CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2020; 55(01): 048-053
DOI: 10.1055/s-0039-1700822
Artigo Original
Sociedade Brasileira de Ortopedia e Traumatologia. Published by Thieme Revinter Publicações Ltda Rio de Janeiro, Brazil

Transforaminal Endoscopic Lumbar Discectomy: Clinical Outcomes and Complications[*]

Article in several languages: português | English
1  Faculdade de Medicina do ABC, Santo André, SP, Brasil
,
João Paulo Machado Bergamaschi
2  Clínica Kennedy, São Paulo, SP, Brasil
,
Álvaro Dowling
2  Clínica Kennedy, São Paulo, SP, Brasil
,
Luciano Miller Reis Rodrigues
1  Faculdade de Medicina do ABC, Santo André, SP, Brasil
› Author Affiliations
Further Information

Publication History

20 September 2018

22 January 2019

Publication Date:
28 February 2020 (online)

Abstract

Objective To evaluate the clinical and functional results of transforaminal endoscopic lumbar discectomy.

Materials and Methods From August 2015 to January 2017, 101 patients with lumbar disc hernia refractory to clinical treatment underwent endoscopic discectomy. Through clinical evaluation by the Visual Analogue Scale and functional evaluation by the Oswestry Disability Index questionnaire, the patients were analyzed in the preoperative period, the immediate postoperative period, at 1 month, 3 months, 6 months and 1 year after surgery.

Results The mean age of the participants was 48.1 years. The most affected disc levels were L4-L5 and L5-S1. A total of 29 patients were treated at 2 disc levels. After 1 month of postoperative follow-up, the mean scores on the questionnaires (VAS and ODI) decreased significantly (p < 0.001).

Conclusion Transforaminal endoscopic Lumbar discectomy has been shown to be a safe, effective and minimally-invasive alternative for the treatment of lumbar disc herniation. The procedure has advantages, such as short hospital stay, surgery performed under local anesthesia and sedation, early return to daily activities, and low rate of complications.

* Work developed At Faculdade de Medicina do ABC, Santo André, SP, Brazil.