الفهرس | يوجد فقط 14 صفحة متاحة للعرض العام |
المستخلص Lumbar herniated discs are common manifestations of degenerative spine diseases, being the main cause of radiated lower back pain. Conservative treatment with anti-inflammatory and physical therapy provides relief of pain in a significant proportion of patients, and surgery is indicated in nonresponsive patients after at least six weeks of conservative treatment to avoid irreversible structural changes in the nerve roots due to chronic compression. Surgery provides 85-95% of good and excellent results in the short-term postoperative period. The surgical treatment includes a great variety of options either open or minimally invasive techniques. However, it is important to deeply understand the basics, underlying aspects, evolution, guidelines and most relevant present techniques that are being developed within endoscopic lumbar surgery. This systematic review is aiming to compare the 2 approaches as regards many aspects including but not limited to; operative time, bed rest time, and the rate of complications from each technique. The postoperative dysesthesia, nerve root injury, recurrence, dural tears, and total complications did not differ significantly between PTED and PIED in the treatment of LDH. |