Brief review
*Title: Full-endoscopic
interlaminar and transforaminal lumbar discectomy versus conventional
microsurgical technique: a prospective, randomized, controlled study.
전체 내시경 추궁판 및 추간공 절제술 VS 기존의
미세현미경
수술:
전향적,
무작위,
통제
연구
*Authors: Sebastian Ruetten, Martin Komp, Harry Merk,
Georgios Godolias
*Bibliography : Spine (Phila Pa 1976). 2008 Apr20;33(9):931-9.
STUDY DESIGN
Prospective, randomized, controlled study of patients
with lumbar disc herniations, operated full-endoscopic or microsurgical
technique.
OBJECTIVE
Comparison of results of lumbar discectomies in full-endoscopic
technique (interlaminar, transforaminal) with the conventional microsurgical
technique.
SUMMARY OF
BACKGROUND DATA
-Even with good results, conventional disc operations may
result in subsequent damage due to trauma.
-Endoscopic techniques have become the standard in many
areas because of the advantages they offer intraoperatively and after surgery.
-With the transforaminal and interlaminar techniques, 2
full-endoscopic procedures are available for lumbar disc operations.
METHODS
▶Subject
number: 178 patients (with full-endoscopic or microsurgical discectomy
underwent follow-up for 2 years)
▶Measuring
instruments: VAS, German version North American Spine Society Instrument,
Oswestry Low-Back Pain Disability Questionnaire.
RESULTS
▶Postoperative
pain: 82% of the patients no longer had leg pain/ 14% had occasional pain
▶Clinical
results: same in both groups.
▶Recurrence
rate: 6.2% (no difference between the groups)
-Full-endoscopic techniques have significant advantages
in back pain, rehabilitation, complications, traumatization.
CONCLUSION
-The clinical results of the full-endoscopic technique
are equal to those of the microsurgical technique. -There are advantages in the
operation technique and reduced traumatization.
-Full-endoscopic surgery is a sufficient and safe
supplementation and alternative to microsurgical procedures.
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