Full-Videoendoscopic Interlaminar Surgery for the Treatment of Lumbar Disc Herniations — A Series of 50 Cases
Arq. bras. neurocir; 38 (1), 2019
Publication year: 2019
The present study aims to describe the results of full-videoendoscopic surgery through
the interlaminar route for central lumbar disc herniation in a series of 50 cases in Brazil.
This is a retrospective single-center study. With the aim of describing safety, the
present study reports the complication and revision rates. The clinical results were
collected with the visual analogue scale (VAS) and with the Oswestry Disability Index
(ODI) (a questionnaire to evaluate functional disability) at the preoperative visit and at
6 months postsurgery.
The average surgical time was 20 minutes (range: 9–40 minutes), and 100% of the
procedures were performed in an outpatient setting. The mean VAS scores improved
from 9.4 to 1.1 (p < 0.001), and the mean ODI scores decreased from 69 to 9 points in
the last follow-up (p < 0.001). There was 1 case (2%) with hernia recurrence, 1 case
with intraoperative root injury (2%), and 2 cases (4%) that required lumbar fusion due to
a preexisting instability. No infections were observed.
The full-videoendoscopic surgery is a modern option for treating lumbar disc herniation.
In the present study, we have observed that the use of this technique for the
removal of fragments affecting the vertebral canal presented satisfactory clinical
results, low complication rates, and that it has demonstrated its feasibility in an
outpatient setting without prolonged hospitalization.
Endoscopía, Desplazamiento del Disco Intervertebral/cirugía, Dimensión del Dolor/métodos, Cirugía Asistida por Video/métodos, Estudios Retrospectivos, Encuestas y Cuestionarios, Complicaciones Posoperatorias, Reoperación, Procedimientos Quirúrgicos Mínimamente Invasivos/métodos, Vértebras Lumbares/cirugía