KMID : 1145220190160010096
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Neurospine 2019 Volume.16 No. 1 p.96 ~ p.104
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The Role of Full-Endoscopic Lumbar Discectomy in Surgical Treatment of Recurrent Lumbar Disc Herniation: A Health-Related Quality of Life Approach
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Kapetanakis Stylianos
Gkantsinikoudis Nikolaos Charitoudis Georgios
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Abstract
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Objective: To investigate the utility of full-endoscopic lumbar discectomy (FELD) in surgical treatment of recurrent lumbar disc herniation (RLDH).
Methods: Forty-five patients were prospectively studied. All patients were subjected to FELD for RLDH. They were assessed preoperatively and in regular intervals at 6 weeks and 3 months, 6 months, and 12 months postoperatively. Evaluation was conducted with visual analogue scale for leg (VAS-LP) and low back (VAS-BP) pain. Short-Form 36 Health Survey Questionnaire was utilized for health-related quality of life assessment.
Results: All studied parameters featured statistically significant amelioration at all follow-up intervals. Maximal improvement was in general at 6 weeks observed, with subsequent lesser improvement until 6 months and stabilization until the end of follow-up. Comparative assessment indicated that VAS-BP displayed quantitatively lower improvement, whereas physical function, bodily pain, and role-emotional parameters demonstrated greater amelioration.
Conclusion: FELD is associated with a favorable impact in postoperative daily life of patients with RLDH.
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KEYWORD
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Full-endoscopic lumbar discectomy, Percutaneous transforaminal endoscopic discectomy, Recurrent lumbar disc herniation, Health-related quality of life
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