Clinical comparison of percutaneous endoscopic lumbar discectomy and posterior lumbar interbody fusion for L4/5 and L5/S1 dual-level disc herniation.

ABSTRACT: This was a retrospective study. The present study investigates whether Percutaneous Endoscopic Lumbar Discectomy via Transforaminal Approach Combined with Interlaminar Approach(PELD) is no less effective than posterior lumbar interbody fusion(PLIF) in the treatment of L4/5 and L5/S1 two-level disc herniation. In this retrospective study, we included 40 patients with L4/5 and L5/S1 two-level lumbar disc herniation (LDH) who received PELD (n = 18) or PLIF (n = 22). The two groups are divided into a united group(PELD) and a fusion group(PLIF). In the united group, the transforaminal approach was adopted for L4/5 level disc herniation, and the interlaminar approach was adopted for L5/S1 level disc herniation. The degree of nerve root and dural compression determined by MRI was taken preoperati

SUBMITTER: Zhang H 

PROVIDER: S-EPMC11873299 | biostudies-literature | 2025 Mar

REPOSITORIES: biostudies-literature