Treatment of lumbar intervertebral disc herniation using open spinal endoscopy: Techniques and clinical outcomes

Abstract Background The aims of this paper are to introduce Open spinal endoscopy (OSE), which is a new single hole split‐type spinal endoscopic technique that can achieve adequate decompression and lumbar discectomy with preservation of the facet joints and posterior ligamentous complex, and to determine whether it can be widely performed. Methods Data from 58 patients who were treated for lumbar disc herniation using the open spinal endoscopic technique at Anhui No. 2 Provincial People's Hospital between July, 2021 and February, 2022 were retrospectively analyzed. Pain in the lower back and legs was evaluated using the visual analog scale (VAS) score, neurologic status by the Japanese Orthopedic Association (JOA) score, and degree of disability by the Oswestry Disability Index (ODI). These evaluations were performed on the day before surgery and at the final postoperative follow‐up. Surgical outcomes were assessed using the modified MacNab criteria. The method described by Dohzono and Matsumura was used to evaluate facet joint preservation. Results After surgery, the VAS score decreased from 8.4 ± 3.1 to 0.8 ± 0.8 (p