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183894

Endoscopic Management of Lumbar Disc Prolapse

Article

Last updated: 04 Jan 2025

OverviewSimilar Items

Subjects

-

Tags

Surgery

Abstract

Background: Endoscopic management of lumbar disc herniation as a minimally invasive procedure become more popular around the world. Although accepted surgical outcomes of the endoscopic approach to manage lumbar disc herniation [LDH], this procedure still to be relatively challenging and needs a high learning curve, so operative failures and complications may occur.
The Aim of The Work: To assess using the endoscope in the management of lumbar disc prolapse by interlaminar approach using Easy Go and Destandau systems.
Patients and Methods: This is study included twenty patients, who had lumbar disc herniation, and operated by using Easy Go and Destandau's endoscopic systems after the failure of conservative treatment. They were included between March 2016 and April 2020. They followed up for at least three months postoperatively. All were selected from the Neurosurgery Department, Al-Azhar University Hospitals, Egypt.
Results: Low back pain was the main complaint reported by all patients. The radicular side was mainly the left side [70.0%] and L4/L5 was the most common affected level [65.0%]; the disc protrusion was mainly paracentral [80.0%]. There was a significant pain reduction after surgery when compared to before surgery. The outcome was excellent for 55.0%, good for 25%, fair for 15% and poor for 5%. Complications were in the form of unintended durotomy among 10.0%, nerve injury among 10.0% and infection among 5.0%. 
Conclusion: Endoscopic lumbar discectomy through interlaminar approach by Destandau's and Easy Go systems become a golden procedure to manage lumbar disc prolapse at any level especially L5-S1 as a minimally invasive technique with some accepted complications that can easily be managed compared to classic traditional open techniques.

DOI

10.21608/ijma.2021.49297.1206

Keywords

Lumbar Disc Herniation, Spine Endoscopic Systems, Interlaminar Approaches, Easy Go, Destandue systems

Authors

First Name

Mahmoud

Last Name

Mahmoud

MiddleName

Ramadan

Affiliation

Department of Neurosurgery, Faculty of Medicine, Al-Azhar University, Egypt

Email

mahmoudramadan4291@gmail.com

City

Mansoura

Orcid

-

First Name

Adel

Last Name

Almelesy

MiddleName

Ragab

Affiliation

Department of Neurosurgery, Faculty of Medicine, Al-Azhar University, Egypt

Email

adelalmelesy@gmail.com

City

Kafr elzayat

Orcid

-

First Name

Mostafa Alsayed

Last Name

Mohamed

MiddleName

-

Affiliation

Department of Neurosurgery, Faculty of Medicine, Al-Azhar University, Egypt

Email

malgrem5@gmail.com

City

Cairo

Orcid

-

Volume

3

Article Issue

3

Related Issue

27050

Issue Date

2021-07-01

Receive Date

2020-11-09

Publish Date

2021-07-01

Page Start

1,689

Page End

1,693

Print ISSN

2636-4174

Online ISSN

2682-3780

Article File

IJMA_Volume 3_Issue 3_Pages 1689-1693.pdf

PDF . 1.5MB

Link

https://ijma.journals.ekb.eg/article_183894.html

Detail API

https://ijma.journals.ekb.eg/service?article_code=183894

Order

26

Type

Original Article

Type Code

816

Publication Type

Journal

Publication Title

International Journal of Medical Arts

Publication Link

https://ijma.journals.ekb.eg/

MainTitle

Endoscopic Management of Lumbar Disc Prolapse

Details

Type

Article

Created At

22 Jan 2023