title: [Specific features of technique and long-term results of portal endoscopic procedures in lumbosacral disk herniations].
abstract: Aim of the study was to investigate technique, long-term results and complications of portal endoscopic procedures in lumbosacral disk herniations. We analyzed results of surgical treatment of 112 patients with lumbosacral disk herniations operated in Burdenko Moscow Neurosurgical Institute during 2008 and 2009 years. To compare our data we used foreign publications and standard MacNab scale. Analysis of long-term outcomes 6 months after surgery revealed excellent results in 83,9% (using MacNab scale), good - in 8,9%, satisfactory--in 2,7% of patients. Poor results was observed in 1,8%, dissatisfactory--in 2,7%. Frequency of postoperative complications comprised 10,7%, recurrent disk herniation in 2,7% and neuropathy in 1,8% of cases. Our experience demonstrated that of portal endoscopic procedures are advanced highly-effective and minimally traumatic alternative to existing methods of microsurgical treatment of lumbosacral disk herniations. Portal endoscopic procedures, like any high-technology manipulations, require special education, development of skills of endoscopic surgery, update of devices and surgical techniques.
authors.forename: S O
authors.initials: SO
authors.lastname: Arestov
authors.forename: A O
authors.initials: AO
authors.lastname: Gushcha
authors.forename: A A
authors.initials: AA
authors.lastname: Kashcheev
mesh_terms: D000328:Adult; D000368:Aged; D004724:Endoscopy / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007405:Intervertebral Disc Displacement / Q000601:surgery*; D008161:Lumbosacral Region / Q000601:surgery; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D013997:Time Factors