دورية أكاديمية
Repeat Surgery after Percutaneous Endoscopic Lumbar Discectomy for Adolescent Lumbar Disc Herniation: A Multicenter Observational Study
| العنوان: | Repeat Surgery after Percutaneous Endoscopic Lumbar Discectomy for Adolescent Lumbar Disc Herniation: A Multicenter Observational Study |
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| المؤلفون: | Lu Mao, Kun Wang, Weiye Zhu, Zi‐cong Shen, Xian‐jun Zhang, Zhi‐yang Xie, Pan Fan, Hang Shi, Bin Zhu, Lijun Li, Guanyi Liu, Yingqing Ren, Xiao‐Tao Wu |
| المصدر: | Orthopaedic Surgery, Vol 16, Iss 6, Pp 1336-1343 (2024) |
| بيانات النشر: | Wiley, 2024. |
| سنة النشر: | 2024 |
| المجموعة: | LCC:Orthopedic surgery |
| مصطلحات موضوعية: | complication, disc herniation, endoscopic spine surgery, percutaneous discectomy, Orthopedic surgery, RD701-811 |
| الوصف: | Objective The reported date in the repeat surgical intervention for adolescent lumbar disc herniation (ALDH) after percutaneous endoscopic lumbar discectomy (PELD) was quite scarce. This study aims to introduce cases of repeat surgeries after PELD for ALDH and assess the incidence, chief causes, repeat surgery methods, and surgical outcomes of repeat surgeries after PELD for ALDH. Methods A retrospective multicenter observational study was conducted on patients undergoing repeat surgeries after PELD for ALDH at four tertiary referral hospitals from January 2014 through August 2022. The incidence of repeat surgeries, chief causes, strategies for repeat surgeries, and timing of repeat surgeries were recorded and analyzed. The clinical outcomes were evaluated by the Numeric Rating Scales (NRS) scores and the modified MacNab criteria. Statistical analyses were performed with the Wilcoxon signed‐rank test. Results A total of 23 patients who underwent repeat surgeries after PELD for ALDH were included. The chief causes were re‐herniation (homo‐lateral re‐herniation at the same level, new disc herniation of adjacent level). The repeat surgery methods were revision PELD, micro‐endoscopic discectomy (MED), open discectomy and instrumented lumbar inter‐body fusion. The NRS scores decreased significantly in follow‐up evaluations and these scores demonstrated significant improvement at the last follow‐up (p |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 1757-7861 1757-7853 |
| العلاقة: | https://doaj.org/toc/1757-7853Test; https://doaj.org/toc/1757-7861Test |
| DOI: | 10.1111/os.14042 |
| الوصول الحر: | https://doaj.org/article/fcd096a1f4354025972221ceb9d6d5b6Test |
| رقم الانضمام: | edsdoj.fcd096a1f4354025972221ceb9d6d5b6 |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 17577861 17577853 |
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| DOI: | 10.1111/os.14042 |