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RGUHS Nat. J. Pub. Heal. Sci Vol: 14  Issue: 2 eISSN:  pISSN

Original Article

Interlaminar endoscopic discectomy: minimally invasive procedure, a series report

Somashekar*, Yatish R**, Sridharmurthy JN***, Ranganath HD* Nikhil Das****

*Associate Professor, **Assistant Professor, ***Professor and Head, ****Senior Resident, Department Orthopaedics,

Kempegowda Institute of Medical Sciences, Bangalore

 

Corresponding author:

Dr R Yatish Department of Orthopaedics, Kempegowda Institute of Medical Sciences, Krishnarajendra Road, Visveswarapura, Bangalore

Year: 2015, Volume: 5, Issue: 4, Page no. 163-168,
Views: 584, Downloads: 2
Licensing Information:
CC BY NC 4.0 ICON
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0.
Abstract

Back ground: The upright posture of humans throws enormous stress on the spine, particularly during flexion and is responsible for many structural causes of backache such as lumbar disc prolapsed. Various modalities of surgical management are available for Intervertebral disc prolapse, but posterior Interlaminar endoscopic approach has minimal stripping of paraspinal muscles, enhanced visualization due to better magnification and illumination, shorter hospital stay, and faster recovery time.

Methods: A total of 64 patients with lumbar intervertebral disc herniation (IVDP) were operated between 2008 and 2013 with endoscopic discectomy after localization of symptomatic level. The results were evaluated by Oswestry Disability index score

Results: At final follow-up results were excellent in 60%, Good in 20%, Fair In 16.7% and Poor in 3.3% of cases.

Conclusion: Open discectomy has been standard procedure of choice. Interlaminar endoscopic discectomy is a safe supplement for open discectomy which offers minimal trauma, better visualization Intra operatively with less hospital stay and early mobilization and early return to work 

<p><strong>Back ground:</strong> The upright posture of humans throws enormous stress on the spine, particularly during flexion and is responsible for many structural causes of backache such as lumbar disc prolapsed. Various modalities of surgical management are available for Intervertebral disc prolapse, but posterior Interlaminar endoscopic approach has minimal stripping of paraspinal muscles, enhanced visualization due to better magnification and illumination, shorter hospital stay, and faster recovery time.</p> <p>Methods: A total of 64 patients with lumbar intervertebral disc herniation (IVDP) were operated between 2008 and 2013 with endoscopic discectomy after localization of symptomatic level. The results were evaluated by Oswestry Disability index score</p> <p><strong>Results: </strong>At final follow-up results were excellent in 60%, Good in 20%, Fair In 16.7% and Poor in 3.3% of cases.</p> <p><strong>Conclusion:</strong> Open discectomy has been standard procedure of choice. Interlaminar endoscopic discectomy is a safe supplement for open discectomy which offers minimal trauma, better visualization Intra operatively with less hospital stay and early mobilization and early return to work&nbsp;</p>
Keywords
endoscopic discectomy, endospine
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