{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,7,31]],"date-time":"2024-07-31T01:01:51Z","timestamp":1722387711045},"reference-count":33,"publisher":"Georg Thieme Verlag KG","issue":"02","license":[{"start":{"date-parts":[[2023,6,16]],"date-time":"2023-06-16T00:00:00Z","timestamp":1686873600000},"content-version":"vor","delay-in-days":15,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Asian J Neurosurg"],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Aim\u2003The aim of this study was to undertake a clinical study to evaluate the outcomes of transforaminal endoscopic discectomy under local anesthesia and to study the complication rate.<\/jats:p><jats:p>\n          Study Design\u2003It is a prospective study.<\/jats:p><jats:p>\n          Methods\u2003We prospectively analyzed outcomes of 60 patients with a single-level lumbar disc prolapse in rural India from December 2018 to April 2020 who underwent endoscopic discectomy under local anesthesia. Follow-up was done using the visual analogue score (VAS) and Oswestry Disability Index (ODI) scoring systems with a minimum follow-up up to 1 year postoperatively.<\/jats:p><jats:p>\n          Results\u2003In our study of 60 patients, there was 38 cases of L4-L5 disc pathology, 13 L5\u2013S1 discs, and 9\u2009L3-L4 discs. Our study showed a significant clinical reduction in mean VAS score that was 7.07\/10 preoperatively and reduced to 3.88\/10 at the third month and 3.64\/10 at 1 year of follow-up (p-value\u2009&lt;\u20090.05) showing clinical significance. The ODI scoring done preoperatively was an average mean of 57.37% pointing to how crippled the patients were with lumbar disc prolapse and showed a significant reduction to 29.32% postoperatively at 1 year (p-value\u2009&lt;\u20090.05) showing clinical significance. This reduction in ODI directly corelates to how almost all patients returned to normal life coping to all activities and were completely pain free at 1 year of follow-up.<\/jats:p><jats:p>\n          Conclusion\u2003Endoscopic spine surgery in lumbar disc prolapse is highly effective and can deliver a good functional outcome if done with correct preoperative planning and approach.<\/jats:p>","DOI":"10.1055\/s-0043-1769756","type":"journal-article","created":{"date-parts":[[2023,6,16]],"date-time":"2023-06-16T23:21:32Z","timestamp":1686957692000},"page":"312-320","source":"Crossref","is-referenced-by-count":1,"title":["Outcome of Transforaminal Endoscopic Discectomy in Rural India in a Single-Level Lumbar Disc Prolapse Under Local Anesthesia"],"prefix":"10.1055","volume":"18","author":[{"given":"Vishnu Vikraman","family":"Nair","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, MGM Institute of Health Sciences, Navi Mumbai, Maharashtra, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarabjeet","family":"Kohli","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, MGM Institute of Health Sciences, Navi Mumbai, Maharashtra, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nilesh","family":"Vishwakarma","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, MGM Institute of Health Sciences, Navi Mumbai, Maharashtra, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juilee","family":"Mhatre","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, MGM Institute of Health Sciences, Navi Mumbai, Maharashtra, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2023,6,16]]},"reference":[{"issue":"05","key":"ref1","doi-asserted-by":"crossref","first-page":"363","DOI":"10.1056\/NEJM200102013440508","article-title":"Low back pain","volume":"344","author":"R A Deyo","year":"2001","journal-title":"N Engl J Med"},{"issue":"08","key":"ref2","doi-asserted-by":"crossref","first-page":"691","DOI":"10.1016\/0021-9681(85)90023-2","article-title":"Factors associated with self-reported back-pain prevalence: a population-based study","volume":"38","author":"L S Reisbord","year":"1985","journal-title":"J Chronic Dis"},{"issue":"11","key":"ref3","doi-asserted-by":"crossref","first-page":"1307","DOI":"10.1097\/00007632-199506000-00022","article-title":"Aging and degeneration of the human intervertebral disc","volume":"20","author":"J A Buckwalter","year":"1995","journal-title":"Spine"},{"issue":"165","key":"ref4","first-page":"110","article-title":"Instability of the lumbar spine","author":"W H Kirkaldy-Willis","year":"1982","journal-title":"Clin Orthop Relat Res"},{"issue":"12","key":"ref5","doi-asserted-by":"crossref","first-page":"1320","DOI":"10.1097\/00007632-199406000-00003","article-title":"IgG and IgM concentration in the prolapsed human intervertebral disc and sciatica etiology","volume":"19","author":"I Spiliopoulou","year":"1994","journal-title":"Spine"},{"issue":"03","key":"ref6","doi-asserted-by":"crossref","first-page":"229","DOI":"10.1007\/s007760050156","article-title":"Immunohistological study of intervertebral disc herniation of lumbar spine","volume":"5","author":"Y Arai","year":"2000","journal-title":"J Orthop Sci"},{"issue":"13","key":"ref7","doi-asserted-by":"crossref","first-page":"1426","DOI":"10.1097\/01.brs.0000219954.67368.be","article-title":"Expression of ADAMTS-4 (aggrecanase-1) and possible involvement in regression of lumbar disc herniation","volume":"31","author":"E Hatano","year":"2006","journal-title":"Spine"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"325","DOI":"10.1136\/bmj.1.4023.325","article-title":"Referred pains from muscle","volume":"1","author":"J H Kellgren","year":"1938","journal-title":"BMJ"},{"key":"ref9","volume-title":"Turek's Orthopaedics: Principles and Their Application","author":"S L Weinstein","year":"2005"},{"key":"ref10","first-page":"1118","article-title":"Herniated lumbar disc","volume":"2009","author":"J Jordan","year":"2009","journal-title":"Clin Evid"},{"key":"ref11","volume-title":"Lumbar disc herniations","author":"C M Bono","year":"2006","edition":"5th ed."},{"issue":"20","key":"ref12","doi-asserted-by":"crossref","first-page":"2485","DOI":"10.1001\/jama.296.20.2485","article-title":"Surgical treatment of lumbar disk disorders","volume":"296","author":"E Carragee","year":"2006","journal-title":"JAMA"},{"issue":"17","key":"ref13","doi-asserted-by":"crossref","first-page":"1064","DOI":"10.1056\/NEJM198610233151705","article-title":"How many days of bed rest for acute low back pain? A randomized clinical trial","volume":"315","author":"R A Deyo","year":"1986","journal-title":"N Engl J Med"},{"issue":"06","key":"ref14","doi-asserted-by":"crossref","first-page":"351","DOI":"10.1056\/NEJM199502093320602","article-title":"The treatment of acute low back pain\u2013bed rest, exercises, or ordinary activity?","volume":"332","author":"A Malmivaara","year":"1995","journal-title":"N Engl J Med"},{"issue":"238","key":"ref15","first-page":"4","article-title":"Loose cartilage from intervertebral disk simulating tumor of the spinal cord. By Walter E. Dandy, 1929","volume":"238","author":"W E Dandy","year":"1989","journal-title":"Clin Orthop Relat Res"},{"issue":"05","key":"ref16","doi-asserted-by":"crossref","first-page":"485","DOI":"10.3340\/jkns.2017.0203.004","article-title":"Endoscopic Spine Surgery","volume":"60","author":"G Choi","year":"2017","journal-title":"J Korean Neurosurg Soc"},{"issue":"05","key":"ref17","doi-asserted-by":"crossref","first-page":"884","DOI":"10.1016\/j.wneu.2014.05.032","article-title":"Fully endoscopic interlaminar and transforaminal lumbar discectomy: short-term clinical results of 163 surgically treated patients","volume":"82","author":"A Sencer","year":"2014","journal-title":"World Neurosurg"},{"issue":"06","key":"ref18","doi-asserted-by":"crossref","first-page":"879","DOI":"10.1007\/s00586-009-1272-6","article-title":"Transforaminal endoscopic surgery for lumbar stenosis: a systematic review","volume":"19","author":"J Nellensteijn","year":"2010","journal-title":"Eur Spine J"},{"issue":"09","key":"ref19","first-page":"14672","article-title":"New instrument for percutaneous posterolateral lumbar foraminoplasty: case series of 134 with instrument design, surgical technique and outcomes","volume":"8","author":"Z Li","year":"2015","journal-title":"Int J Clin Exp Med"},{"issue":"03","key":"ref20","doi-asserted-by":"crossref","first-page":"100","DOI":"10.1016\/S1935-9810(07)70054-3","article-title":"The learning curve in foraminal endoscopic discectomy: experience needed to achieve a 90% success rate","volume":"1","author":"R Morgenstern","year":"2007","journal-title":"SAS J"},{"key":"ref21","doi-asserted-by":"crossref","first-page":"90","DOI":"10.1016\/j.clineuro.2016.02.008","article-title":"Percutaneous lumbar foraminoplasty and percutaneous endoscopic lumbar decompression for lateral recess stenosis through transforaminal approach: technique notes and 2 years follow-up","volume":"143","author":"Z Z Li","year":"2016","journal-title":"Clin Neurol Neurosurg"},{"issue":"07","key":"ref22","doi-asserted-by":"crossref","first-page":"722","DOI":"10.1097\/00007632-200204010-00009","article-title":"Posterolateral endoscopic excision for lumbar disc herniation: Surgical technique, outcome, and complications in 307 consecutive cases","volume":"27","author":"A T Yeung","year":"2002","journal-title":"Spine"},{"issue":"01","key":"ref23","doi-asserted-by":"crossref","first-page":"79","DOI":"10.21037\/jss.2018.03.06","article-title":"Significance and pitfalls of percutaneous endoscopic lumbar discectomy for large central lumbar disc herniation","volume":"4","author":"M Kondo","year":"2018","journal-title":"J Spine Surg"},{"key":"ref24","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1016\/j.jocn.2016.01.043","article-title":"Percutaneous endoscopic lumbar discectomy for lumbar disc herniation","volume":"33","author":"X Li","year":"2016","journal-title":"J Clin Neurosci"},{"issue":"02","key":"ref25","doi-asserted-by":"crossref","first-page":"229","DOI":"10.1016\/j.jos.2017.10.015","article-title":"State-of-the-art transforaminal percutaneous endoscopic lumbar surgery under local anesthesia: discectomy, foraminoplasty, and ventral facetectomy","volume":"23","author":"K Sairyo","year":"2018","journal-title":"J Orthop Sci"},{"issue":"03","key":"ref26","doi-asserted-by":"crossref","first-page":"239","DOI":"10.1007\/s00586-002-0466-y","article-title":"Classification and management of early complications in open lumbar microdiscectomy","volume":"12","author":"R Kraemer","year":"2003","journal-title":"Eur Spine J"},{"issue":"03","key":"ref27","doi-asserted-by":"crossref","first-page":"415","DOI":"10.3171\/jns.1994.80.3.0415","article-title":"A long-term outcome analysis of 984 surgically treated herniated lumbar discs","volume":"80","author":"R A Davis","year":"1994","journal-title":"J Neurosurg"},{"issue":"16","key":"ref28","doi-asserted-by":"crossref","first-page":"E326","DOI":"10.1097\/01.BRS.0000134591.32462.98","article-title":"Percutaneous endoscopic lumbar discectomy for recurrent disc herniation: surgical technique, outcome, and prognostic factors of 43 consecutive cases","volume":"29","author":"Y Ahn","year":"2004","journal-title":"Spine"},{"issue":"05","key":"ref29","doi-asserted-by":"crossref","first-page":"290","DOI":"10.1016\/j.surge.2012.05.001","article-title":"Transforaminal endoscopic spinal surgery: the future 'gold standard' for discectomy? 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