Contralateral translaminar endoscopic approach for highly down-migrated lumbar disc herniation using percutaneous biportal endoscopic surgery : Original research

Contralateral translaminar endoscopic approach for highly down-migrated lumbar disc herniation using percutaneous biportal endoscopic surgery : Original research

Unilateral biportal endoscopy (UBE)is a minimally invasive spine surgery with reduced traumatization of the posterior lumbar ligament and muscular structures. This study reports contralateral translaminar approach with UBE for highly down-migrated lumbar disc herniation (LDH). Data of 32 patients wi...

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Veröffentlicht in:BMC surgery 2024-02, Vol.24 (1), p.58-58, Article 58
Hauptverfasser: Cheng, Wei, Gao, Wenshuo, Zhu, Chengyue, Shao, Rongxue, Wang, Dong, Pan, Hao, Zhang, Wei
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container_end_page 58
container_issue 1
container_start_page 58
container_title BMC surgery
container_volume 24
creator Cheng, Wei
Gao, Wenshuo
Zhu, Chengyue
Shao, Rongxue
Wang, Dong
Pan, Hao
Zhang, Wei
description Unilateral biportal endoscopy (UBE)is a minimally invasive spine surgery with reduced traumatization of the posterior lumbar ligament and muscular structures. This study reports contralateral translaminar approach with UBE for highly down-migrated lumbar disc herniation (LDH). Data of 32 patients with highly down-migrated LDH treated using UBE at our center from January 2020 to July 2022 were retrospectively analyzed. The operation time and perioperative complications were recorded, and the visual analog scale (VAS) of pain was recorded to evaluate the degree of lower back and extremity pain. The Oswestry disability index (ODI) was used to evaluate lumbar spine function. The modified MacNab score was used to evaluate clinical efficacy. All patients successfully underwent the operation, with a time range from 47 to 65 min and an average operation time of 56.09 ± 5.11 min. Overall, 17 and 15 were males and females, respectively, with ages ranging from 34 to 72 years and an average age of 56 ± 7.89 years. The postoperative follow-up period was 12-18 months, with an average of 14.9 ± 2.3 months. The postoperative lower back VAS pain score and ODI were statistically significant compared with preoperatively (P 
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This study reports contralateral translaminar approach with UBE for highly down-migrated lumbar disc herniation (LDH). Data of 32 patients with highly down-migrated LDH treated using UBE at our center from January 2020 to July 2022 were retrospectively analyzed. The operation time and perioperative complications were recorded, and the visual analog scale (VAS) of pain was recorded to evaluate the degree of lower back and extremity pain. The Oswestry disability index (ODI) was used to evaluate lumbar spine function. The modified MacNab score was used to evaluate clinical efficacy. All patients successfully underwent the operation, with a time range from 47 to 65 min and an average operation time of 56.09 ± 5.11 min. Overall, 17 and 15 were males and females, respectively, with ages ranging from 34 to 72 years and an average age of 56 ± 7.89 years. The postoperative follow-up period was 12-18 months, with an average of 14.9 ± 2.3 months. The postoperative lower back VAS pain score and ODI were statistically significant compared with preoperatively (P &lt; 0.05). At the final follow-up, according to the modified Macnab criteria, 90.6% of cases were classified as good or excellent. UBE treatment of highly down-migrated LDH through the contralateral translaminar approach is safe and efficient. Therefore, this approach can be an efficient alternative for patients with highly downward-migrating LDH.</description><identifier>ISSN: 1471-2482</identifier><identifier>EISSN: 1471-2482</identifier><identifier>DOI: 10.1186/s12893-024-02348-9</identifier><identifier>PMID: 38365692</identifier><language>eng</language><publisher>England</publisher><ispartof>BMC surgery, 2024-02, Vol.24 (1), p.58-58, Article 58</ispartof><rights>2024. 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The postoperative lower back VAS pain score and ODI were statistically significant compared with preoperatively (P &lt; 0.05). At the final follow-up, according to the modified Macnab criteria, 90.6% of cases were classified as good or excellent. UBE treatment of highly down-migrated LDH through the contralateral translaminar approach is safe and efficient. Therefore, this approach can be an efficient alternative for patients with highly downward-migrating LDH.</abstract><cop>England</cop><pmid>38365692</pmid><doi>10.1186/s12893-024-02348-9</doi><tpages>1</tpages></addata></record>
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title Contralateral translaminar endoscopic approach for highly down-migrated lumbar disc herniation using percutaneous biportal endoscopic surgery : Original research
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