Percutaneous endoscopic transforaminal approach for lumbar disc herniation.docVIP

 PAGE \* MERGEFORMAT 15 Percutaneous endoscopic transforaminal approach for lumbar disc herniation Of: Zhang Changjiang, Ren Wenjie, Wang Mingjun, Zhang Kai, Li Hongke, Dongsheng Li, Shuai [Abstract] Objective To investigate the percutaneous endoscopic transforaminal approach for lumbar disc herniation in the safety and efficacy. Methods One group of 36 patients diagnosed with lumbar disc herniation were treated with local anesthesia, in the C-arm X- Machine-guided percutaneous endoscopic transforaminal approach technology, gasification resection under direct vision and nerve root compression spinal cord degeneration prominent nucleus pulposus, in order to achieve spinal cord and nerve root decompression and release. using a visual analog scale method (VAS) preoperative and postoperative 1 month and final follow up patients to rate pain conditions, while the modified MacNab criteria for efficacy evaluation. Results The 34 patients were in the immediate postoperative symptoms were relieved, 2 patients incomplete relief of symptoms. followed up for 2 to 12 months, an average of 4 months, efficacy assessed using VAS scores after 1 month and final follow up compared with preoperative VAS scores were statistically significant (P lt;0.01); Evaluation of modified MacNab criteria: excellent in 23 cases, good in 8 cases, 5 cases. Conclusion percutaneous endoscopic transforaminal approach for lumbar disc herniation, lumbar disc herniation is safe and effective minimally invasive surgery, it is worth promotion, but requires strict control of surgical indications. [Keywords:] Paper; Endoscopy; foramen; lumbar disc herniation Lumbar disc herniation is a serious harm to human health, hindrance to normal life and work of the common disease. Conservative treatment can not lift the protrusion of the spinal cord and nerve root mechanical compression, easy to relapse after remission; While traditional open surgery is still the Clinical treatment of lumbar disc herniat