ArticleBMC musculoskeletal disorders2023
Surgical outcomes of percutaneous endoscopic lumbar discectomy in obese adolescents with lumbar disc herniation.
Article in BMC musculoskeletal disorders, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
14 citing papers in PubMed, 18 citations in OpenAlex.
- Endoscopic lumbar decompression in patients with obesity does not correlate with inferior outcomes.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026Article
- Pediatric lumbosacral disc herniation: risk factors, surgical outcomes, and the potential impact of the lockdown associated with the COVID-19 pandemic.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2026Article
- Identifying the key microbiome associated with lumbar discherniation in Chinese patients.Frontiers in cell and developmental biology · 2026Article
- Comparison of functional outcomes in patients with lumbar canal stenosis with and without obesity treated with lumbar decompression surgery.Frontiers in surgery · 2026Article
- Clinical characteristics and distinct recovery trajectories of pain and disability after lumbar microdiscectomy in children and adolescents.Frontiers in surgery · 2026Article
- Endoscopic spine surgery across the pediatric pathological spectrum: A systematic review of indications, techniques, and outcomes.Surgical neurology international · 2026Review
- The influence of obesity on the outcomes of endoscopic spinal surgery: a meta-analysis.Asian spine journal · 2025Article
- MRI changes and clinical results of low energy semiconductor percutaneous laser disc decompression(LS-PLDD) for lumbar disc herniation in adolescents.Lasers in medical science · 2025Article
- Unilateral Biportal Endoscopic Discectomy (UBE) Versus Percutaneous Endoscopic Lumbar Discectomy (PELD) for Treating Lumbar Disc Herniation in Obese Patients: A Retrospective Study.Medical science monitor : international medical journal of experimental and clinical research · 2025Article
- Adolescent lumbar disc herniation: etiology, diagnosis, and treatment options.Journal of orthopaedic surgery and research · 2025Review
- Endoscopic spine surgery for obesity-related surgical challenges: a systematic review and meta-analysis of current evidence.Asian spine journal · 2025Article
- Assessment of Obesity as Risk Factor of Lumbar Disc Surgery: Retrospective Analysis of 598 Cases and Simulated Surgery on 3D-Printed Models.Journal of clinical medicine · 2024Article
- Discectomy for Lumbar Disc Herniation in Pediatric and Adolescent Populations: A Systematic Review and Meta-Analysis.Cureus · 2024Review
- Risk factors for surgical site infection after percutaneous endoscopic lumbar discectomy.International wound journal · 2024Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
Abstract
In recent years, with improved living standards, adolescent obesity has been increasingly studied. The incidence of lumbar disc herniation (LDH) in obese adolescents is increasing yearly. No clinical studies have reported the use of percutaneous endoscopic lumbar discectomy (PELD) in obese adolescent lumbar disc herniation (ALDH) patients. This study evaluated the preliminary surgical outcomes of PELD in obese ALDH patients. Fifty-one ALDH patients underwent single-level PELD surgery between January 2014 and January 2020. Patients were divided into an obese group and a normal group. Patient characteristics and surgical variables were compared between the two groups. The VAS, ODI, and SF-36 scales were used preoperatively and postoperatively to evaluate the clinical efficacy. In this study, 19 patients were included in the obese group, and 28 were included in the normal group. There was no significant difference in age, sex, duration of low back pain, duration of leg pain, or operative level between the obese and normal groups preoperatively. The obese group had a longer operative time (OT) (101.9 ± 9.0 min vs. 84.3 ± 11.0 min, P < 0.001), more fluoroscopy exposures (41.0 ± 5.8 vs. 31.6 ± 7.0, P < 0.001) and a longer time to ambulation (29.9 ± 4.0 vs. 25.0 ± 2.9, p < 0.001) than the normal group. The groups did not significantly differ in complications. The VAS score for back and leg pain and the ODI and SF-36 score for functional status improved significantly postoperatively. The PELD procedure is a safe and feasible method for treating LDH in obese adolescents. Obese ALDH patients require a longer OT, more fluoroscopy exposures and a longer time to get out of bed than normal ALDH patients. However, PELD yields similar clinical outcomes in obese and normal ALDH patients.
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