Unilateral biportal endoscopic discectomy combined with annulus fibrosus suture in the treatment of lumbar disc herniation: Early clinical effectivenes

Chinese Journal of Reparative and Reconstructive Surgery, 2022 · DOI: 10.7507/1002-1892.202205095 · Published: October 1, 2022

Surgery Orthopedics

Simple Explanation

This study investigates a minimally invasive surgical technique, UBED combined with annulus fibrosus suture, for treating lumbar disc herniation. The technique involves removing the herniated disc material and then repairing the outer layer of the disc (annulus fibrosus) to prevent future problems. The study followed patients for a short period to see how well they recovered in the early stages after surgery.

Study Duration

12 Months

Participants

19 patients with lumbar disc herniation

Evidence Level

Retrospective analysis

Key Findings

1
The UBED combined with annulus fibrosus suture technique is safe and effective for treating lumbar disc herniation.
2
Patients experienced significant improvements in back and leg pain, as well as overall function, after the surgery.
3
Postoperative MRI showed complete removal of the herniated disc material and adequate nerve decompression, with no recurrence observed during the follow-up period.

Research Summary

This study evaluated the early clinical effectiveness of UBED combined with annulus fibrosus suture for treating LDH. The results showed significant improvements in pain and function, with a high rate of excellent or good outcomes based on MacNab criteria. The authors conclude that UBED combined with annulus fibrosus suture is a promising technique for LDH, offering a safe and effective treatment option with satisfactory early results.

Practical Implications

Surgical technique

UBED combined with annulus fibrosus suture can be considered as a safe and effective surgical option for patients with LDH.

Pain management

Patients undergoing this procedure can expect significant pain relief and improved physical function.

Reduced recurrence

The annulus fibrosus suture may reduce the risk of recurrent disc herniation.

Study Limitations

1
Small sample size (19 patients)
2
Short follow-up period (6-10 months)
3
Lack of a control group

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