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CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2020; 55(04): 415-418
DOI: 10.1055/s-0039-3402473
Artigos Originais
Coluna

Functional Evolution after Percutaneous Endoscopic Lumbar Discectomy, an Earlier Evaluation of 32 Cases[∗]

Article in several languages: português | English
Bruno César Aprile 
1   Departamento de Coluna, Clínica SOU, São Paulo, SP, Brasil
,
Marcelo Campos Moraes Amato
2   Departamento de Coluna, Instituto Amato, São Paulo, SP, Brasil
,
Cézar Augusto de Oliveira
1   Departamento de Coluna, Clínica SOU, São Paulo, SP, Brasil
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Abstract

Objective To determine time period for hospital discharge and pain and function improvement in patients submitted to percutaneous endoscopic lumbar discectomy (PELD).

Methods Retrospective evaluation of length of stay and visual analog scale (VAS), Oswestry disability index (ODI), and Roland-Morris questionnaire results in 32 patients undergoing PELD at the preoperative period and at 2 days and 1, 2, 4, 6 and 12 postoperative weeks.

Results All patients were discharged in less than 6 hours. There was a statistically significant improvement between the results obtained before the procedure and 2 days postsurgery: the mean VAS for axial pain went from 6.63 to 3.31, the VAS for irradiated pain went from 6.66 to 2.75, the Oswestry score went from 44.59 to 33.17%, and the Roland-Morris score went from 14.03 to 10.34. This difference progressively improved up to 12 weeks in all questionnaires. Regarding the Oswestry score, minimum disability values (19.39%) were observed at 6 weeks.

Conclusion All 32 patients were discharged within 6 hours. Pain and function improved significantly after 48 hours, with further significant and progressive improvement until the 3rd month.

Keywords

vertebral spine - intervertebral disc dislocation - outcome evaluation (healthcare) - endoscopy

∗ Work developed at Clínica SOU and at Instituto Amato, São Paulo, SP, Brazil.




Publication History

Received: 14 June 2019

Accepted: 15 August 2019

Article published online:
11 March 2020

© 2020. The Author(s). 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/).

Sociedade Brasileira de Ortopedia e Traumatologia. Published by Thieme Revinter Publicações Ltda
Rio de Janeiro, Brazil

 

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