Operative failure of percutaneous endoscopic lumbar discectomy: a radiologic analysis of 55 cases

Spine
Sang-Ho LeeHo-Yeong Kang

Abstract

A retrospective study. To determine the range of lumbar disc herniation that can be addressed effectively using current endoscopic techniques. The current technical limitation of the procedure in terms of the location and size of the herniation has not been fully documented in previous studies. The inclusion was an intracanal lower lumbar disc herniation in which subsequent surgery was performed because of the presence of remnant fragments. All 1586 cases, including 55 failed cases, were classified according to the size, location, and extent of migration. In the nonmigrated herniations, the central located high-canal compromised (>50%) herniations showed the highest rate of failure (15%), and the rate was significantly different from the low and high-canal compromise group (1.9% and 11.1%, respectively, P < 0.001). There was no significant difference in the failure rate between the nonmigrated herniations and low-grade migration group (2.7% and 3.7%, respectively). However, the high-grade migration group (beyond the measured height of the posterior marginal disc space) showed a significantly high-incidence of failure (15.7%, P < 0.001). Based on these results, open surgery may be considered for herniations with high-canal compr...Continue Reading

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Citations

Jun 12, 2013·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Il ChoiHoon Kim
Sep 25, 2008·Neurologia Medico-chirurgica·Dong Yeob Lee, Sang-Ho Lee
Jul 25, 2009·Acta neurochirurgica·Joachim M K OertelMichael R Gaab
Aug 15, 2012·Photomedicine and Laser Surgery·Jin-Sung KimSang-Ho Lee
Oct 14, 2011·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Kyung-Chul ChoiSang-Ho Lee
Jan 13, 2012·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·William D SmithKyle T Malone
Sep 19, 2015·Journal of Neurosurgery. Spine·Ulrich HubbeEvangelos Kogias
Mar 29, 2011·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Kyeong-seong Yeom, Yong-soo Choi
May 28, 2013·Journal of Orthopaedic Surgery and Research·Gun ChoiSang-Ho Lee
Jun 13, 2015·Journal of Neurosurgery. Spine·Hongwei WangLiangbi Xiang
Jul 1, 2015·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Evangelos KogiasUlrich Hubbe
Apr 4, 2015·Clinical Neurology and Neurosurgery·Zhen-zhou LiHong-liang Zhao
Mar 11, 2009·Journal of Korean Neurosurgical Society·Hyeun Sung KimJong Gue Kim
Jan 12, 2010·Journal of Korean Neurosurgical Society·Dong Yeob LeeSang-Ho Lee
May 31, 2016·Clinical Neurology and Neurosurgery·Yong AhnWoo-Kyung Kim
Aug 29, 2016·World Neurosurgery·Yuan YaoYue Zhou
Jan 4, 2017·Asian Journal of Endoscopic Surgery·Dong WangGaoyong Jia
Oct 18, 2012·Clinical Spine Surgery : a Spine Publication·Chi H KimJi W Woo
May 29, 2012·Journal of Korean Neurosurgical Society·In Ho HanKyoung Hyup Nam
Feb 12, 2020·Journal of Neurological Surgery. Part A, Central European Neurosurgery·Guang-Xun LinJin-Sung Kim
Dec 13, 2019·BioMed Research International·Hyeun Sung KimChang Il Ju
Sep 19, 2020·The International Journal of Neuroscience·Tarush RustagiWilliam S Marras

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