Abstract:
Objectives
To assess the effectiveness and safety of Percutaneous Endoscopic lumbar Discectomy (PELD) decompression between lumbar disc herniation and lumbar stenosis for elder patients.
Methods
From Jun. 2014, 30 consecutive elder patients with lumbar disc herniation and 30 consecutive elder patients with lumbar stenosis were decompressed using Percutaneous Endoscopic lumbar Discectomy. Outcome measures consisted of operation time[(2.30±1.12) and (0.93±1.07) vs (2.63±1.32) and (1.43±1.78)、(16.88±6.40) and (17.33±6.31) vs (18.33±12.24) and (16.03±12.91)], visual analog scale(VAS) and Oswestry disability index(ODI) between preoperative [(8.40±1.43) vs (7.43±1.76)、(59.13±11.62) vs (51.53±10.81)]and postoperative, and modified MacNab criteria were compared.
Resules
The VAS score and ODI were both greatly decreased (P< 0.05)postoperation. After 3 months of operation, patients with lumbar disc herniation have a better recovery than with lumbar stenosis [(41.80±14.71) vs (33.20±9.48), P< 0.05]. But after 12 months of operation, there were no difference between two groups (P> 0.05). Based on the modified MacNab criteria, at the last follow-up, excellent and good rates of two groups were 86.7% and 76.7%.
Conclusions
With 3 months follow-up, Percutaneous Endoscopic lumbar Discectomy (PELD) has a better result for lumbar disc herniation than lumbar stenosis in elder patients, but no difference was found in 12 months follow-up.Percutaneous Endoscopic lumbar Discectomy (PELD) is a safe and effective technique for lumbar disc herniation and lumbar stenosis in elder patients.
Key words:
Percutaneous endoscopic lumbar discectomy(PELD),
Lumbar disc herniation,
Lumbar stenosis,
Elder patients
Xiangchao Zeng, Peng Huang, Xifeng Zhang, Jinxu Chen, Ning Li, Liangcheng Huang, Luyang Che, Yan Wang. The comparison of percutaneous endoscopic surgery for lumbar disc herniation and lumbar stenosis in elder patients[J]. Chinese Journal of Laparoscopic Surgery(Electronic Edition), 2016, 09(01): 25-28.