| dc.description.abstract | ntroduction: Open surgery can cause many complications.
Currently, micro endoscopic discectomy (MED) is providing
effective treatment, less muscle and local damage, better
cosmetics, decreased pain and operative time, and faster
recovery after surgery. We report quality of life and clinical
outcome of lumbar disc disease post- MED.
Methods: 45 consecutive patients underwent MED. The
patients were observed for 12-24 months. The results were
evaluated by using VAS and Macnab criteria. All patients were
operated by a single spine surgeon with the METRxTM system
(Medtronics Sofamor-Danek, Memphis, TN, USA).
Results: The quality of life of most patients improved to
good to excellence with 94.4% patients return to work postMED. Clinical outcome by Macnab criteria post-MED for
the patients showed excellence (83,3%), good (11,1%), fair
(2,8%), and poor (2,8%). Evaluation of back pain and leg
pain were performed with VAS. VAS scale showed no pain
(88,9%), back pain (8,3%), and leg pain (2,8%). The average of
time of operation were 57 minutes, but stenosis needed longer
operative time. Hospital length stay was less than 2 days, but
older patients needed longer. Blood loss less than 50cc. With
this technique, we didn’t get neurological injuries but we got
one discitis and dural tear, this complication was immediately
overcome by open surgery | en_US |
