PMID- 36587190
OWN - NLM
STAT- MEDLINE
DCOM- 20230103
LR  - 20230111
IS  - 1471-2474 (Electronic)
IS  - 1471-2474 (Linking)
VI  - 23
IP  - 1
DP  - 2022 Dec 31
TI  - Minimally invasive trans-superior articular process percutaneous endoscopic 
      lumbar discectomy with robot assistance.
PG  - 1144
LID - 10.1186/s12891-022-06060-8 [doi]
LID - 1144
AB  - BACKGROUND: To compare the clinical outcomes of patients with lumbar disc 
      herniation treated with robot-assisted percutaneous endoscopic lumbar discectomy 
      (r-PELD) or conventional PELD under fluoroscopy guidance (f-PELD). METHODS: Our 
      study group included 55 patients, 22 in the r-PELD group and 33 in the f-PELD 
      group. The following clinical and surgical outcomes were compared between the two 
      groups: the visual analog scale for radiculopathy pain; Oswestry Disability 
      Index; intraoperative volume of blood loss; frequency of fluoroscopy used during 
      the procedure; and MacNab classification. The follow-up period was 6-8 months. 
      RESULTS: Compared with f-PELD, r-PELD was associated with a lower volume of 
      intraoperative blood loss and frequency of fluoroscopy (p < 0.01). There were no 
      differences in complications, MacNab classification, postoperative disability and 
      leg pain, and duration of hospitalization between the two groups. CONCLUSION: 
      Based on our findings, r-PELD provides a safe and effective alternative to 
      conventional PELD for the treatment of lumbar disc herniations, with the accuracy 
      for placement of punctures lowering radiation exposure.
CI  - (c) 2022. The Author(s).
FAU - Wang, Zongjiang
AU  - Wang Z
AD  - Department of Spinal Surgery, Sunshine Union Hospital, No. 9000, Yingqian street, 
      Gaoxin District, 261041, Weifang City, Shandong Province, China.
FAU - Tan, Ying
AU  - Tan Y
AD  - Department of Spinal Surgery, Weifang Traditional Chinese Medicine Hospital, 
      261041, Weifang, China.
FAU - Fu, Kai
AU  - Fu K
AD  - Department of Spinal Surgery, Sunshine Union Hospital, No. 9000, Yingqian street, 
      Gaoxin District, 261041, Weifang City, Shandong Province, China.
FAU - Meng, Zhaowu
AU  - Meng Z
AD  - Department of Spinal Surgery, Sunshine Union Hospital, No. 9000, Yingqian street, 
      Gaoxin District, 261041, Weifang City, Shandong Province, China.
FAU - Wang, Liang
AU  - Wang L
AD  - Department of Spinal Surgery, Sunshine Union Hospital, No. 9000, Yingqian street, 
      Gaoxin District, 261041, Weifang City, Shandong Province, China. 
      spinewang@qq.com.
LA  - eng
PT  - Journal Article
DEP - 20221231
PL  - England
TA  - BMC Musculoskelet Disord
JT  - BMC musculoskeletal disorders
JID - 100968565
SB  - IM
MH  - Humans
MH  - *Diskectomy, Percutaneous/methods
MH  - *Intervertebral Disc Displacement/diagnostic imaging/surgery
MH  - *Robotics
MH  - Treatment Outcome
MH  - Lumbar Vertebrae/diagnostic imaging/surgery
MH  - Endoscopy/adverse effects/methods
MH  - Diskectomy/methods
MH  - Pain/surgery
MH  - Retrospective Studies
PMC - PMC9805262
OTO - NOTNLM
OT  - Endoscopic spinal surgery
OT  - Minimally invasive spinal surgery
OT  - Percutaneous endoscopic lumbar discectomy
OT  - Robot-assisted surgery
COIS- The authors declare no non-financial competing interests.
EDAT- 2023/01/01 06:00
MHDA- 2023/01/04 06:00
PMCR- 2022/12/31
CRDT- 2022/12/31 23:53
PHST- 2022/08/05 00:00 [received]
PHST- 2022/12/06 00:00 [accepted]
PHST- 2022/12/31 23:53 [entrez]
PHST- 2023/01/01 06:00 [pubmed]
PHST- 2023/01/04 06:00 [medline]
PHST- 2022/12/31 00:00 [pmc-release]
AID - 10.1186/s12891-022-06060-8 [pii]
AID - 6060 [pii]
AID - 10.1186/s12891-022-06060-8 [doi]
PST - epublish
SO  - BMC Musculoskelet Disord. 2022 Dec 31;23(1):1144. doi: 
      10.1186/s12891-022-06060-8.