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2002•The Orthopedic Journal of ChinaRequires access

Indication of Microendoscopic Discectomy for the Treatment of Lumbar Intervertebral Disc Herniation

Wei Yang

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Abstract

Objective:To discuss the indication of microendoscopic discectomy(MED) for the treatment of lumbar intervertebral disc herniation.Methods:Of 215 cases,149 cases were chosen for MED,66 cases were chosen for open surgery.Results:215 cases were followed up for 6～16 months,MED group,excellent were 112,good were 27,fair were 10,the rate of excellent and good was 93.28%.Open surgery group,excellent were 48,good were 11,fair were 7,the rate of excellent and good was 89.39%.Conclusion:The indication of MED are the lumbar intervertebral disc herniation,part of lumbar intervertebral disc herniation with the calcification or the stenosis or lateral recess,it is prohibited to the lumbar intervertebral disc herniation with lumbar vertebral instability of the central lumbar stenosis.To extend aimlessly the indication of MED or to change to open surgery while MED failure are inadvisable.

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Objective:To discuss the indication of microendoscopic discectomy(MED) for the treatment of lumbar intervertebral disc herniation.Methods:Of 215 cases,149 cases were chosen for MED,66 cases were chosen for open surgery.Results:215 cases were followed up for 6～16 months,MED group,excellent were 112,good were 27,fair were 10,the rate of excellent and good was 93.28%.Open surgery group,excellent were 48,good were 11,fair were 7,the rate of excellent and good was 89.39%.Conclusion:The indication of MED are the lumbar intervertebral disc herniation,part of lumbar intervertebral disc herniation with the calcification or the stenosis or lateral recess,it is prohibited to the lumbar intervertebral disc herniation with lumbar vertebral instability of the central lumbar stenosis.To extend aimlessly the indication of MED or to change to open surgery while MED failure are inadvisable.

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Available abstract

Objective:To discuss the indication of microendoscopic discectomy(MED) for the treatment of lumbar intervertebral disc herniation.Methods:Of 215 cases,149 cases were chosen for MED,66 cases were chosen for open surgery.Results:215 cases were followed up for 6～16 months,MED group,excellent were 112,good were 27,fair were 10,the rate of excellent and good was 93.28%.Open surgery group,excellent were 48,good were 11,fair were 7,the rate of excellent and good was 89.39%.Conclusion:The indication of MED are the lumbar intervertebral disc herniation,part of lumbar intervertebral disc herniation with the calcification or the stenosis or lateral recess,it is prohibited to the lumbar intervertebral disc herniation with lumbar vertebral instability of the central lumbar stenosis.To extend aimlessly the indication of MED or to change to open surgery while MED failure are inadvisable.

Key concepts: Medicine, Surgery, Lumbar disc herniation, Discectomy, Lateral recess, Lumbar, Intervertebral disc, Stenosis

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