INTERLAMINAR ENDOSCOPIC DISCECTOMY: MINIMALLY INVASIVE PROCEDURE, A SERIES REPORT
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2014, Vol 3, Issue 15
Abstract
[b]BACKGROUND[/b]: The upright posture of humans throws enormous stress on spine, particularly during flexion and is responsible for many structural causes of backache such as lumbar disc prolapsed. Various modalities of surgical management are available for intervertebral disc prolapsed, but posterior interlaminar endoscopic approach has minimal stripping of paraspinal muscles, enhanced visualization due to better magnification and illumination, shorter hospital stay, and faster recovery time. [b]METHODS:[/b] Total of 64 patients with lumbar intervertebral disc herniation were operated between 2008and 2013with endoscopic discectomy after localization of symptomatic level. The results were evaluated by Oswestry Disability index score. [b]RESULTS:[/b] At final follow-up results were, excellent 60%, Good20%, Fair 16.7% and Poor in 3.3%. [b]CONCLUSION:[/b] Open discectomy has been standard procedure of choice. Interlaminar endoscopic discectomy is a safe supplement for open discectomy which offers minimal trauma, better visualization intra operatively with less hospital stay and early mobilization and early return to work.
Authors and Affiliations
Somashekar , Yatish R, Sridhara Murthy, Ranganath , Nikhil , Lohith
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