KẾT QUẢ PHẪU THUẬT THOÁT VỊ ĐĨA ĐỆM CỘT SỐNG VÙNG THẮT LƯNG CÙNG BẰNG PHƯƠNG PHÁP NỘI SOI QUA ĐƯỜNG LIÊN BẢN SỐNG

Abstract

Introduction: Disc herniation occurs when the components of the intervertebral disc, including the nucleus pulposus or annulus fibrosus, shift out of their normal position within the disc space, causing compression of the spinal canal or nerve roots and resulting in localized pain and radiating symptoms along the corresponding nerve root territory. Interlaminar endoscopic surgery is an advanced method with numerous superior advantages: small incisions, high effectiveness, and safety. However, there is still limited research on the treatment outcomes of this method. Material and methods: This is a descriptive prospective study on patients with lumbar disc herniation who underwent interlaminar endoscopic surgery for herniated disc. Results: Sixty cases of lumbar disc herniation underwent interlaminar endoscopic surgery for herniated disc approach from May 2023 to October 2023, including 42 males and 18 females. The average age was 43.48 years (ranging from 16 to 84 years), primarily consisting of working professionals. The main clinical symptoms were low back pain syndrome (100%), nerve root compression symptoms (98.33%), and adjacent muscle stiffness (66.6%). All patients had good postoperative outcomes, with fast recovery and early discharge from the hospital. Nerve symptoms improved, except for one case of recurrent herniation one month after surgery. Conclusion: This method proves to be safe and effective in treating lumbar disc herniation. Title: Surgical Treatment Outcomes of interlaminar endoscopic surgery for herniated disc lumbar Construct at the Department of Spine Surgery, Viet Duc University Hospital from 05/2023 to 10/2023