Analysis of the Results of Surgical Treatment of Herniated Intervertebral Discs in the Lumbar Spine using Endoscopic Microdiscectomy and Standard Microdiscectomy

Abstract

The results of percutaneous endoscopic and microsurgical discectomy are compared. It was found that the time of surgery, significant bed-days and the period of disability were associated with the group of endoscopic microdiscectomy. The rates of complications and re-arrests as a result of detention were found. The risk of recurrence was 5.4% for the endoscopic group, 5.8% for the microsurgical group. Significant differences in terms of local and radicular pain, quality of life and the physical component of health were not established. The mental health component was the best in the endoscopic group. Good and excellent results according to the Macnub treatment satisfaction scale in the endoscopy group were noted in 88.2% of cases, after microdiscectomy - in 74.9%. Less invasiveness of percutaneous endoscopy was reflected in the reduction of the period of hospitalization and disability. There was a statistically insignificant increase in the risk of hernia recurrence after percutaneous endoscopic discectomy. Indicators of infectious complications in the form of spondylodiscitis and epiduritis were typical for standard microdiscectomy.