Treatment of cauda equina syndrome caused by lumbar disc herniation with percutaneous endoscopic lumbar discectomy
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To evaluate the feasibility and clinical efficacy of percutaneous endoscopic lumbar discectomy (PELD) for cauda equina syndrome (CES) caused by disc herniation. 16 patients with CES caused by LDH at the early and middle stages of Shi’s classification were selected as the objects of study, who underwent PELD. Clinical outcomes were assessed using the Macnab criteria and the visual analogue scale (VAS). The VAS for leg pain and back pain significantly decreased from preoperative scores of 7.67 ± 1.23 and 7.52 ± 1.42, respectively, to postoperative scores of 1.71 ± 0.53 and 3.18 ± 0.72. Thirteen patients showed favorable results. Complications included one patient of motor weakness, and one patient developed an ipsilateral recurrent herniation who finally acquired satisfactory result after reoperation. Hence, PELD could be used as an alternative surgical method for the treatment of CES in properly selected cases and appropriate patient selection and a reasonable surgical approach will give rise to better outcomes.
KeywordsCauda equina syndrome Endoscope Percutaneous discectomy Lumbar disc herniation
Compliance with ethical standards
Conflict of interest
The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Informed consent was obtained from all individual participants included in the study.
All procedures performed in studies involving human participants were in accordance with the ethical standards of the ethical committees for human subjects in West China Hospital of Sichuan University and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
- 12.Jha S s, Tonogai I I, Takata Y Y, Sakai T, Higashino K, Matsuura T, Suzue N, Hamada D D, Goto T, Nishisho T (2015) Percutaneous endoscopic lumbar discectomy for a huge herniated disc causing acute cauda equina syndrome: a case report. J Med Investig 62(12):100–102Google Scholar
- 13.Ruetten S, Komp M, Merk H, Godolias G (2007) Use of newly developed instruments and endoscopes: full-endoscopic resection of lumbar disc herniations via the interlaminar and lateral transforaminal approach. J Neurosurg: Spine 6(6):521–530Google Scholar
- 21.Lew SM, Mehalic TF, Fagone KL (2001) Transforaminal percutaneous endoscopic discectomy in the treatment of far-lateral and foraminal lumbar disc herniations. J Neurosurg: Spine 94(2):216–220Google Scholar
- 23.Ruetten S, Komp M, Godolias G (2006) Lumbar discectomy with the fullendoscopic interlaminar approach using new developed optical systems and instruments. WSJ 1(3):148–156Google Scholar