Acta Scientific Orthopaedics (ISSN: 2581-8635)

Research Article Volume 5 Issue 11

Interlaminar Endoscopic Lumbar Discectomy - Results in First 50 Patients

M Srinivasan*

Consultant Orthopedic Surgeon, Srinivasa Hospitals, Nagercoil, India

*Corresponding Author: M Srinivasan, Consultant Orthopedic Surgeon, Srinivasa Hospitals, Nagercoil, India.

Received: September 21, 2022; Published: October 07, 2022

Abstract

Introduction: Posterior endoscopic discectomy is a time proven technique for the management of lumbar disc prolapse. Many endoscopic systems are being used for this technique. We report a study of first 50 patients operated by this endoscopic system (Destandau) in our centre. It is proved to be a safe technique and has a better learning curve.

Materials and Methods: A total of 50 patients suffering from lumbar disc herniation were operated from Jan 2017 to Dec 2019. Patients requiring two level surgeries and associated lumbar canal stenosis were excluded from this study. Endoscopic discectomy was done through the endospine system, using a 15 mm incision. The results were evaluated using the modified Macnab’s criteria. The average follow up period was 24 months.

Results: 80% patients had excellent results and 20% patients had good results. None of them had fair or poor results. The complications observed were minor dural tear in two patients, nerve root injury in one patient, facetal damage in one patient. 80% of patients were able to return to light work in 2 weeks time and normal physical activities in 6 weeks time.

Conclusion: Posterior endoscopic discectomy is a safe and proven method of treating lumbar disc herniation. It allows early mobilization of patients and return to work. The technique is proved to have a better learning curve and familiar instrumentation for the conventional spine surgeon.

Keywords: Endoscopic Discectomy; Endospine; Lumbar Disc Prolapse; Minimally Invasive Spine; Destandau Technique

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Citation

Citation: M Srinivasan. “Interlaminar Endoscopic Lumbar Discectomy - Results in First 50 Patients". Acta Scientific Orthopaedics 5.11 (2022): 34-38.

Copyright

Copyright: © 2022 M Srinivasan. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




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