Minimally invasive discectomy versus microdiscectomy/ discectomy for symptomatic lumbar disc herniation

@article{RahimiMovaghar2014MinimallyID,
  title={Minimally invasive discectomy versus microdiscectomy/ discectomy for symptomatic lumbar disc herniation},
  author={Vafa Rahimi-Movaghar and Mohammad Reza Rasouli and Farhad Shokraneh and Maziyar Moradi-lakeh and Alex Vakaro and Mohsen Sadeghi-Naini},
  journal={Journal of Injury and Violence Research},
  year={2014},
  volume={4}
}
Abstract: Background: Lumbar discectomy is a surgery to remove all or part of a disc cushion that helps protect the spinal column. These cushions, called disks, separate the spinal vertebrae/bones. When one of the disks herniates (moves out of place) in patients with protruded disc, the soft gel inside pushes through the wall of the disk. The disk may then place pressure on the spinal cord and nerves that are coming out of the spinal column. The lumbar discectomy procedure remained basically… 

Figures and Tables from this paper

Full-Endoscopic Technique Discectomy Versus Microendoscopic Discectomy for the Surgical Treatment of Lumbar Disc Herniation.

Although the clinical outcomes of the 2 surgical techniques were similar, the FED had the advantages of quicker postoperative recovery and more immediate effect.

Quantity of Disc Removal and Radiological Outcomes of Percutaneous Endoscopic Lumbar Discectomy.

The amount of disc removal during PELD was not a significant predictor of clinical success after the primary ruptured fragments were removed, and the relative volume of the removed disc based on the preoperative MRI might predict the postoperative MRI.

The Clinical Outcomes of Transforaminal Percutaneous Endoscopic Discectomy in Treating Lumbar Disc Herniation: A Review

The main objective of this review article is to show the clinical outcomes of the Transforaminal Percutaneous Endoscopic Discectomy in treating the lumbar disc herniation.

Open fenestration discectomy versus microscopic fenestration discectomy for lumbar disc herniation: a randomized controlled trial

Use of microscope in fenestration discectomy for treatment of symptomatic lumbar disc herniation can achieve the same goals of open fenESTration regarding nerve root decompression and relief of leg pain with advantage of less back pain, less hospital staying and early return to daily activities with disadvantage of more cost with the use of microscope.

Tubular discectomy versus conventional microdiscectomy for the treatment of lumbar disc herniation: long-term results of a randomised controlled trial

Main outcomes are the Roland-Morris Disability Questionnaire for Sciatica (RDQ), Visual Analogue Scale for leg pain and low back pain, self-perceived recovery and reoperation incidence, and primary and secondary outcome measures did not support the hypothesised advantages of tubular discectomy over conventional microdiscectome.

Reoperation Rates of Microendoscopic Discectomy Compared With Conventional Open Lumbar Discectomy: A Large-database Study.

A retrospective, comparative study of adult patients who underwent microendoscopic discectomy or microdiscectom or open disceCTomy for lumbar disc herniation from April 2008 to October 2017 and who were followed until October 2020 using a commercially available administrative claims database, which improved the accuracy of postoperative reoperation rates.

Transforaminal Endoscopic Discectomy versus Microdiscectomy for Treatment of Lumbar Disc Herniation and Associated Unilateral Sciatica: A Comparative Study

A retrospective study on the treatment of low back pain and unilateral sciatica due to lower lumbar herniated discs with transforaminal endoscopic discectomy and TED finds that MID is the gold standard surgical approach till now for treating LDP and associated Sciatica.

Feasibility and surgical technique of percutaneous transforaminal discectomy for the treatment of lumbar disc herniation

The operative technique with a clinical case and a discussion about the applicability of the new approach for the treatment of lumbar disc herniations are presented, with the possibility of early discharge within 2 hours after its completion.

How I do it: percutaneous transforaminal endoscopic discectomy for lumbar disk herniation

PTED seems a promising alternative to conventional discectomy in patients with LDH and can be performed safely.

Biportal Endoscopic Lumbar Decompression for Lumbar Disk Herniation and Spinal Canal Stenosis: A Technical Note

BELD can achieve a similar decompression effect as microdiskectomy and unilateral laminotomy for bilateral decompression with a smaller incision than tubular diskeCTomy.
...

References

SHOWING 1-10 OF 67 REFERENCES

Percutaneous endoscopic discectomy: surgical technique and preliminary results compared to microsurgical discectomy.

Percutaneous endoscopic discectomy appears to offer an alternative to microdisceCTomy for patients with "contained" and small subligamentous lumbar disc herniations.

Discectomy strategies for lumbar disc herniation: results of the LAPDOG trial

A multicenter randomized clinical trial designed to compare both treatment efficacy and cost-effectiveness of automated percutaneous discectomy and conventional discctomy in adult patients with no prior lumbar spinal surgery, no coexistent lumbAR spinal disease, unilateral single level lumbarexercise with images confirming disc herniation at the appropriate level.

Microendoscopic versus Open Discectomy for Lumbar Disc Herniation: A Prospective Randomised Study

Surgical and anaesthesia times were significantly longer, but blood loss and hospital stay were significantly reduced in patients having MED than open discectomy, and both methods are equally effective in relieving radicular pain.

Systematic review of percutaneous lumbar mechanical disc decompression utilizing Dekompressor.

A systematic review of the clinical effectiveness of the Dekompressor, a high rotation per minute device utilizing an Archimedes screw, used in mechanical lumbar disc decompression, finds the indicated level of evidence is Level III for short- and long-term relief.

COMPARISON OF OPEN DISCECTOMY WITH MICROENDOSCOPIC DISCECTOMY IN LUMBAR DISC HERNIATIONS: RESULTS OF A RANDOMIZED CONTROLLED TRIAL

The few parameters that were found to be statistically significant between the groups did not affect the overall outcome and the final clinical and neurological results were similarly satisfactory in both the OD and the MED groups.

Lumbar microdiscectomy: a historical perspective and current technical considerations.

In their experience performing more than 3000 microdiscectomies, the authors have produced good-to-excellent clinical results in nearly 90% of patients, with the majority returning to work within 1 month.

Higher risk of dural tears and recurrent herniation with lumbar micro-endoscopic discectomy

Existing studies on micro-endoscopic lumbar discectomy report similar outcomes to those of open and microdiscectomy and conflicting results on complications. We designed a randomised controlled trial

Transforaminal percutaneous endoscopic discectomy in the treatment of far-lateral and foraminal lumbar disc herniations.

Transforaminal percutaneous endoscopic discectomy is safe and efficacious in the treatment of far-lateral and foraminal disc herniations.

Management of sciatica due to lumbar disc herniation in the Netherlands: a survey among spine surgeons.

A descriptive survey among spine surgeons in the Netherlands to obtain an overview of routine management of lumbar disc herniation found unilateral transflaval discectomy was the most frequently performed procedure and was expected to be the most effective, whereas percutaneous laser disc decompression was expectedto be the least effective.
...