AI Article Synopsis
- Epiduroscopy, a minimally invasive technique, allows for visualization of the epidural space, and recent studies show that laser therapy through epiduroscopic laser neural discectomy (ELND) is effective in treating multiple disc lesions.
- A retrospective study from Sakarya University analyzed the outcomes of ELND performed from 2012 to 2016, focusing on changes in pain and disability levels using the Oswestry Disability Index (ODI) and Visual Analogue Scale (VAS) at various intervals post-surgery.
- Results indicated significant improvements in both VAS and ODI scores as early as two weeks post-ELND, suggesting that this laser technique is effective and has fewer complications compared to traditional open surgery for lumbar disc
Article Abstract
Background: Epiduroscopy, or spinal endoscopy, is the visualisation of the epidural space using a percutaneous and minimally invasive imaging fiberoptic device. Recently, as a result of some studies, it has been reported that laser therapy with epiduroscopic laser neural discectomy (ELND) was applied during multiple lesions.
Methods: In this study, ELND performed between January 2012 and July 2016 at the Algology Clinic of the Department of Anesthesiology and Reanimation, Sakarya University Training and Research Hospital, was examined retrospectively. The Oswestry Disability Index (ODI) and Visual Analogue Scale (VAS) scores were recorded preoperatively, as well as after 2 weeks and 2, 6, and 12 months after the ELND.
Results: According to the preoperative VAS and ODI scores, the decrease in postoperative 2nd week, 2nd, 6th, and 12th month VAS and ODI scores was significant (=0.001). Similarly, according to the postoperative 2nd week VAS and ODI scores, decrease in postoperative 6th and 12th VAS and ODI scores was significant (=0.001).
Conclusions: As a result, ELND with Holmium: YAG laser, which is a new technique in patients with lumbar disc herniated low back and/or leg pain, can reduce VAS and ODI scores from 2 weeks without any complications that open surgery can bring with it. We believe that it is a useful and advanced technique in treatment of lumbar disc herniation and has low complication rates that provides maximum efficacy from the first year.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7735823 | PMC |
| http://dx.doi.org/10.1155/2020/7361691 | DOI Listing |
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