Health-related quality of life after transforaminal percutaneous endoscopic discectomy: An analysis according to the level of operation :Stylianos Kapetanakis, Georgios Charitoudis, Tryfon Thomaidis, Panagiotis Theodosiadis, Jannis Papathanasiou, Konstantinos Giatroudakis, Journal of Craniovertebral Junction and Spine

ORIGINAL ARTICLE
Year : 2017 | Volume : 8 | Issue : 1 | Page : 44--49

Health-related quality of life after transforaminal percutaneous endoscopic discectomy: An analysis according to the level of operation

Stylianos Kapetanakis¹, Georgios Charitoudis¹, Tryfon Thomaidis¹, Panagiotis Theodosiadis¹, Jannis Papathanasiou², Konstantinos Giatroudakis¹
¹ Spine Department and Deformities, Interbalkan European Medical Center, Thessaloniki, Greece
² Department of Medical Imaging, Allergology and Physiotherapy, Faculty of Dental Medicine, Plovdiv Medical University, Plovdiv; Department of Kinesitherapy, Faculty of Public Health, Medical University of Sofia, Sofia, Bulgaria

Correspondence Address:
Stylianos Kapetanakis
Interbalkan European Medical Center, Thessaloniki 57001
Greece

Background: Many patients suffer from radiculopathy and low back pain due to lumbar disc hernia. Transforaminal percutaneous endoscopic discectomy (TPED) is a minimally invasive method that accesses the disc pathology through the intervertebral foramen. Health-related quality of life (HRQoL) has been previously assessed for this method. However, a possible effect of the level of operation on the postoperative progress of HRQoL remains undefined. Purpose: The purpose of this study was to evaluate the impact of the level of operation on HRQoL, following TPED. Patients and Methods: A total of 76 patients diagnosed with lumbar disc hernia were enrolled in the study. According to the level of operation, they were divided into three groups: Group A (21 patients) for L3–L4, Group B (40 patients) for L4–L5, and Group C (15 patients) for L5–S1 intervertebral level. All patients underwent TPED. Their HRQoL was evaluated by the short-form-36 (SF-36) health survey questionnaire before the operation and at 6 weeks, 3, 6, and 12 months postsurgery. The progress of SF-36 was analyzed in relation to the operated level. Results: All aspects of SF-36 showed statistical significant improvement, at every given time interval (P ≤ 0.05) in the total of patients and in each group separately. Group A had a significantly higher increase in physical functioning (PF) score at 3 and 12 months postsurgery (P = 0.046 and P = 0.056, respectively). On the other hand, Group B had a significant lower increase in mental health (MH) score at 6 months (P = 0.009) postoperatively. Conclusion: Our study concludes that the level of operation in patients who undergo TPED for lumbar disc herniation affects the HRQoL 1 year after surgery, with Group A having a significantly greater improvement of PF in comparison with Groups B and C.

How to cite this article:
Kapetanakis S, Charitoudis G, Thomaidis T, Theodosiadis P, Papathanasiou J, Giatroudakis K. Health-related quality of life after transforaminal percutaneous endoscopic discectomy: An analysis according to the level of operation.J Craniovert Jun Spine 2017;8:44-49

How to cite this URL:
Kapetanakis S, Charitoudis G, Thomaidis T, Theodosiadis P, Papathanasiou J, Giatroudakis K. Health-related quality of life after transforaminal percutaneous endoscopic discectomy: An analysis according to the level of operation. J Craniovert Jun Spine [serial online] 2017 [cited 2023 Mar 27 ];8:44-49
Available from: https://www.jcvjs.com/article.asp?issn=0974-8237;year=2017;volume=8;issue=1;spage=44;epage=49;aulast=Kapetanakis;type=0