gms | German Medical Science

64th Annual Meeting of the German Society of Neurosurgery (DGNC)

German Society of Neurosurgery (DGNC)

26 - 29 May 2013, Düsseldorf

Percutaneous endoscopic lumbar discectomy combine with TTL dynamic fixation through Wiltse approach for lumbar disc herniation with middle-severe back pain

Meeting Abstract

  • Yang Jin - From Orthopaedics Department of The West China Hospital of Si Chuan University
  • Kong QingQuan - From Orthopaedics Department of The West China Hospital of Si Chuan University
  • Xing Rong - From Orthopaedics Department of The West China Hospital of Si Chuan University
  • Zheng JianCheng - From Orthopaedics Department of The West China Hospital of Si Chuan University
  • Song YueMing - From Orthopaedics Department of The West China Hospital of Si Chuan University
  • liu Hao - From Orthopaedics Department of The West China Hospital of Si Chuan University

Deutsche Gesellschaft für Neurochirurgie. 64. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC). Düsseldorf, 26.-29.05.2013. Düsseldorf: German Medical Science GMS Publishing House; 2013. DocP 034

doi: 10.3205/13dgnc454, urn:nbn:de:0183-13dgnc4549

Published: May 21, 2013

© 2013 Jin et al.
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Outline

Text

Objective: To discuss the efficacy, advantages and disadvantages of percutaneous endoscopic lumbar discectomy combined with TTL dynamic fixation through Wiltse approach for lumbar disc herniation with moderate back pain.

Method: 5 cases who had lumbar disc herniation with moderate back pain underwent percutaneous endoscopic lumbar discectomy combined with TTL dynamic fixation through Wiltse approach as study group and these patients underwent continual epidural anesthesia combined with local anesthesia intra-operatively. 20 cases who had lumbar disc herniation with moderate back pain underwent traditional open lumbar discectomy combined with TTL dynamic fixation through mid-line approach as control group and these patients underwent general anesthesia intra-operatively. Comparing and analyzing operation time, intra-operative blood loss, VAS of back pain and leg pain pre- and post-operative and the results of clinical and radiographic at follow-up.

Results: In the study group, the mean operation time was 105 ± 20 min, mean intra-operative blood loss was 30 ± 10 ml, mean VAS of pre-operative leg pain was 6.2 ± 0.3, mean VAS of pre-operative back pain was 6.9 ± 0.4 and the mean post-operative hospital stay was 3 days. In the control group, the mean operation time was 124 ± 25 min, mean intra-operative blood loss was 160 ± 70 ml, mean VAS of pre-operative leg pain was 6.4 ± 0.5, mean VAS of pre-operative back pain was 6.3 ± 0.4 and the mean post-operative hospital stay was 5 days.

Conclusions: Percutaneous endoscopic lumbar discectomy combined with TTL dynamic fixation through Wiltse approach is a safe and reliable method for the treatment for lumbar disc herniation with moderate back pain. There was no significant difference in the results of both two groups and this new technique has more advantages than traditional surgery such as less damage to the paraspinal muscles, less blood loss, shorter recovery time and shorter hospital stay.