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Basankin I.V.

Ochapovsky Regional Clinical Hospital

Porkhanov V.A.

Research Institute — Ochapovsky Regional Clinical Hospital No. 1;
Kuban State Medical University

Gyulzatyan A.A.

Ochapovsky Regional Clinical Hospital

Malakhov S.B.

Ochapovsky Regional Clinical Hospital

Takhmazyan K.K.

Ochapovsky Regional Clinical Hospital

Tomina M.I.

Ochapovsky Regional Clinical Hospital

Shevchenko E.G.

Ochapovsky Regional Clinical Hospital

Comparison of transpedicular endoscopic sequestrectomy and discectomy in the treatment of lumbar intervertebral disc herniation with a high degree of migration

Authors:

Basankin I.V., Porkhanov V.A., Gyulzatyan A.A., Malakhov S.B., Takhmazyan K.K., Tomina M.I., Shevchenko E.G.

More about the authors

Journal: Burdenko's Journal of Neurosurgery. 2020;84(6): 15‑25

DOI: 10.17116/neiro20208406115

Read: 3423 times

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Table of contents

COMPARISON OF TRANSPEDICULAR ENDOSCOPIC SEQUESTRECTOMY AND DISCECTOMY IN THE TREATMENT OF LUMBAR INTERVERTEBRAL DISC HERNIATION WITH A HIGH DEGREE OF MIGRATION
COMPARISON OF TRANSPEDICULAR ENDOSCOPIC SEQUESTRECTOMY AND DISCECTOMY IN THE TREATMENT OF LUMBAR INTERVERTEBRAL DISC HERNIATION WITH A HIGH DEGREE OF MIGRATION

To cite this article:

Basankin IV, Porkhanov VA, Gyulzatyan AA, Malakhov SB, Takhmazyan KK, Tomina MI, Shevchenko EG. Comparison of transpedicular endoscopic sequestrectomy and discectomy in the treatment of lumbar intervertebral disc herniation with a high degree of migration. Burdenko's Journal of Neurosurgery. 2020;84(6):15‑25. (In Russ., In Engl.)
https://doi.org/10.17116/neiro20208406115

Подписка 2025 Журнал «Вопросы нейрохирургии» имени Н.Н. Бурденко (Burdenko's Journal of Neurosurgery)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

BACKGROUND

Surgical treatment of intervertebral disc herniation with a high degree of migration (beyond the vertebral pedicle) is a difficult problem without an unambiguous solution. In this manuscript, we compare the effectiveness of transpedicular endoscopy and standard discectomy in the treatment of patients with this disease.

OBJECTIVE

To compare transpedicular endoscopic sequestrectomy and discectomy in the treatment of lumbar intervertebral disc herniation with a high degree of migration.

MATERIAL AND METHODS

There were 28 patients divided into 2 groups: group 1 — 13 patients after transpedicular endoscopic sequestrectomy, group 2 — 15 patients after discectomy.

RESULTS

Transpedicular endoscopic sequestrectomy ensured significantly better intraoperative parameters (incision length, blood loss, surgery time) (p<0.01). In both groups, postoperative VAS score of leg pain was significantly reduced within a day after surgery from 7.4±1.3 to 0.7±0.7 and from 7.1±1 to 0.8±0.5, respectively. In the 1st group, VAS score of back pain regressed from 5.2±0.7 to 1.1±0.89 by the end of the 1st postoperative day. This value was 0.6±0.5 a year later. In the 2nd group, VAS score of back pain regressed from 4.9±1 to 2.5±0.9 by the end of the 1st postoperative day. This value was 2.8±2.3 a year later. According to McNab clinical outcome scale, excellent and good results after transpedicular endoscopic sequestrectomy were obtained in all 13 (100%) patients, after discectomy — in 80% of cases.

CONCLUSION

Transpedicular endoscopic sequestrectomy is optimal for intervertebral disc herniation with a high degree of migration due to fast postoperative recovery and no complications.

Keywords:

lumbar spine hernia
endoscopy
transpedicular approach

Authors:

Basankin I.V.

Ochapovsky Regional Clinical Hospital

Porkhanov V.A.

Research Institute — Ochapovsky Regional Clinical Hospital No. 1;
Kuban State Medical University

Gyulzatyan A.A.

Ochapovsky Regional Clinical Hospital

Malakhov S.B.

Ochapovsky Regional Clinical Hospital

Takhmazyan K.K.

Ochapovsky Regional Clinical Hospital

Tomina M.I.

Ochapovsky Regional Clinical Hospital

Shevchenko E.G.

Ochapovsky Regional Clinical Hospital

Received:

04.03.2020

Accepted:

28.08.2020

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