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Percutaneous transforaminal endoscopic surgery (PTES) for symptomatic lumbar disc herniation: a surgical technique, outcome, and complications in 209 consecutive cases

Overview of attention for article published in Journal of Orthopaedic Surgery and Research, February 2017
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Title
Percutaneous transforaminal endoscopic surgery (PTES) for symptomatic lumbar disc herniation: a surgical technique, outcome, and complications in 209 consecutive cases
Published in
Journal of Orthopaedic Surgery and Research, February 2017
DOI 10.1186/s13018-017-0524-0
Pubmed ID
Authors

Yu-tong Gu, Zhan Cui, Hong-wei Shao, Yun Ye, Ai-qun Gu

Abstract

We designed an easy posterolateral transforaminal endoscopic decompression technique, termed PTES, for radiculopathy secondary to lumbar disc herniation. The purpose of the study is to describe the technique of PTES and evaluate the efficacy and safety for treatment of lumbar disc herniation including primary herniation, reherniation, intracanal herniation, and extracanal herniation and to report outcome and complications. PTES was performed to treat 209 cases of intracanal or extracanal herniations with or without extruding or sequestrated fragment, high iliac crest, scoliosis, calcification, or cauda equina syndrome including recurrent herniation after previous surgical intervention at the index level or adjacent disc herniation after decompression and fusion. Preoperative and postoperative leg pain was evaluated using the 10-point visual analog scale (VAS) and the results were determined to be excellent, good, fair, or poor according to the MacNab classification at 2-year follow-up. The patients were followed for an average of 26.3 ± 2.3 months. The VAS score of leg pain significantly dropped from 9 (6-10) before operation to 1 (0-3) (P < 0.001) immediately after the operation and to 0 (0-3) (P < 0.001) 2 years after operation. At 2-year follow-up, 95.7% (200/209) of the patients showed excellent or good outcomes, 2.9% (6/209) fair and 1.4% (3/209) poor. No patients had any form of permanent iatrogenic nerve damage and a major complication, although there were one case of infection and one case of recurrence. PTES for lumbar disc herniation is an effective and safe method with simple orientation, easy puncture, reduced steps, and little X-ray exposure, which can be applied in almost all kinds of lumbar disc herniation, including L5/S1 level with high iliac crest, herniation with scoliosis or calcification, recurrent herniation, and adjacent disc herniation after decompression and fusion. The learning curve is no longer steep for surgeons.

Twitter Demographics

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Mendeley readers

The data shown below were compiled from readership statistics for 37 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 37 100%

Demographic breakdown

Readers by professional status Count As %
Researcher 7 19%
Student > Bachelor 6 16%
Student > Ph. D. Student 4 11%
Student > Postgraduate 4 11%
Student > Master 3 8%
Other 7 19%
Unknown 6 16%
Readers by discipline Count As %
Medicine and Dentistry 15 41%
Engineering 2 5%
Nursing and Health Professions 2 5%
Business, Management and Accounting 1 3%
Biochemistry, Genetics and Molecular Biology 1 3%
Other 5 14%
Unknown 11 30%

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 11 February 2017.
All research outputs
#16,542,034
of 20,568,640 outputs
Outputs from Journal of Orthopaedic Surgery and Research
#819
of 1,238 outputs
Outputs of similar age
#282,246
of 385,660 outputs
Outputs of similar age from Journal of Orthopaedic Surgery and Research
#1
of 1 outputs
Altmetric has tracked 20,568,640 research outputs across all sources so far. This one is in the 11th percentile – i.e., 11% of other outputs scored the same or lower than it.
So far Altmetric has tracked 1,238 research outputs from this source. They receive a mean Attention Score of 3.0. This one is in the 16th percentile – i.e., 16% of its peers scored the same or lower than it.
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