Minimally Invasive Lumbar Spine Surgeries for Herniated Disk
Keywords:
Minimally invasive lumbar spine surgeries, herniated disk, clinical outcomes, quality of lifeAbstract
Background: Lumbar disc herniation surgery has evolved in recent decades towards the use of less invasive techniques. These new techniques maintained the effectiveness of the procedure by reducing the morbidity of patients. Objective: Our study was assessed minimally invasive lumbar spine surgeries for Herniated disks. Patients and methods: This study collected clinical data for patients who underwent both endoscopic discectomy and laser disc decompression. One hundred twenty patients aged between 30 and 60 years were recruited, and the patient's clinical data were identified and collected before surgery. Patient data were collected for both surgeries, which were divided into arthroscopic discectomy, with 48 patients, and laser disc decompression, with 72 patients. To compare the two surgeries, this study determined intra- and postoperative outcomes, which included operative time, rate of blood loss during surgery, mortality rate, recurrence, recovery time, complications, pain rate, and postoperative quality of life assessment. Results: To compare the two surgeries, the clinical results recorded the duration of surgery for arthroscopic discectomy was 114.78 ± 7.2, and laser disc decompression was 54.65 ± 6.8. The average patient rate and length of hospital stay were 1.1 ± 0.2 days after arthroscopic discectomy and 2.01 ± 0.32 days after laser disc decompression surgery. The mortality rate included two cases in the group that underwent arthroscopic disc decompression surgery and only one case in the group that underwent laser disc decompression surgery. The recovery time for patients was 2.8 ± 1.07 for the group that underwent arthroscopic disc decompression surgery, while it was 1.6 ± 0.71. For the group that underwent laser disc decompression surgery, the complication rate for patients was post-operative endoscopic discectomy. It included seven patients and 4 cases after laser disc decompression surgery, the most prominent of which were bleeding and infection. Conclusion: The current study indicates that the superiority and effectiveness of the two surgeries, laser disc decompression over arthroscopic discectomy, because of its high success rate in terms of pain rate, faster recovery, fewer complications, and a significant and noticeable improvement in the quality of life of patients in the long term.
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References
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