PRELIMINARY ASSESSMENT OF OUTCOMES FOLLOWING HEMILAMINECTOMY DISCESTOMY FOR THE TREATMENT OF LUMBAR DISC HERNIATION AT MILITARY HOSPITAL 4, MILITARY REGION 4

Phương Nguyễn Xuân, Anh Phạm Quang, Khánh Phan Quốc, Yến Trần Hải

Main Article Content

Abstract

Objective: To evaluate the initial results of lumbar discestomy to treat lumbar disc herniation at Military Hospital 4. Methods: Prospective and retrospective descriptive study on 25 patients with lumbar disc herniation who were indicated for surgery, who underwent lumbar dicectomy at the Department of Orthopedics, Military Hospital 4, Military Region 4, from March 2022 to April 2024. Results: Overall results: good and very good satisfaction rate reached 80%. There was a clear difference between the ODI score, VAS score before surgery and the time of final follow-up (p <0.001). There was 1 case of dural tear causing subcutaneous cerebrospinal fluid leakage after surgery. Conclusion: Open surgery after removing the herniated mass is a safe and effective method to treat lumbar disc herniation.

Article Details

References

1. Vialle L. R., Vialle E. N., Suárez Henao J. E., et al. (2010). LUMBAR DISC HERNIATION. Rev Bras Ortop, 45(1): 17-22.
2. Awadalla A. M., Aljulayfi A. S., Alrowaili A. R., et al. (2023). Management of Lumbar Disc Herniation: A Systematic Review. Cureus, 15(10): e47908.
3. Nguyễn Lê Bảo Tiến (2013). Nghiên cứu ứng dụng ống nong trong phẫu thuật thoát vị đĩa đệm đơn tầng cột sống vùng thất lưng cùng tại Bệnh viện Hữu Nghị Việt Đức, Đại học Y Hà Nội.
4. Đinh Ngọc Sơn (2013). Nghiên cứu ứng dụng phương pháp phẫu thuật nội soi qua lỗ liên hợp lấy đĩa đệm trong thoát vị đĩa đệm cột sống thắt lưng, Đại học Y Hà Nội.
5. Wu X., Zhuang S., Mao Z., et al. (2006). Microendoscopic discectomy for lumbar disc herniation: surgical technique and outcome in 873 consecutive cases. Spine (Phila Pa 1976), 31(23): 2689-94.
6. Ahn Y., Lee S. H. (2010). Outcome predictors of percutaneous endoscopic lumbar discectomy and thermal annuloplasty for discogenic low back pain. Acta Neurochir (Wien), 152(10): 1695-702.
7. Kambin P (2005). History of Surgical Management of Herniated Lumbar Disc from Cauterization to Arthrocopic and Endoscopic Spinal Surgery. In: Arthrocopic and Endoscopic Spinal Surgery 2nd.
8. Yu L. P., Qian W. W., Yin G. Y., et al. (2012). MRI assessment of lumbar intervertebral disc degeneration with lumbar degenerative disease using the Pfirrmann grading systems. PLoS One, 7(12): e48074.