Affiliation:
1. Department of Orthopaedic Surgery, The First Affiliated Hospital of Soochow University, Suzhou, Jiangsu Province, China
Abstract
Background: Percutaneous endoscopic lumbar discectomy (PELD) often refers to percutaneous
endoscopic transforaminal discectomy (PETD) and percutaneous endoscopic interlaminar
discectomy (PEID). As a minimally invasive spinal procedure, PELD has gained increasing recognition
for its small incision, quick recovery, short hospital stay, and equivalent clinical outcome compared
to open surgery. In order to obtain satisfactory clinical efficacy, adequate consideration should be
given regarding the indication of PELD. On the other hand, complications related to PELD will also
significantly affect the safety and outcome of surgery.
Objective: Our objective was to conduct a literature review of the indications and complications
of PELD and to provide our experience in patient selection and solutions to complications related
to PELD.
Study Design: The study is a literature review focused on the indications and complications of
PELD.
Setting: The study is a literature review on the indications and complications of PELD.
Methods: A comprehensive review of available literature on PELD was performed. Particular
focus was given to the development of indications and prevention of complications. The literature
was searched in PubMed database, and key words were set as “percutaneous endoscopic lumbar
discectomy”, “percutaneous endoscopic transforaminal discectomy”, “percutaneous endoscopic
interlaminar discectomy”, “PELD”, “PETD”, “PEID”, “YESS” and “TESSYS”.
Results: PELD is an effective and safe treatment for lumbar disc herniation, lumbar spinal stenosis,
recurrent lumbar disc herniation, and other lumbar diseases. Complications related to PELD include
dural tear, nerve root injury, recurrence, and so on.
Limitations: Some results drawn in this review are based on retrospective study or small sample
size. Studies of larger sample size and more multicenter, randomized controlled trials should be
conducted to evaluate the clinical efficacy and safety of PELD.
Conclusions: PELD is a promising surgical technique for lumbar diseases. Proper patient selection,
excellent surgical skills, and rich experience are required for satisfactory outcomes.
Key words: Complications, indications, minimally invasive spine surgery, PELD
Publisher
American Society of Interventional Pain Physicians
Subject
Anesthesiology and Pain Medicine
Cited by
12 articles.
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