Clinical classification and the operative curative effects of microendoscopic discectomy in the elderly lumbar disc herniation
Peng, Y.Q.; Zhang, C.Y.; Zhan, R.S.
Hunan Yi Ke da Xue Xue Bao 26(4): 345-346
2001
ISSN/ISBN: 1000-5625 PMID: 12536731 Document Number: 537369
To study the value of the classification of the elderly lumbar disc herniation(LDH) as an indication of microendoscopic discectomy(MED). Based on the pathological features of the elderly LDH, eighty-one patients over fifty years old (Group A) were proved to be intraspinal complications by traditional operation and were divided into I and II types which were compared with what were seen in the operation. Sixty-two patients over 50 years old (Group B) were treated with MED and reviewed retrospectively, and their curative effects were compared with their types. A general intraspinal narrowness rate of Group A was 62.07% in Type I, 107.69% in Type II (P < 0.01). Group B was all followed up (mean 10 months). According to the macnnab criterion, the satisfactory rate was 100% in Type I, 75% in Type II (P < 0.05). The clinical classification of the elderly LDH makes a significant effect on the treatment of MED, can be used as an indication of MED, and can be popularized in clinic.