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CC BY-NC-ND 4.0 · Asian J Neurosurg 2023; 18(02): 312-320
DOI: 10.1055/s-0043-1769756
Original Article

Outcome of Transforaminal Endoscopic Discectomy in Rural India in a Single-Level Lumbar Disc Prolapse Under Local Anesthesia

Vishnu Vikraman Nair
1   Department of Orthopaedics, MGM Institute of Health Sciences, Navi Mumbai, Maharashtra, India
,
Sarabjeet Kohli
1   Department of Orthopaedics, MGM Institute of Health Sciences, Navi Mumbai, Maharashtra, India
,
Nilesh Vishwakarma
1   Department of Orthopaedics, MGM Institute of Health Sciences, Navi Mumbai, Maharashtra, India
,
Juilee Mhatre
1   Department of Orthopaedics, MGM Institute of Health Sciences, Navi Mumbai, Maharashtra, India
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Abstract

Aim The aim of this study was to undertake a clinical study to evaluate the outcomes of transforaminal endoscopic discectomy under local anesthesia and to study the complication rate.

Study Design It is a prospective study.

Methods We prospectively analyzed outcomes of 60 patients with a single-level lumbar disc prolapse in rural India from December 2018 to April 2020 who underwent endoscopic discectomy under local anesthesia. Follow-up was done using the visual analogue score (VAS) and Oswestry Disability Index (ODI) scoring systems with a minimum follow-up up to 1 year postoperatively.

Results In our study of 60 patients, there was 38 cases of L4-L5 disc pathology, 13 L5–S1 discs, and 9 L3-L4 discs. Our study showed a significant clinical reduction in mean VAS score that was 7.07/10 preoperatively and reduced to 3.88/10 at the third month and 3.64/10 at 1 year of follow-up (p-value < 0.05) showing clinical significance. The ODI scoring done preoperatively was an average mean of 57.37% pointing to how crippled the patients were with lumbar disc prolapse and showed a significant reduction to 29.32% postoperatively at 1 year (p-value < 0.05) showing clinical significance. This reduction in ODI directly corelates to how almost all patients returned to normal life coping to all activities and were completely pain free at 1 year of follow-up.

Conclusion Endoscopic spine surgery in lumbar disc prolapse is highly effective and can deliver a good functional outcome if done with correct preoperative planning and approach.

Keywords

lumbar disc prolapse - endoscopic spine surgery - low back pain - local anesthesia - discectomy

Note

The paper was presented at IOA – CON 2021, organized by the Indian Orthopaedics Association, held in Goa, India, between December 21 and 25, 2021.




Publication History

Article published online:
16 June 2023

© 2023. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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