[Analysis of the results of endoscopic surgical treatment for hernias of the lumbosacral disks].

The paper provides a comparative analysis of the results of treatment in the patients with disk hernia at the lumbosacral levels, who have been endoscopically operated on by a modified procedure described by J. Destandau and by the routine procedure. In the study group, 58 patients (31 males and 27 females) were operated on. The results of treatment were assessed, by using the MacNab spinal endoscopic intervention scale: there were good results in 88% of cases, fair results in 8.6%, and poor ones in 3.4% (2 patients). In the control group, these were 77.4, 17.8, and 4.8%, respectively. The procedure proposed by the authors for fenestration of the intervertebral disk may extend indications for endoscopic diskectomy and its capacities in ossified disk hernias. Two-stage traction of the root may minimize its injury, particularly in herniated median and paramedian disks.