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Masoud Khadivi1 
, Ali Ahmadzadeh Amiri2 , Navid Moghadam3 , Amir Ahmadzadeh Amiri2 , Mohammad Eslamian1 , Mohammad Zarei4 , Mersad Moosavi3 , Milad Shafizadeh1 , Alireza Borghei5 , Ramin Kordi3 , Mohsen Rostami * 3
, Ali Ahmadzadeh Amiri2 , Navid Moghadam3 , Amir Ahmadzadeh Amiri2 , Mohammad Eslamian1 , Mohammad Zarei4 , Mersad Moosavi3 , Milad Shafizadeh1 , Alireza Borghei5 , Ramin Kordi3 , Mohsen Rostami * 3
1- Department of Neurosurgery, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran
2- Sports Medicine Research Center, Neuroscience institute, Tehran University of Medical Sciences, Tehran, Iran
3- Sports Medicine Research Center, Neuroscience institute, Tehran University of Medical Sciences, Tehran, Iran Spine Center of Excellence, Yas Hospital, Tehran University of Medical Sciences, Tehran, Iran
4- Department of Orthopedic, IKHC, Tehran University of Medical Sciences, Tehran, Iran
5- Department of Neurosurgery, Rush University Medical Center, Chicago, IL, USA
2- Sports Medicine Research Center, Neuroscience institute, Tehran University of Medical Sciences, Tehran, Iran
3- Sports Medicine Research Center, Neuroscience institute, Tehran University of Medical Sciences, Tehran, Iran Spine Center of Excellence, Yas Hospital, Tehran University of Medical Sciences, Tehran, Iran
4- Department of Orthopedic, IKHC, Tehran University of Medical Sciences, Tehran, Iran
5- Department of Neurosurgery, Rush University Medical Center, Chicago, IL, USA
Abstract:
Background: Lumbar disc herniation (LDH) is one of the most common pathologies leading to radiculopathy. Open microdiscectomy is the gold standard of treatment for LDH; however, minimally invasive techniques such as percutaneous laser disc decompression (PLDD) are gaining further attention. In this study, we retrospectively reviewed the clinical outcomes of patients who underwent PLDD and compared their results with a group of patients who underwent open micro-discectomy.
Methods: Our report included patients diagnosed with protruded LDH with severe refractory pain for at least 6 to 8 weeks who underwent the interventions. Baseline outcome parameters were recorded before the procedures and questionnaires were filled at two follow-up sessions. Pain intensity was measured using the visual analog scale (VAS), patients were asked to fill the 36-item short-form health survey (SF36) to report their quality of life and we used the Oswestry disability index (ODI) to obtain information about patients’ daily functional status.
Results: A total of 165 patients were enrolled. At the final follow-up, there was no statistically significant difference in the level of VAS between the groups. However, the differences between the two groups regarding the SF36 and ODI were statistically significant.
Conclusions: Our study report showed that both methods significantly improved the clinical outcomes of the patients with protruded disc herniation.
Methods: Our report included patients diagnosed with protruded LDH with severe refractory pain for at least 6 to 8 weeks who underwent the interventions. Baseline outcome parameters were recorded before the procedures and questionnaires were filled at two follow-up sessions. Pain intensity was measured using the visual analog scale (VAS), patients were asked to fill the 36-item short-form health survey (SF36) to report their quality of life and we used the Oswestry disability index (ODI) to obtain information about patients’ daily functional status.
Results: A total of 165 patients were enrolled. At the final follow-up, there was no statistically significant difference in the level of VAS between the groups. However, the differences between the two groups regarding the SF36 and ODI were statistically significant.
Conclusions: Our study report showed that both methods significantly improved the clinical outcomes of the patients with protruded disc herniation.
Keywords: Lumbar spine, Percutaneous laser disc decompression, Micro discectomy, Protruded lumbar disc herniation, Disc pathologies
Type of Study: Original |
Subject:
Clinical Neuroscience
Received: 2022/05/14 | Accepted: 2022/05/21
Received: 2022/05/14 | Accepted: 2022/05/21
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