PMID- 25102508
OWN - NLM
STAT- MEDLINE
DCOM- 20150130
LR  - 20140808
IS  - 1938-2367 (Electronic)
IS  - 0147-7447 (Linking)
VI  - 37
IP  - 8
DP  - 2014 Aug
TI  - Transforaminal percutaneous endoscopic surgery for far lateral lumbar 
      intervertebral disk herniation.
PG  - e717-27
LID - 10.3928/01477447-20140728-58 [doi]
AB  - Far lateral lumbar intervertebral disk herniation (FLLIDH) most commonly occurs 
      far lateral to the intervertebral facet at L3-L4 and L4-L5 and accounts for 3.8% 
      of all lumbar disk herniations. Traditional surgery for FLLIDH involves massive 
      surgical trauma, damage to the spinal structure, and instability of the lumbar 
      spine. The goals of this study were to perform a systematic review of the 
      literature and investigate the clinical outcomes of transforaminal percutaneous 
      endoscopic surgery in the treatment of FLLIDH. Between October 2010 and May 2012, 
      fifteen patients diagnosed with FLLIDH underwent transforaminal percutaneous 
      endoscopic surgery at the authors' institution to remove the herniated disk and 
      release the nerve root. Pain was measured pre- and postoperatively with a visual 
      analog pain scale (VAS), and postoperative outcomes were evaluated using MacNab's 
      criteria. A PubMed database search was conducted for the systematic review. 
      Median operative time was 100 minutes (range, 80-140 minutes). Median volume of 
      intraoperative blood loss was 20 mL (range, 10-50 mL). Patients were followed 
      postoperatively for a median of 6 months (range, 1-12 months). MacNab's criteria 
      rated 12 (80.0%) surgical outcomes as excellent, 2 (13.3%) as good, and 1 (6.7%) 
      as fair. The systematic review included 14 studies. Transforaminal percutaneous 
      endoscopic surgery appears to be a safe and effective minimally invasive 
      procedure for treating FLLIDH. However, as demand for this type of surgery 
      increases, the possibility of intraoperative aggravated leg pain and compression 
      injury of the ganglion must be considered.
CI  - Copyright 2014, SLACK Incorporated.
FAU - Liao, Zhong
AU  - Liao Z
FAU - Chen, Wei
AU  - Chen W
FAU - Wang, Chao-Hui
AU  - Wang CH
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Orthopedics
JT  - Orthopedics
JID - 7806107
SB  - IM
MH  - Adult
MH  - Aged
MH  - Diskectomy/*methods
MH  - Endoscopy
MH  - Female
MH  - Humans
MH  - Intervertebral Disc Displacement/*surgery
MH  - Lumbar Vertebrae/surgery
MH  - Male
MH  - Middle Aged
MH  - Prospective Studies
EDAT- 2014/08/08 06:00
MHDA- 2015/01/31 06:00
CRDT- 2014/08/08 06:00
PHST- 2013/08/01 00:00 [received]
PHST- 2014/01/30 00:00 [accepted]
PHST- 2014/08/08 06:00 [entrez]
PHST- 2014/08/08 06:00 [pubmed]
PHST- 2015/01/31 06:00 [medline]
AID - 10.3928/01477447-20140728-58 [doi]
PST - ppublish
SO  - Orthopedics. 2014 Aug;37(8):e717-27. doi: 10.3928/01477447-20140728-58.