Abstract
Lumbar disc herniation is a spinal problem seen in both young and old people causing pain in the back with pain and numbness in lower extremity leading to disability limiting daily activities. When conservative treatments are ineffective, then it is treated by surgeries, more recently with minimal invasive percutaneous endoscopic lumbar surgery (PELS). One of the mostly accepted PELS by spinal surgeons is percutaneous transforaminal endoscopic lumbar discectomy, which can be performed for any age. The main aim of this review was to evaluate clinical outcome and safety based on the Oswestry Disable Index (ODI), Visual Analog Scale (VAS) and MacNab criteria and complications of PELS surgery and its advantages in clinical basis.
Highlights
Lumbar disc herniation is one of the common causes of low back pain with sciatica in young and adult with huge economic burden to family and society [1] [2] [3]
When conservative treatments are ineffective, it is treated by surgeries, more recently with minimal invasive percutaneous endoscopic lumbar surgery (PELS)
One of the mostly accepted PELS by spinal surgeons is percutaneous transforaminal endoscopic lumbar discectomy, which can be performed for any age
Summary
Lumbar disc herniation is one of the common causes of low back pain with sciatica in young and adult with huge economic burden to family and society [1] [2] [3]. Point prevalence of lumber disc herniation is 37.1%, 1-year prevalence of 76.0%, and lifetime prevalence of 85.5% [4]. There are numerous surgical interventions for lumber disc herniation. They can be broadly classified as posterior open discectomies and percutaneous techniques. Posterior open discectomies include open laminectomy and discectomy, micro discectomy, micro endoscopic discectomy, hemi laminectomy with discectomy, among which micro discectomy remains the standard surgery for lumber disc herniation. Percutaneous techniques include chemonucleolysis, nucleoplasty, intradiscal electrothermal therapy, percutaneous laser discectomy and percutaneous endoscopic lumbar surgery (PELS) [6] [7] [8]. Except PELS, all of the percutaneous techniques are blind procedure, whereas, PELS is performed under direct endoscopic vision
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