Full-endoscopic lumbar discectomy via lateral superior articular process approach for treating far lateral lumbar disc herniation: a retrospective study and technical note

作者全名："Lin, Lu; Ke, Zhen-Yong; Chu, Lei; Cheng, Yun; Zhao, Guo-Sheng; Zhong, Dian; Cai, Xin; Chen, Xiao-Lin"

作者地址："[Lin, Lu; Ke, Zhen-Yong; Chu, Lei; Cheng, Yun; Zhao, Guo-Sheng; Zhong, Dian; Cai, Xin; Chen, Xiao-Lin] Chongqing Med Univ, Dept Orthoped Surg, Affiliated Hosp 2, 76,Linjiang Rd,Yuzhong Dist, Chongqing 400010, Peoples R China; [Lin, Lu; Chu, Lei] Chongqing Med Univ, Pain Med Ctr, Affiliated Hosp 2, 76,Linjiang Rd,Yuzhong Dist, Chongqing 400010, Peoples R China"

通信作者："Chen, XL (通讯作者)，Chongqing Med Univ, Dept Orthoped Surg, Affiliated Hosp 2, 76,Linjiang Rd,Yuzhong Dist, Chongqing 400010, Peoples R China."

来源：INTERNATIONAL ORTHOPAEDICS

ESI学科分类：CLINICAL MEDICINE

WOS号：WOS:001063649700004

JCR分区：Q2

影响因子：2

年份：2023

卷号：　

期号：　

开始页：　

结束页：　

文献类型：Article; Early Access

关键词：Far lateral lumbar disc herniation; Full-endoscopic lumbar discectomy; Lateral superior articular process approach; Full-endoscopic transforaminal discectomy; Technical note

摘要："PurposeThis study aims to evaluate the efficacy and safety of the full-endoscopic lumbar discectomy (FELD) via lateral superior articular process (LSAP) approach and full-endoscopic transforaminal discectomy (FETD) for treating far lateral lumbar disk herniation (FFLDH).MethodsFrom January 2020 to June 2022, patients who were diagnosed as FLLDH underwent the FELD via LSAP approach or FETD. The operation time, estimated blood loss, length of hospital stays, and complications were recorded. The visual analog scale (VAS) for back pain, VAS for leg pain, and the Oswestry Disability Index (ODI) scores was measured during preoperative and postoperative follow-up.ResultsThirty-two patients were enrolled in this study, of which 12 patients were treated with the FELD via LSAP approach (LSAP-FELD group) and 20 patients underwent FETD (FETD group). The LSAP-FELD group exhibited significantly shorter operation times and hospital stays compared to the FETD group, while no statistically significant differences were observed in intraoperative blood loss and complication rates. There were no significant differences in the VAS for back pain, the VAS for leg pain, and the ODI score between the two groups preoperatively and three days, three months, and the last follow-up postoperatively.ConclusionsBoth the FELD via LSAP approach and FETD have demonstrated favourable clinical efficacy in the treatment of FLLDH. Notably, the FELD via LSAP approach shows the advantages of shorter operation time and hospital stays."

基金机构：Scientific and Technological Research Program of Chongqing Municipal Education Commission [KJQN202200425]

基金资助正文：Project Supported by Scientific and Technological Research Program of Chongqing Municipal Education Commission (Grant No. KJQN202200425).