Issue release date: 12.11.2024
2The First Affiliated Hospital of University of Science and Technology of China, Department of Spine Orthopedic, Hefei 230001, Anhui Province, People?s Republic of China
3The First Affiliated Hospital of WanNan Medical College, Department of Spine Orthopedic, WuHu 241000, Anhui Province, People?s Republic of China DOI : 10.5137/1019-5149.JTN.28909-19.3 AIM: To introduce a visual surgical concept using a retrospective comparison of the outcomes between visualized percutaneous endoscopic lumbar discectomy (V-PELD) and conventional PELD techniques.
MATERIAL and METHODS: Data from 61 patients in the conventional PELD group and 55 in the V-PELD group. Data included the duration of the operation, number of intraoperative radiation exposure events, and follow-up information for 24 months. The Oswestry Disability Index (ODI) and visual analog scale (VAS) scores were collected.
RESULTS: The mean (± SD) operating time for the V-PELD group was 57.82 ± 11.25 min, and the mean duration of radiation exposure was 0.74 ± 0.32 min. The mean operating time for the conventional group was 63.16 ± 14.49 min (p<0.05), and the mean duration of radiation exposure was 2.81 ± 1.12 min (p<0.001). All patients in both groups demonstrated significant improvement in the ODI and VAS scores after surgery (p<0.05).
CONCLUSION: V-PELD is a minimally invasive surgical technique that involves less radiation exposure and is more efficient for treating lumbar disc herniation.
Keywords : Visualized, Percutaneous endoscopic lumbar discectomy, Lumbar disc herniation