viện Đa khoa Tỉnh Thái Bình, Tạp chí Y học Việt Nam. 2024. 538(2), 165-169, doi: 10.51298/vmj.v538i2.9450.
7. Đỗ Tuấn Anh, Hà Kim Trung, Kết quả điều trị thoát vị đĩa đệm cột sống thắt lưng bằng phẫu thuật nội soi tại Bệnh viện E, Tạp chí Y học Việt Nam. 2024. 536(1), 188-191, doi: 10.51298/vmj.v536i1.8679.
8. Lê Tường Viễn, Bùi Hồng Thiên Khanh, Nguyễn Thành Nhân, Hoàng Nguyễn Anh Tuấn, Điều trị thoát vị đĩa đệm cột sống thắt lưng bằng kỹ thuật nội soi hai cổng. Tạp chí Y học TP Hồ Chí Minh. 2021. 25(1), 94-102.
9. Wang, J.-C., Li, Z.-Z., Cao, Z., Zhu, J.-L., Zhao, H.-L., et al. Modified Unilateral Biportal Endoscopic Lumbar Discectomy Results in Improved Clinical Outcomes. World Neurosurgery. 2023. 169, e235-e244, doi: 10.1016/j.wneu.2022.10.109.
10. Li, Y.-S., Chen, C.-M., Hsu, C.-J., Yao, Z.-K. Complications of Unilateral Biportal Endoscopic Lumbar Discectomy: A Systematic Review. World Neurosurgery. 2022. 168, 359-368.e352, doi: 10.1016/j.wneu.2022.10.038.
11. Nguyễn Trung Hậu, Lê Văn Công, Đặng Văn Thích, Liễu Thanh Hạo, Nguyễn Chí Linh, Đánh giá kết quả điều trị thoát vị đĩa đệm cột sống thắt lưng cùng bằng phẫu thuật nội soi hai cổng lấy nhân đệm đường liên bản sống tại Bệnh viện Quân Y 121. Tạp chí Y học Việt Nam. 2024. 544(1), 308-313, doi: 10.51298/vmj.v544i1.11758.
12. He, D., Cheng, X., Zheng, S., Deng, J., Cao, J., et al. Unilateral Biportal Endoscopic Discectomy versus Percutaneous Endoscopic Lumbar Discectomy for Lumbar Disc Herniation: A Systematic Review and Meta-analysis. World Neurosurgery. 2023. 173, e509-e520, doi: 10.1016/j.wneu.2023.02.087.
13. Soliman, H. M. Irrigation endoscopic discectomy: A novel percutaneous approach for lumbar disc prolapse. European Spine Journal. 2013. 22(5), 1037-1044, doi: 10.1007/s00586-013-2701-0.
14. Chen, L., Zhu, B., Zhong, H.-z., Wang, Y.-g., Sun, Y.-s., et al. The Learning Curve of Unilateral Biportal Endoscopic (UBE) Spinal Surgery by CUSUM Analysis. 2022. 9, doi: 10.3389/fsurg.2022.873691.
15. Santander, X. A., Pérez, E. G., Choi, D. J. The unilateral biportal endoscopy journey: Proposing a 10-tier difficulty progression framework for unilateral biportal endoscopy. Asian Spine J. 2025. 19(2), 311-323, doi: 10.31616/asj.2025.0064.