Indian Journal of Orthopaedics

ORIGINAL ARTICLE
Year
: 2012  |  Volume : 46  |  Issue : 1  |  Page : 81--85

Posterior endoscopic discectomy: Results in 300 patients


Mohinder Kaushal1, Ramesh Sen2 
1 Department of Orthopaedics, Arthroscopy and Spinal Endoscopy Centre, Chandigarh, India
2 Department of Orthopaedics, Post Graduate Institute of Medical Education and Research, Chandigarh, India

Correspondence Address:
Mohinder Kaushal
Arthroscopy and Spinal Endoscopy Centre, SCO 66, Sector 20C, Chandigarh - 160 020
India

Background: Posterior endoscopic discectomy is an established method for treatment of lumbar disc herniation. Many studies have not been reported in literature for lumbar discectomy by Destandau Endospine System. We report a series of 300 patients operated for lumbar dissectomy by Destandau Endospine system. Materials and Methods: A total of 300 patients suffering from lumbar disc herniations were operated between January 2002 and December 2008. All patients were operated as day care procedure. Technique comprised localization of symptomatic level followed by insertion of an endospine system devise through a 15 mm skin and fascial incision. Endoscopic discectomy is then carried out by conventional micro disc surgery instruments by minimal invasive route. The results were evaluated by Macnab«SQ»s criteria after a minimum followup of 12 months and maximum up to 24 months. Results: Based on modified Macnab«SQ»s criteria, 90% patients had excellent to good, 8% had fair, and 2% had poor results. The complications observed were discitis and dural tear in five patients each and nerve root injury in two patients. 90% patients were able to return to light and sedentary work with an average delay of 3 weeks and normal physical activities after 2 months. Conclusion: Edoscopic discectomy provides a safe and minimal access corridor for lumbar discectomy. The technique also allows early postoperative mobilization and faster return to work.


How to cite this article:
Kaushal M, Sen R. Posterior endoscopic discectomy: Results in 300 patients.Indian J Orthop 2012;46:81-85


How to cite this URL:
Kaushal M, Sen R. Posterior endoscopic discectomy: Results in 300 patients. Indian J Orthop [serial online] 2012 [cited 2020 Jan 18 ];46:81-85
Available from: http://www.ijoonline.com/article.asp?issn=0019-5413;year=2012;volume=46;issue=1;spage=81;epage=85;aulast=Kaushal;type=0