Comparison of Radiation Exposure Among 3 Different Endoscopic Diskectomy Techniques for Lumbar Disk Herniation.
Adult
Aged
Diskectomy
/ methods
Diskectomy, Percutaneous
Endoscopy
/ methods
Female
Fluoroscopy
Humans
Intervertebral Disc Displacement
/ diagnostic imaging
Lumbar Vertebrae
/ surgery
Male
Microsurgery
Middle Aged
Minimally Invasive Surgical Procedures
Prospective Studies
Radiation Exposure
/ statistics & numerical data
Treatment Outcome
Young Adult
Endoscopic spine surgery
Lumbar endoscopic diskectomy
Microendoscopy
Percutaneous endoscopic diskectomy
Radiation exposure
Unilateral biportal endoscopy
Journal
World neurosurgery
ISSN: 1878-8769
Titre abrégé: World Neurosurg
Pays: United States
ID NLM: 101528275
Informations de publication
Date de publication:
07 2020
07 2020
Historique:
received:
12
03
2020
revised:
08
04
2020
accepted:
09
04
2020
pubmed:
25
4
2020
medline:
27
10
2020
entrez:
25
4
2020
Statut:
ppublish
Résumé
Lumbar disk herniation can be successfully treated by lumbar endoscopic spinal procedures. However, one of the most important disadvantages of the endoscopic methods used is radiation exposure. There are multiple endoscopic spinal procedures and this study aims to compare unilateral biportal endoscopic diskectomy (UBED), percutaneous endoscopic lumbar diskectomy (PELD), and microendoscopic diskectomy (MED) methods in terms of radiation exposure. A total of 75 people were included in this prospective and multicenter study. The demographic characteristics, operating times (minutes), levels of surgery, lumbar disk herniation types, radiation exposures (dose area product [DAP]), and fluoroscopy times (seconds) of the groups were compared. Mean DAP values were 1.39 Gy·cm The more the level of invasiveness is reduced in spinal surgery, the greater the exposure to radiation. In this study, the groups are listed as PELD > UBED > MED according to the duration and level of radiation exposure.
Sections du résumé
BACKGROUND
Lumbar disk herniation can be successfully treated by lumbar endoscopic spinal procedures. However, one of the most important disadvantages of the endoscopic methods used is radiation exposure. There are multiple endoscopic spinal procedures and this study aims to compare unilateral biportal endoscopic diskectomy (UBED), percutaneous endoscopic lumbar diskectomy (PELD), and microendoscopic diskectomy (MED) methods in terms of radiation exposure.
METHODS
A total of 75 people were included in this prospective and multicenter study. The demographic characteristics, operating times (minutes), levels of surgery, lumbar disk herniation types, radiation exposures (dose area product [DAP]), and fluoroscopy times (seconds) of the groups were compared.
RESULTS
Mean DAP values were 1.39 Gy·cm
CONCLUSIONS
The more the level of invasiveness is reduced in spinal surgery, the greater the exposure to radiation. In this study, the groups are listed as PELD > UBED > MED according to the duration and level of radiation exposure.
Identifiants
pubmed: 32330613
pii: S1878-8750(20)30786-5
doi: 10.1016/j.wneu.2020.04.079
pii:
doi:
Types de publication
Comparative Study
Journal Article
Multicenter Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
e572-e579Informations de copyright
Copyright © 2020 Elsevier Inc. All rights reserved.