Minimally invasive pars approach for foraminal disc herniation

Patrick W Hitchon; Olatilewa O Awe; Liesl Close; Hamdi G Sukkarieh

doi:10.1016/j.jocn.2014.12.026

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Minimally invasive pars approach for foraminal disc herniation

Journal article

Peer reviewed

Minimally invasive pars approach for foraminal disc herniation

Patrick W Hitchon, Olatilewa O Awe, Liesl Close and Hamdi G Sukkarieh

Journal of clinical neuroscience, Vol.22(7), pp.1128-1132

07/2015

DOI: 10.1016/j.jocn.2014.12.026

PMID: 25882259

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Abstract

We present a retrospective cohort study on the outcome of patients with foraminal disc herniations (FDH) treated with partial pars resections using minimally invasive surgery (MIS) through a tube. FDH present a challenge due to the more lateral trajectory needed for their excision and thereby more muscle dissection and possibly facet resection. Forty patients, 19 women and 21 men with a mean age ± standard deviation of 58 ± 12 years, underwent MIS for FDH. Data on length of hospital stay, body mass index and outcomes were collected prospectively and reviewed retrospectively. Average length of stay following surgery was 1 ± 1 days. There was one wound infection and four unsatisfactory results. Using the Macnab score, good to excellent results were achieved in 89% of the patients. Based on these results, MIS surgery with partial pars resection is an attractive option in the treatment of FDH with low morbidity and short hospital stays.

Minimally Invasive Surgical Procedures - methods

Surgical Wound Infection - epidemiology

Humans

Middle Aged

Male

Treatment Outcome

Postoperative Complications - epidemiology

Longevity

Surgical Wound Infection - therapy

Leg

Operative Time

Zygapophyseal Joint - surgery

Lumbar Vertebrae - surgery

Minimally Invasive Surgical Procedures - adverse effects

Pain - etiology

Female

Aged

Intervertebral Disc Displacement - surgery

Retrospective Studies

Cohort Studies

Details

Title: Subtitle: Minimally invasive pars approach for foraminal disc herniation
Creators: Patrick W Hitchon - Department of Neurosurgery, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, 1824 JPP, Iowa City, IA 52242, USA. Electronic address: patrick-hitchon@uiowa.edu
Olatilewa O Awe - Department of Neurosurgery, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, 1824 JPP, Iowa City, IA 52242, USA
Liesl Close - Department of Neurosurgery, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, 1824 JPP, Iowa City, IA 52242, USA
Hamdi G Sukkarieh - Department of Neurosurgery, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, 1824 JPP, Iowa City, IA 52242, USA
Resource Type: Journal article
Publication Details: Journal of clinical neuroscience, Vol.22(7), pp.1128-1132
Publisher: Scotland
DOI: 10.1016/j.jocn.2014.12.026
PMID: 25882259
ISSN: 0967-5868
eISSN: 1532-2653
Language: English
Date published: 07/2015
Academic Unit: Roy J. Carver Department of Biomedical Engineering; Neurosurgery
Record Identifier: 9984040282602771

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