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Stepanov I.A.

Irkutsk State Medical University;
Kharlampiev Clinic

Beloborodov V.A.

Irkutsk State Medical University

Short- and mid-term outcomes after posterolateral endoscopic discectomy in patients with lumbosacral junction disc herniations

Authors:

Stepanov I.A., Beloborodov V.A.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2024;(12): 52‑59

DOI: 10.17116/hirurgia202412152

Read: 1631 times

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Table of contents

SHORT- AND MID-TERM OUTCOMES AFTER POSTEROLATERAL ENDOSCOPIC DISCECTOMY IN PATIENTS WITH LUMBOSACRAL JUNCTION DISC HERNIATIONS
SHORT- AND MID-TERM OUTCOMES AFTER POSTEROLATERAL ENDOSCOPIC DISCECTOMY IN PATIENTS WITH LUMBOSACRAL JUNCTION DISC HERNIATIONS

To cite this article:

Stepanov IA, Beloborodov VA. Short- and mid-term outcomes after posterolateral endoscopic discectomy in patients with lumbosacral junction disc herniations. Pirogov Russian Journal of Surgery. 2024;(12):52‑59. (In Russ.)
https://doi.org/10.17116/hirurgia202412152

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

OBJECTIVE

To analyze the short- and mid-term results of posterolateral endoscopic discectomy (PLED) in patients with lumbosacral junction intervertebral discs (IVD) herniations.

MATERIAL AND METHODS

A retrospective observational cohort study included 95 medical records of respondents (35 (36.8%) males, 60 (63.2%) females, age 21 — 72 years), who underwent PLED for lumbar IVD herniations. Mean postoperative follow-up period was 14.4±3.2 months. Clinical outcomes and incidence of complications were studied.

RESULTS

VAS scores of back and lower limb pain significantly decreased after 1, 3, 6, 9 and 12 months (p<0.01). Disability significantly improved in short- and mid-term follow-up period (Oswestry Disability Index, p<0.01). Analysis of subjective satisfaction with surgical intervention (modified MacNab scale) revealed that 92 (92.9%) respondents had excellent results. Complications occurred in 5 (5.2%) patients.

CONCLUSION

PLED is effective and safe in patients with lumbosacral joint IVD herniations. No significant complications were noted in our respondents.

Keywords:

intervertebral disc
hernia
lumbosacral junction
posterolateral endoscopic discectomy
results
complications

Authors:

Stepanov I.A.

Irkutsk State Medical University;
Kharlampiev Clinic

Beloborodov V.A.

Irkutsk State Medical University

Received:

13.02.2024

Accepted:

12.03.2024

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