Sequestrectomy or microdiscectomy in patients with lumbar disc herniation

Somay, Hakan; Karaarslan, Numan

doi:10.5455/annalsmedres.2019.02.098

Sequestrectomy or microdiscectomy in patients with lumbar disc herniation

Hakan SOMAY, (Kadikoy Medicana Hospital)

Numan KARAARSLAN (Tekirdağ Namık Kemal Üniversitesi)

Annals of Medical Research

5 0

Yıl: 2019 Cilt: 26 Sayı: 4 Sayfa Aralığı: 753 - 758 Metin Dili: İngilizce DOI: 10.5455/annalsmedres.2019.02.098 İndeks Tarihi: 27-12-2019

Sequestrectomy or microdiscectomy in patients with lumbar disc herniation

Öz:

Aim: Which microsurgical method can provide better outcomes for patients with lumbar disc herniation (LDH) is still unclear in the literature. In the present study, the aim was to retrospectively examine the efficacy of both lumbar sequestrectomy (LST) and lumbar microdiscectomy (LMD) in patients with LDH.Material and Methods: Re-herniation rate of patients (n=48), operation and hospitalization durations were evaluated. Preoperative and postoperative low back pain and leg pain of patients were evaluated using the Visual Analogue Scale (VAS). Postoperative analgesic usage duration and duration for returning to daily life were also evaluated. The mean follow-up period is seven month.Results: Postoperative complications and re-herniation rate in patients who underwent LMD and LST were similar. However, postoperative analgesic usage, operation, and hospitalization duration were lower in the LST group. In addition, the duration required for returning to daily life was lower in the LST group than that in the LMD group.Conclusion: Postoperative analgesic usage period and duration required for returning to daily life were less in patients who underwent LST. However, the efficacy of these surgical techniques should be investigated with multi-center, randomized, double-blind clinical trials which also have larger series of participants with different races.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

1. Lee J, Shin JS, Lee YJ, et al. Effects of Shinbaro pharmacopuncture in sciatic pain patients with lumbar disc herniation: study protocol for a randomized controlled trial. Trials 2015;16:455.
2. Soleman J, Baumgarten P, Perrig WN, et al. Non-instrumented extradural lumbar spine surgery under low-dose acetylsalicylic acid: a comparative risk analysis study. Eur Spine J 2016;25:732-9.
3. Kurtović B, Rotim K, Mladić Batinica I, et al. Analgesic Effect Comparison of Paracetamol Administered Intermittently and Through Patient-Controlled Analgesia Pump after Lumbar Discectomy: a Prospective Clinical Study. Acta Clin Croat 2017;56:236-43.
4. Atlas SJ. Point of View: Avoiding Opioids in Patients With Work-related Lumbar Disc Herniation. Spine (Phila Pa 1976) 2018;43:603-4.
5. Urquhart DM, Wluka AE, van Tulder M, et al. Efficacy of Low-Dose Amitriptyline for Chronic Low Back Pain: A Randomized Clinical Trial. JAMA Intern Med 2018;178:1474-81.
6. Enke O, New HA, New CH, et al. Anticonvulsants in the treatment of low back pain and lumbar radicular pain: a systematic review and meta-analysis. CMAJ 2018;190:786-93.
7. Forestier R, Erol-Forestier FB, Francon A. Current role for spa therapy in rheumatology. Joint Bone Spine 2017;84:9-13.
8. Cetin A, Yektas A. Evaluation of the Short- and Long-Term Effectiveness of Pulsed Radiofrequency and Conventional Radiofrequency Performed for Medial Branch Block in Patients with Lumbar Facet Joint Pain. Pain Res Manag 2018;2018:7492753.
9. Garaud T, Gervais C, Szekely B, et al. Randomized study of the impact of a therapeutic education program on patients suffering from chronic low-back pain who are treated with transcutaneous electrical nerve stimulation. Medicine (Baltimore) 2018;97:e13782.
10. Taradaj J, Rajfur K, Shay B, et al. Photobiomodulation using high- or low-level laser irradiations in patients with lumbar disc degenerative changes: disappointing outcomes and remarks. Clin Interv Aging 2018;13:1445-55.
11. Dzierżanowski M, Dzierżanowski M, Wrzecion K, et al. Discopathy of the lumbar-sacral segment and its influence on sexual dysfunction. Adv Clin Exp Med 2013;22:93-100.
12. Teng Huang, Zhi Tian, Mengya Li, et al. Sequestrectomy versus microdiscectomy in the treatment of lumbar disc herniation: a meta-analysis. Int J Clin Exp Med 2015;8:7261-9.
13. Akbay A Visual Analog Skala (VAS) Değerlendirmesi http://www.spinetr.com/Uploads/files/skor/Vizuel Analog Skala.pdf access date 27.01.2019
14. Scott D, Ferguson GD, Jelsma J. The use of the EQ-5D-Y health related quality of life outcome measure in children in the Western Cape, South Africa: psychometric properties, feasibility and usefulness - a longitudinal, analytical study. Health Qual Life Outcomes 2017;15:12.
15. Samini F, Gharedaghi M, Khajavi M, et al. The etiologies of low back pain in patients with lumbar disk herniation. Iran Red Crescent Med J 2014;16:e15670.
16. Kido T, Okuyama K, Chiba M, et al. Clinical diagnosis of upper lumbar disc herniation: Pain and/or numbness distribution are more useful for appropriate level diagnosis. J Orthop Sci 2016;21:419-24.
17. Foruria X, Ruiz de Gopegui K, García-Sánchez I, et al. Cauda equina syndrome secondary to lumbar disc herniation: Surgical delay and its relationship with prognosis. Rev Esp Cir Ortop Traumatol 2016;60:153-9.
18. Hlubek RJ, Mundis GM Jr. Treatment for Recurrent Lumbar Disc Herniation. Curr Rev Musculoskelet Med 2017;10:517-20.
19. Mixter WJ, Barr JS. Rupture of the intervertebral disc with involvement of the spinal canal. N Engl J Med 1934;211:210-5.
20. Ozalp H, Hamzaoglu V, Dagtekin A. Gold Standard in Disc Herniations: Microdiscectomy. Türk Nöroşir Derg 2018;28:196-200.
21. He J, Xiao S, Wu Z, Yuan Z. Microendoscopic discectomy versus open discectomy for lumbar disc herniation: A metaanalysis. Eur Spine J 2016;25:1373-81.
22. Katayama Y, Matsuyama Y, Yoshihara H, et al. Comparison of surgical outcomes between macro-discectomy and micro-discectomy for lumbar disc herniation: A prospective randomised study with surgery performed by the same spine surgeon. J Spinal Disord Tech 2016;19:344-7.
23. Alberto G, Avanzi O. A systematic review of randomised clinical trials using posterior discectomy to treat lumbar disc herniations. Int Orthop 2009;33:11-7.
24. Temiz C, Barutcuoglu M, Duransoy YK, Sayın M. Lumbar Microdiskectomy without Flavectomy:Technical Note and Review of the Literature. Türk Nöroşir Derg 2009;19:185-90.
25. Ran J, Hu Y, Zheng Z, et al. Comparison of discectomy versus sequestrectomy in lumbar disc herniation: a meta analysis of comparative studies. PLoS ONE 2015;10 e0121816.
26. Kotil K, Koksal NS, Kayaci S. Long term results of lumbar sequestrectomy versus aggressive microdiscectomy. J Clin Neurosci 2014; 21:1714-8.

APA	Somay H, Karaarslan N (2019). Sequestrectomy or microdiscectomy in patients with lumbar disc herniation. , 753 - 758. 10.5455/annalsmedres.2019.02.098
Chicago	Somay Hakan,Karaarslan Numan Sequestrectomy or microdiscectomy in patients with lumbar disc herniation. (2019): 753 - 758. 10.5455/annalsmedres.2019.02.098
MLA	Somay Hakan,Karaarslan Numan Sequestrectomy or microdiscectomy in patients with lumbar disc herniation. , 2019, ss.753 - 758. 10.5455/annalsmedres.2019.02.098
AMA	Somay H,Karaarslan N Sequestrectomy or microdiscectomy in patients with lumbar disc herniation. . 2019; 753 - 758. 10.5455/annalsmedres.2019.02.098
Vancouver	Somay H,Karaarslan N Sequestrectomy or microdiscectomy in patients with lumbar disc herniation. . 2019; 753 - 758. 10.5455/annalsmedres.2019.02.098
IEEE	Somay H,Karaarslan N "Sequestrectomy or microdiscectomy in patients with lumbar disc herniation." , ss.753 - 758, 2019. 10.5455/annalsmedres.2019.02.098
ISNAD	Somay, Hakan - Karaarslan, Numan. "Sequestrectomy or microdiscectomy in patients with lumbar disc herniation". (2019), 753-758. https://doi.org/10.5455/annalsmedres.2019.02.098

APA	Somay H, Karaarslan N (2019). Sequestrectomy or microdiscectomy in patients with lumbar disc herniation. Annals of Medical Research, 26(4), 753 - 758. 10.5455/annalsmedres.2019.02.098
Chicago	Somay Hakan,Karaarslan Numan Sequestrectomy or microdiscectomy in patients with lumbar disc herniation. Annals of Medical Research 26, no.4 (2019): 753 - 758. 10.5455/annalsmedres.2019.02.098
MLA	Somay Hakan,Karaarslan Numan Sequestrectomy or microdiscectomy in patients with lumbar disc herniation. Annals of Medical Research, vol.26, no.4, 2019, ss.753 - 758. 10.5455/annalsmedres.2019.02.098
AMA	Somay H,Karaarslan N Sequestrectomy or microdiscectomy in patients with lumbar disc herniation. Annals of Medical Research. 2019; 26(4): 753 - 758. 10.5455/annalsmedres.2019.02.098
Vancouver	Somay H,Karaarslan N Sequestrectomy or microdiscectomy in patients with lumbar disc herniation. Annals of Medical Research. 2019; 26(4): 753 - 758. 10.5455/annalsmedres.2019.02.098
IEEE	Somay H,Karaarslan N "Sequestrectomy or microdiscectomy in patients with lumbar disc herniation." Annals of Medical Research, 26, ss.753 - 758, 2019. 10.5455/annalsmedres.2019.02.098
ISNAD	Somay, Hakan - Karaarslan, Numan. "Sequestrectomy or microdiscectomy in patients with lumbar disc herniation". Annals of Medical Research 26/4 (2019), 753-758. https://doi.org/10.5455/annalsmedres.2019.02.098