Clinical effects of percutaneous transforaminal endoscopic discectomy for the treatment of senile lumbar disc herniation
Chinese Journal of Clinical Anatomy ›› 2015, Vol. 33 ›› Issue (4) : 482-484.
Clinical effects of percutaneous transforaminal endoscopic discectomy for the treatment of senile lumbar disc herniation
Objective To analyze the effects of Percutaneous Endoscopic Lumbar Discectomy (PELD) in treatment of the senile lumbar disc herniation after conservative treatment. Methods 24 elderly in-paients with single lumbar disc herniation received PELD . The outcomes were evaluated with the visual analogue scale(VAS)，Oswestry disability index (ODI) and modified Macnab criteria before and after the operation. Results On the last follow-up after operation, VAS scores (1.83±0.48) were significantly lower than preoperative score（7.67±0.82）. The postoperative last follow-up ODI（14.42±2.04）% were also significantly lower than preoperative one（69.83±2.82）%. Based on the modified Macnab criteria，the outcome was excellent in 20 cases，good in 3 and fair in 1. The leg pain symptoms were effectively relieved in all cases after operation. Conclusions PELD shows significant immediate effect in treating senile lumbar disc herniation and the long-term effects still need further observation.
Transforaminal endoscope / Discectomy / Radiofrequency / Lumbar intervertebral disc herniation
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