Format

Send to

Choose Destination
Eur J Med Res. 2017 Apr 4;22(1):14. doi: 10.1186/s40001-017-0254-0.

Application of transiliac approach to intervertebral endoscopic discectomy in L5/S1 intervertebral disc herniation.

Author information

1
The Third Hospital of Hebei Medical University, 139#Ziqiang Road, Shijiazhuang, Hebei, China.
2
The Third Hospital of Hebei Medical University, 139#Ziqiang Road, Shijiazhuang, Hebei, China. Zwzw_zwei@163.com.

Abstract

OBJECTIVE:

To discuss the significance and the short-term effect of bone puncture technique in transiliac approach to intervertebral endoscopic discectomy for the treatment of L5/S1 intervertebral disc herniation.

METHODS:

Nineteen patients were diagnosed as L5/S1 disc herniation and treated using transiliac approach to endoscopic discectomy (group I), and 20 patients were diagnosed as L5/S1 disc herniation and underwent conventional approach (group R) [corrected]. Leg pain was evaluated by VAS. MacNab ratings of the last follow-up were recorded to evaluate early clinical efficacy, and postoperative complications were recorded to evaluate surgical safety. The imaging changes of the patients 3 months after surgery were observed.

RESULTS:

One patient in group I, who felt abnormal in nerve roots, underwent symptomatic treatments, such as rehydration and hormone, and the abnormalities disappeared 3 days after treatment. There were no significant significances in operative time and intraoperative fluoroscopy times between groups I and R (p > 0.05), but there was a higher tendency in group I. The VAS scores of post-operation were significantly lower than that of pre-operation in the two groups (p < 0.05), but there were no significant differences between the two groups (p > 0.05). The MacNab score of the last follow-up showed excellent rate (95%) and good rate (90%) in groups I and R, respectively.

CONCLUSIONS:

Bone puncture-combined transiliac approach to intervertebral endoscopic surgery could locate iliac puncture point individually, and establish a good iliac channel, which is safe, effective, and minimally invasive.

KEYWORDS:

Lumbar degenerative disease; Minimal invasive surgery; Percutaneous transforaminal endoscopic discectomy; Transiliac approach

PMID:
28376859
PMCID:
PMC5379676
DOI:
10.1186/s40001-017-0254-0
[Indexed for MEDLINE]
Free PMC Article

Supplemental Content

Full text links

Icon for BioMed Central Icon for PubMed Central
Loading ...
Support Center