One-year clinical outcome after full-endoscopic interlaminar lumbar discectomy for isthmic lumbar spondylolisthesis: Two case reports.
Diskectomy
/ instrumentation
Endoscopy
/ instrumentation
Female
Humans
Intervertebral Disc Displacement
/ diagnosis
Low Back Pain
/ diagnosis
Lumbar Vertebrae
/ diagnostic imaging
Magnetic Resonance Imaging
Male
Middle Aged
Spondylolisthesis
/ complications
Spondylolysis
/ diagnosis
Treatment Outcome
Journal
Medicine
ISSN: 1536-5964
Titre abrégé: Medicine (Baltimore)
Pays: United States
ID NLM: 2985248R
Informations de publication
Date de publication:
25 Jun 2021
25 Jun 2021
Historique:
received:
15
04
2021
accepted:
02
06
2021
entrez:
23
6
2021
pubmed:
24
6
2021
medline:
1
7
2021
Statut:
ppublish
Résumé
For isthmic lumbar spondylolisthesis (ILS) associated with the removal of herniation, it remains challenging to perform less invasive and minimally disruptive procedures. Good results could potentially be obtained by further preserving the posterior elements in full-endoscopic lumbar discectomy (FESS), which is less invasive than microenscopic surgery (MES). One patient complained of left leg pain, and another patient complained of right leg pain and low back pain. Two patients with ILS and Meyerding Grade 1 lumbar spondylolisthesis. We performed a full-endoscopic lumbar discectomy via the interlaminar space (FESS-IL) for L5/S1 lumbar disc herniation (LDH) accompanied by isthmic lumbar spondylolisthesis. FESS-IL was performed in 2 patients with radiculopathy caused by different types of LDH using a full endoscopic system with a 4.1 mm working channel and 6.9 mm outer diameter. A 3.5-mm diameter high-speed drill was used in one patient for an upward-migrated LDH in the inner-rim of the infravertebral border. The other patient underwent minimal resection without bone resection. The one-year clinical outcome included confirmation of pain relief and evacuation of migrated LDH on magnetic resonance imaging in all patients. There was no progression of slippage on radiography. The mean operative time was 82 min, and no complication was observed. The one-year clinical outcome demonstrated sufficient pain relief. ear postoperative outcome showed improvement. We believe that FESS-IL is a viable alternative operative approach for LDH for ILS.
Identifiants
pubmed: 34160416
doi: 10.1097/MD.0000000000026385
pii: 00005792-202106250-00039
pmc: PMC8238276
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e26385Informations de copyright
Copyright © 2021 the Author(s). Published by Wolters Kluwer Health, Inc.
Déclaration de conflit d'intérêts
The authors have no funding and conflicts of interest to disclose.
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