الفهرس 
Applied endoscopic anatomy of lumbar spineOnly 14 pages are availabe for public view
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Abstract
Our study conducted a thorough examination of percutaneos
endoscopic discectomy as a treatment for lumbar disc prolapse, employing a
robust statistical analysis to ensure the reliability of our findings. We
assessed demographic characteristics, surgical outcomes, and various
parameters, and here are the key takeaways:
Demographically, our study included a diverse group of participants,
with a slight male predominance and a broad age range from 20 to 60 years,
representing the real-world diversity of individuals affected by lumbar disc
prolapse.
Regarding pain reduction, our findings demonstrated the effectiveness
of endoscopic discectomy in significantly reducing both back and leg pain
over time. The choice of surgical approach influenced the early postoperative
results, with the transforaminal approach showing an advantage in the early
recovery period, particularly at the 2-week mark.
We also assessed disability levels using the Oswestry Disability Index
(ODI) scores, which exhibited significant improvements at both the 3-month
and 6-month follow-up periods. Importantly, no significant statistical
difference was observed between the two surgical approaches, emphasizing
their comparable efficacy in improving disability.
The analysis of surgical parameters revealed that both the interlaminar
and transforaminal approaches were effective and safe, with variations in
certain aspects such as incision length and operative time, primarily
attributed to the choice of surgical approach.
Complications were rare in our study, with the majority of patients
experiencing positive outcomes and a high level of satisfaction, as indicated
by the Modified Macnab criteria.
Lastly, the type of anesthesia used had a notable impact on the length
of the hospital stay, with interlaminar cases, conducted under general
anesthesia, having longer stays compared to the transforaminal cases, which
were performed under local anesthesia.
These findings align with the existing literature, emphasizing the
overall effectiveness and safety of percutaneous endoscopic surgery for the
management of lumbar disc herniation.