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194978

Percutaneous Transforaminal Endoscopic Lumbar Discectomy in Adolescents

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Last updated: 01 Jan 2025

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Abstract

Abstract Background: Lumbar disc herniation in adolescents is relatively rare but poses a serious problem to the patient and the parents. Percutaneous Transforaminal Endoscopic Lumbar Discectomy (PTELD) has several advantages over conventional surgeries because it decreases perioperative complications and increases favorable clinical outcomes. Aim of Study: The aim of this study is to evaluate the clinical outcomes of PTELD in adolescent patients. Patients and Methods: Adolecence is defined as any person whose age is between 10 and 19 years. This was a retrospective study which included 14 patients aged between 15 and 19 years treated by PTELD for low back pain and sciatica. Clinical and functional outcomes were evaluated using visual analogue scale (VAS), Oswestry Disability Index (ODI) and follow-up at 2 weeks, 1, 2, 6 and 12 months postoperatively. Final results were assessed using the modified MacNab score. All surgeries were done by the same surgeon. Results: Overall there was improvement of clinical and functional outcomes during the postoperative follow-up eval-uation. There were no immediate perioperative complications, such as infection, nerve injury or dural tears but only two patients developed dysathesia and were treated medically. There was no recurrence of herniations as the patients followed a strict postoperative rehabilitation program. Conclusion: PTELD is a minimally invasive technique which is effective and safe for adolescent patients. PTELD decreases the post-operative morbidity and permits faster mobility and rehabilitation.

DOI

10.21608/mjcu.2021.194978

Keywords

Transformational, Endoscopic, Discectomy, Adolescents, Lumbar Disc Herniation

Authors

First Name

IHAB A.M.

Last Name

HOSNY, M.D.

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Affiliation

The Department of Orthopedic Surgery, Armed Forces Collage of Medicine, Cairo, Egypt

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Volume

89

Article Issue

September

Related Issue

22431

Issue Date

2021-09-01

Receive Date

2021-06-17

Publish Date

2021-09-01

Page Start

1,621

Page End

1,627

Print ISSN

0045-3803

Online ISSN

2536-9806

Link

https://mjcu.journals.ekb.eg/article_194978.html

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https://mjcu.journals.ekb.eg/service?article_code=194978

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30

Publication Type

Journal

Publication Title

The Medical Journal of Cairo University

Publication Link

https://mjcu.journals.ekb.eg/

MainTitle

Percutaneous Transforaminal Endoscopic Lumbar Discectomy in Adolescents

Details

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Article

Created At

22 Jan 2023