COMPARATIVE STUDY ON THE IMPACT OF PERCUTANEOUS TRANSFORAMINAL AND DISCOSCOPY MINIMALLY INVASIVE SURGERIES ON OUTCOMES AND LONG-TERM RECOVERY IN ELDERLY ATHLETES WITH LUMBAR DISC HERNIATION

Abstract

Objective: This study aimed to compare the effects of percutaneous endoscopic lumbar discectomy (PELD) and traditional minimally invasive discectomy on surgical outcomes, postoperative complications, and long-term prognosis among elderly athletes with lumbar disc herniation (LDH). Methods: We retrospectively analyzed 120 elderly athletes with LDH treated in our hospital from February 2019 to June 2022. Participants were divided into two groups: the study group (n=60) received PELD, while the control group (n=60) underwent traditional minimally invasive discectomy. We assessed the surgical effectiveness, pain reduction (Visual Analogue Scale, VAS), functional recovery (Oswestry Dysfunction Index, ODI), surgical metrics (operation time, bed rest time, blood loss, and incision length), incidence of postoperative complications, and overall quality of life. Results: The study group exhibited a higher rate of excellent and good outcomes. Postoperative VAS scores were significantly lower in the study group at 4 and 8 weeks, indicating better pain management. Similarly, ODI scores were lower in the study group at these times, suggesting better functional recovery. Surgical metrics favored the PELD group with shorter operation times, reduced bed rest, lesser blood loss, and smaller incisions. Moreover, the incidence of complications such as nerve root injury, vascular injury, intervertebral infection, and lumbar instability was notably lower in the PELD group. Quality of life scores improved significantly postoperatively, with the study group scoring higher in physical well-being, psychological health, social functioning, and health self-awareness. Conclusion: Percutaneous endoscopic lumbar discectomy is a superior option for elderly athletes suffering from lumbar disc herniation, offering less invasive surgery, quicker recovery, reduced complications, and enhanced quality of life post-surgery. This method not only safeguards the athletes' health but also ensures a swift return to their sporting activities