Article Sidebar

PDF
Date Published: 11/12/2023
Abstract Views: 127
Views PDF: 83
DOI: https://doi.org/10.51298/vmj.v532i2.7600
Issue
Vol. 532 No. 2 (2023)
Section
Các bài báo
How to Cite
Nguyễn, V. C. B. L., Nguyễn, L. B. T., Ngô, T. T., Nguyễn, V. L., Phạm, H. P., & Võ, V. T. (2023). RESULTS OF LUMBAR TRANSFORAMINAL ENDOSCOPIC DISCECTOMY IN THE TREATMENT OF MIGRATED L4-L5 DISC HERNIATION. Vietnam Medical Journal, 532(2). https://doi.org/10.51298/vmj.v532i2.7600

RESULTS OF LUMBAR TRANSFORAMINAL ENDOSCOPIC DISCECTOMY IN THE TREATMENT OF MIGRATED L4-L5 DISC HERNIATION

Vũ Công Bảo Long Nguyễn1,, Lê Bảo Tiến Nguyễn2, Thanh Tú Ngô2, Viết Lực Nguyễn2, Hồng Phong Phạm2, Văn Thanh Võ1,2
1 HMU
2 Viet Duc Friendship Hospital

Main Article Content

Abstract

Objective: The aim of this study was to assess the outcomes of treating patients with migrated lumbar disc herniation at the L4-L5 level using the endoscopic transforaminal approach. Method: A retrospective descriptive study was conducted on a cohort of 30 patients diagnosed with migrated L4-L5 disc herniation who underwent treatment through the endoscopic transforaminal approach at the Spinal Surgery Department of Viet Duc University Hospital, spanning from January 2020 to August 2022. Results: The male/female ratio is 2/1, with an average age of


47.10 ± 13.16 years. The mean surgical time was 84


± 16.05 minutes, the mean blood loss was 83.83 ±


24.06 mL, and the mean length of hospital stay was


3.1 ± 1.45 days. According to the McNab criteria, favorable treatment outcomes were as follow: 85.18% (23/27) in the downward migrated group, 66.67% (2/3) in the upward migrated group, 60% (6/10) in the far-migrated group, and 95% (19/20) in the near- migrated group. On the final post-surgery follow-up, VAS scores decreased from 7.23 ± 0.73 to 2.20 ± 0.67 and ODI scores  decreased from 75.13 ± 10.67 to


17.50 ± 3.04. Although one case experienced postoperative dysesthesia in the right lower limb, symptoms showed improvement after a 6-month follow-up period. Conclusion: The endoscopic transforaminal approach proves to be a reliable and effective treatment modality for managing cases of migrated L4-L5 disc herniation.

Article Details

Keywords

: Lumbar disc herniation, L4-L5, transforaminal endoscopic lumbar discectomy, Viet Duc University Hospital.

References

1. Bộ môn ngoại TĐhYHN. Bệnh Học Ngoại Khoa Thần Kinh. NXB Y học. 2020.
2. Fardon DF, Williams AL, Dohring EJ, Murtagh FR, Gabriel Rothman SL, Sze GK. Lumbar disc nomenclature: version 2.0: Recommendations of the combined task forces of the North American Spine Society, the American Society of Spine Radiology and the American Society of Neuroradiology. Spine J. 2014;14(11):2525-45.
3. Tuyên ĐT. Đánh giá kết quả điều trị thoát vị đĩa đệm cột sống thắt lưng L4L5 bằng phẫu thuật nội



soi qua lỗ liên hợp. Đại Học Hà Nội. 2015.
4. Lee S, Kim SK, Lee SH, Kim WJ, Choi WC, Choi G, et al. Percutaneous endoscopic lumbar discectomy for migrated disc herniation: classification of disc migration and surgical approaches. Eur Spine J. 2007;16(3):431-7.
5. Maha AbdElfattah ME, Ali S. Khedr. Transforaminal Percutaneous Endoscopic Lumbar Discectomy in Caudal Migrated Lumbar Disc Herniations: A Case Series and Literature Review. Egyptian Spine Journal. 2022;41(1):11-8.
6. Choi G, Lee SH, Lokhande P, Kong BJ, Shim CS, Jung B, et al. Percutaneous endoscopic approach for highly migrated intracanal disc

herniations by foraminoplastic technique using rigid working channel endoscope. Spine (Phila Pa 1976). 2008;33(15):E508-15.
7. Do HM, Doan HT, Nguyen LH. 1 Year-follow-up of transforaminal surgical approach in the management of migrated disc herniation: a cross- sectional study. Ann Med Surg (Lond). 2023;85(8):3827-32.
8. Yin J, Jiang Y, Nong L. Transforaminal approach versus interlaminar approach: A meta- analysis of operative complication of percutaneous endoscopic lumbar discectomy. Medicine (Baltimore). 2020;99(25):e20709.