*Title: Full-endoscopic interlaminar and transforaminal lumbar discectomy versus conventional microsurgical technique: a prospective, randomized, controlled study.
전체 내시경 추궁판 및 추간공 절제술 VS 기존의 미세현미경 수술: 전향적, 무작위, 통제 연구
*Authors: Sebastian Ruetten, Martin Komp, Harry Merk, Georgios Godolias
*Bibliography : Spine (Phila Pa 1976). 2008 Apr20;33(9):931-9.
Prospective, randomized, controlled study of patients with lumbar disc herniations, operated full-endoscopic or microsurgical technique.
Comparison of results of lumbar discectomies in full-endoscopic technique (interlaminar, transforaminal) with the conventional microsurgical technique.
SUMMARY OF BACKGROUND DATA
-Even with good results, conventional disc operations may result in subsequent damage due to trauma.
-Endoscopic techniques have become the standard in many areas because of the advantages they offer intraoperatively and after surgery.
-With the transforaminal and interlaminar techniques, 2 full-endoscopic procedures are available for lumbar disc operations.
▶Subject number: 178 patients (with full-endoscopic or microsurgical discectomy underwent follow-up for 2 years)
▶Measuring instruments: VAS, German version North American Spine Society Instrument, Oswestry Low-Back Pain Disability Questionnaire.
▶Postoperative pain: 82% of the patients no longer had leg pain/ 14% had occasional pain
▶Clinical results: same in both groups.
▶Recurrence rate: 6.2% (no difference between the groups)
-Full-endoscopic techniques have significant advantages in back pain, rehabilitation, complications, traumatization.
-The clinical results of the full-endoscopic technique are equal to those of the microsurgical technique. -There are advantages in the operation technique and reduced traumatization.
-Full-endoscopic surgery is a sufficient and safe supplementation and alternative to microsurgical procedures.