World neurosurgery | 2021
Comparison of percutaneous endoscopic lumbar discectomy and open lumbar discectomy in the treatment of adolescent lumbar disc herniation: A retrospective analysis.
Abstract
OBJECTIVE\nTo compare and analyze the efficacy and safety of percutaneous endoscopic lumbar discectomy (PELD) and open lumbar discectomy (OLD) for adolescent lumbar disc herniation (ALDH).\n\n\nMETHODS\nThe clinical data of 257 patients with single-segment ALDH who underwent surgical treatment at our hospital from January 2015 to December 2019 were retrospectively collected. According to different surgical methods, these patients were divided into PELD group and OLD group. Based on the preoperative baseline data of patients in both groups, propensity score (PS) matching was performed, and some patients in both groups were selected for comparative study. Clinical data and follow-up data were assessed and compared.\n\n\nRESULTS\nThere was no statistical difference in preoperative baseline data between the two groups of patients after PSM. VAS and ODI improved in both groups postoperatively and at each follow-up time point (p <0.05). However, the VAS scores on the first postoperative day and ODI scores at 3 months postoperatively in the PELD group were lower than scores in the OLD group (p <0.05). The duration of surgery, intraoperative blood loss and duration of postoperative hospitalization in the PELD group were lower than those in the OLD group (p <0.05). There was no statistically significant difference between the two groups when comparing complication rate and recurrence rate (p >0.05).\n\n\nCONCLUSION\nBoth PELD and OLD are effective and safe surgical techniques for the treatment of ALDH. However, compared with OLD, PELD is more advantageous for rapid symptom relief and improving postoperative quality of life with a low rate of complications and recurrence.