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Objective: To compare the clinical effect and safety of different depressing segments（responsible segment or total segments） in the treatment of herniation of Multi-segmented lumber intervertebral disc, HMLD. Methods: 78 cases of patients with herniation of Multi-segmented lumber intervertebral disc treated from 2010.01 to 2013.01 were retrospectively reviewed, in which 42 patients were treated by only responsible segment and 36 patients were treated by total segments. The clinical outcomes were evaluated and compared by lost, operation time, blood loss, postoperative hospital stay and intraoperative complications. The surgical results were evaluated according to the Visual Analogue Scale(VAS) and Japanese Orthopedic Association(JOA). Results: There was no significant difference between the two groups(experiment group and total segments) in the VAS score and JOA in 6, 12 and 36 months after the operation(P>0. 05). However, the VAS was significant better in experiment group on the day after the operation(P<0.05). The blood lost, money lost and the stay time in experiment group were significant better than that in control group (P<0.05); The complication incidence in experiment group was significant better than that in control group in the first year after the operation. One yaras later, the complication incidence in control group was less, however, there was no significant difference between the two groups (P>0.05). Conclusion: For the treatment of herniation of Multi-segmented lumber intervertebral disc, finding the responsible segment and treating could have the similar clinical efficacy compairing with the total segments depressing, which could have the less lost,operation trauma and the short-term complication. This treatment could be further recommended clinically. [ABSTRACT FROM AUTHOR]

Objective: To compare the clinical effect and safety of different depressing segments（responsible segment or total segments） in the treatment of herniation of Multi-segmented lumber intervertebral disc, HMLD. Methods: 78 cases of patients with herniation of Multi-segmented lumber intervertebral disc treated from 2010.01 to 2013.01 were retrospectively reviewed, in which 42 patients were treated by only responsible segment and 36 patients were treated by total segments. The clinical outcomes were evaluated and compared by lost, operation time, blood loss, postoperative hospital stay and intraoperative complications. The surgical results were evaluated according to the Visual Analogue Scale(VAS) and Japanese Orthopedic Association(JOA). Results: There was no significant difference between the two groups(experiment group and total segments) in the VAS score and JOA in 6, 12 and 36 months after the operation(P>0. 05). However, the VAS was significant better in experiment group on the day after the operation(P<0.05). The blood lost, money lost and the stay time in experiment group were significant better than that in control group (P<0.05); The complication incidence in experiment group was significant better than that in control group in the first year after the operation. One yaras later, the complication incidence in control group was less, however, there was no significant difference between the two groups (P>0.05). Conclusions: For the treatment of herniation of Multi-segmented lumber intervertebral disc, finding the responsible segment and treating could have the similar clinical efficacy compairing with the total segments depressing, which could have the less lost,operation trauma and the short-term complication. This treatment could be further recommended clinically. [ABSTRACT FROM AUTHOR]

Objective: To compare the clinical effect and safety of patients with lumbar disc herniation treated with microendoscopic discectomy (MD) and percutaneous endoscopic lumbar discectomy (PELD). Methods: We retrospectively reviewed 118 patients with lumbar disc herniation treated from 2012.06 to 2015.06. 46 patients received MD and 72 patients were given PELD. All patients received at least 6 months fellow up. Clinical outcomes were evaluated by operation time, the time in bed, blood loss, the length of incision, cost, lumbar vertebral function and complications and so on. Results: The VAS score and lumbar function of the patients were significantly better than pre-operation, but there was no difference between two groups. The time of operation and the time in bed and the cost of patients who had PELD was significantly better compared with those who had MD (P<0.05). There was no difference between two groups in the time in hospital, the blood loss, length of incision and the complication. Conclusions:MD and PELD as the micro-spine operation have obvious advantages and good safty in the treatment of lumbar disc herniation. They have the advantages and disadvantages respectively. It should be selected personality in clinic. [ABSTRACT FROM AUTHOR]

Objective: To compare the clinical effect and safety of patients with lumbar disc herniation treated with percutaneous endoscopic lumbar discectomy(percutaneous endoscopic lumbar discectomy, PELD) between vertebral plate or limited electric drill discectomy. Methods: We retrospectively reviewed 126 patients with lumbar disc herniation treated from 2012 to 2014. 48 patients received percutaneous endoscopic lumbar discectomy between vertebral plate and 78 patients were given limited electric drill discectomy(control group). Clinical outcomes were evaluated by cost, lumbar vertebral function and complications and so on. Results: The VAS score, ODI, and lumbar function of the patients were significantly better than pre-operation, but there was no difference between two groups. The time in hospital, blood loss and length of incision of patients who had PELD was significantly better compared with those who had limited electric drill discectomy(P<0.05). Conclusions: PELD between vertebral plate as one minimally invasive surgery has obvious advantages in some aspects of the treatment of lumbar disc herniation, which could be a good supplementary for PELD in clinic. [ABSTRACT FROM AUTHOR]

Objective: To compare the clinical effect and safety of Percutaneous Endoscopic Lumbar Discectomy(PELD) with limited electric drill discectomy in the treatment of patients with lumbar disc herniation. Methods: 192 cases of patients with lumbar disc herniation treated from 2011 to 2014 were retrospectively reviewed, in which 118 patients were treated by PELD and 74 patients were treated by limited electric drill discectomy(control). The clinical outcomes were evaluated and compared by visual analogue scale(VAS),Lehmann Lumbar function score, modified Macnab criteria, routine operation indicators and incidence of complications between two groups. Results: The VAS score, lumbar function and total cost of patients who were treated by PELD was similar to that of patients treated by limited electric drill discectomy(P>0.05). The time in hospital, intraoperative blood loss and incidence of complications were shorter or lower in PELD group compared with the cobtrol group(P<0.05). Conclusions: PELD had obvious advantages of some aspects in the treatment of lumbar disc herniation, which could be further carried out in clinic. [ABSTRACT FROM AUTHOR]

Objective: To evaluate the clinical efficacy of percutaneous transforaminal endoscopic discectomy(PTED) in the treatment of lumbar disc herniation. Methods: The clinical and follow-up data of 194 patients who were admitted in our hospital from 2009 to 2013 and diagnosed as lumbar disc herniation were treated by PTED were retrospectively analyzed. The clinical efficacy was evaluated by visual analogue scale(VAS), Lehmann Lumbar function score, modified Macnab criteria and SF-36 before and after operation. Results: All the patients were followed up at least 12 months after the operation. The postoperative VAS score, lumbar function, quality of life were obviously improved on the day after surgery, at the 3rd, 12 th month after surgery compared with those preoperation(P<0.05)..At the 3rd, 12 th month after surgery, the excellent rate of modified Macnab criteria were 90.7%, 92.3%,respectively. Conclusion: PTED was a safe and effective treatment for lumbar disc herniation, which could obviously relieve the lumbar spinal function and improve the quality of life with high safety. [ABSTRACT FROM AUTHOR]

Objective: To explore the clinical effect and safety of percutaneous endoscopic lumbar discectomy(PELD) using Proxomed Tergumed in the treatment of patients with lumbar disc herniation. Methods: From June 2016 to June 2017, 63 cases of patients who were diagnosed as lumbar disc herniation and operated in our hospital were retrospectively analyzed. All the patients were divided into the experimental group(Proxomed Tergumed group) and the control group(tradition group). The clinical outcomes were evaluated by visual analogue scale(VAS) and Oswestry Disability Index(ODI) score, muscular power and complications at 1 week, 3 months and 6 months after operation. Results: The VAS score and ODI score of both groups were significantly lower than those preoperation. There was no obvious difference in the VAS and ODI score at the the first week after operation between two groups(P>0.05), while the VAS and ODI core of experimental group at 3 and 6 months after operation were significantly lower than those of the control group(P<0.05). Compared with the preoperative muscular power, there was statistical differences at 6 months after operation(P<0.05). There was no obvious difference in each muscle strength at 6 months after operation in the experimental group(P>0.05), which were significantly lower in control group(P<0.05). Conclusions: As a part of early rehabilitation training for patients who have undergone treated with percutaneous endoscopic lumbar discectomy, Proxomed Tergumed can effectively reduce the possibility of postoperative complications, relief postoperative pain and reduce the time of postoperative recovery, which has its obvious advantage comparing with traditional postoperative rehabilitation training. [ABSTRACT FROM AUTHOR]

Objective: To observe the clinical effect and safety of patients with far lateral lumbar disc herniation treated with Minimally Invasive Transforaminal Lumbar Interbody Fusion (MIS-TLIF) and tradition open-operation. Methods: The clinical and follow-up data of 61 patients from 2012.01 to 2016.01 diagnosed as far lateral lumbar disc herniation who had the operation were retrospectively analyzed. All the patients were divided into experimental group (MIS-TLIF) and control group (tradition open-operation). The clinical outcomes were evaluated by visual analogue scale (VAS) and Japanese Orthopaedic Association Scores (JOA), blood loss, operation time, times of X-ray, the time in bed, cost and complications and so on. Results: There was no difference between two groups in the VAS score and JOA score before and after the treatment while there were significant improvement (P>0.05). The blood loss, the time in bed and complications who had MIS-TLIF were significantly better compared with those in control group (P<0.05). Conclusions: MIS-TLIF as a MISS operation in the treatment of far lateral lumbar disc herniation has more particular advantages than normal treatments, which should be further application and promotion in clinic. [ABSTRACT FROM AUTHOR]