PROSPECTIVE EVALUATION OF EARLY MOBILIZATION PROTOCOLS AFTER INTERLAMINAR ENDOSCOPIC LUMBAR DISCECTOMY: IMPACT ON PAIN, RECOVERY, AND PATIENT SATISFACTION

Abstract

Interlaminar Endoscopic Lumbar Discectomy (IELD) is a minimally invasive spinal procedure that offers rapid recovery and reduced postoperative morbidity. Despite its advantages, the optimal timing for postoperative mobilization remains unclear. Early ambulation may enhance recovery, but concerns about pain and complications have limited its adoption.

Objective: This study aimed to evaluate the impact of early mobilization (within 6–12 hours) versus standard mobilization (after 24 hours) on postoperative pain, functional recovery, patient satisfaction, and complication rates in patients undergoing IELD.

Methods: A prospective observational study was conducted on 60 patients undergoing IELD, divided into two groups based on mobilization timing. Pain was assessed using the Visual Analog Scale (VAS), functional recovery using the Oswestry Disability Index (ODI), and satisfaction using a 5-point Likert scale. Complications were monitored throughout the follow-up period. Statistical analyses included t-tests, ANOVA, Chi-square, and Pearson correlation.

Results: Patients in the early mobilization group demonstrated significantly lower pain scores at Day 1 and Week 1 (p < 0.05), faster functional recovery at Week 1 (p = 0.04), and higher satisfaction at Month 1. No major complications were reported in either group. Minor issues such as transient numbness and mild wound discomfort were evenly distributed.

Conclusion: Early mobilization following IELD is safe and associated with improved short-term outcomes. These findings support the integration of early ambulation protocols into postoperative care for minimally invasive spine surgery.