A Prospective, Randomized Study Comparing the Results of Open Discectomy with Those of Video-Assisted Arthroscopic Microdiscectomy*†

Hermantin, Frank U.; Peters, Todd; Quartararo, Louis G.; Kambin, Parviz

doi:10.2106/00004623-199907000-00008

Cited by 306 publications

(206 citation statements)

References 21 publications

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“…41 The postoperative complications are decreased after minimally invasive surgery. 42 Therefore, the hospitalization time could be reduced because of the good surgery result. High-tech equipment and cutting-edge technology are the main factors to limit the development of minimally invasive surgery.…”

Section: Discussionmentioning

confidence: 99%

Efficacy comparison between minimally invasive and conventional surgery for lumbar disc herniation in Chinese Han population: a meta-analysis

Shao

Wang

et al. 2014

Spinal Cord

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Study design: The pooled data were analyzed using RevMan 5.2 software. Objectives: The aim was to compare the efficacy of minimally invasive and conventional surgery for lumbar disc herniation (LDH) in Chinese Han population. Setting: China. Methods: An electronic search up to November 2013 was performed to retrieve all relevant articles. The overall standardized mean difference (SMD) for continuous outcomes and odds ratio (OR) for dichotomous variables as well as their 95% confidence intervals (CIs) were calculated to compare the efficacy of minimally invasive and conventional surgery. Results: A total of 23 studies involving 1913 patients treated by minimally invasive surgery and 2295 patients treated by conversational surgery were included in this meta-analysis. The overall estimate indicated that minimally invasive surgery could significantly decrease the hospitalization time (SMD ¼ À2.03, 95% CI, À2.49 to 1.56, Po0.0001), blood loss (SMD ¼ À2.65, 95% CI À3.33 to 1.97, Po0.0001), incision length (SMD ¼ À3.57, 95% CI, À4.39 to 2.75, Po0.0001), recurrence rate (odds ratio (OR) ¼ 0.22, 95 CI: 0.08-0.60, P ¼ 0.003) and complications (OR ¼ 0.47, 95% CI: 0.25-0.92, P ¼ 0.03) and increase the postoperative excellent rate (OR ¼ 1.82, 95% CI, 1.44-2.31, Po0.0001) compared with conventional surgery. In addition, the pooled data showed that there was no statistically significant difference in the operative time (SMD ¼ À0.58, 95% CI, À1.32 to 0.15, P ¼ 0.12) between LDH patients treated by minimally invasive and conventional surgery. Conclusion: In conclusion, minimally invasive surgery was a more safe and effective treatment for treating LDH in Chinese Han population when compared with conventional surgery.

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Section: Discussionmentioning

confidence: 99%

Efficacy comparison between minimally invasive and conventional surgery for lumbar disc herniation in Chinese Han population: a meta-analysis

Shao

Wang

et al. 2014

Spinal Cord

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“…Percutaneous endoscopic discectomy was first used for treating uncomplicated herniated discs in the early 1980s [14]. Numerous minimally invasive percutaneous endoscopic procedures for lumbar disc herniation have been developed for spinal surgery with clinical outcomes comparable to those of conventional open surgery [12,23].…”

Section: Discussionmentioning

confidence: 99%

Identifying Pathogens of Spondylodiscitis: Percutaneous Endoscopy or CT-guided Biopsy

Yang

Chen

et al. 2008

Clinical Orthopaedics &Amp; Related Research

103

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Identifying offending pathogens is crucial for appropriate antibiotic administration for infectious spondylitis. Although computed tomography (CT)-guided biopsy for bacteriologic diagnosis is a standard procedure, it has a variable success rate. Some reports claim percutaneous endoscopic discectomy and drainage offer a sufficient amount of tissue for microbiologic examination and easy application. We therefore compared the diagnostic value of CT guidance with that of endoscope guidance in 52 patients with suspected infectious spondylitis. Twenty patients underwent percutaneous endoscopic discectomy and drainage by an orthopaedic surgeon and the other 32 patients underwent CT-guided biopsies by a radiologist. Patients were followed a minimum of 12 months after treatment. Culture results of the biopsy specimens were recorded. Causative bacteria were identified more frequently with percutaneous endoscopy than in CT-guided biopsy (18 of 20 [90%] versus 15 of 32 [47%]). We observed no biopsy-related complications or side effects in either group. The data suggest percutaneous endoscopic discectomy and drainage yield higher bacterial recovery rates than CT-guided spinal biopsy. Level of Evidence: Level III, therapeutic study. See the Guidelines for Authors for a complete description of levels of evidence.

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“…Recently, numerous minimally invasive, percutaneous, endoscopic procedures for lumbar disc herniation have been developed for spinal surgery, with clinical outcomes comparable to those of conventional open surgery [11,25]. The minimal invasiveness and simplicity of the technique led the authors to apply it in treating infectious spondylitis in select cases.…”

Section: Discussionmentioning

confidence: 99%

Percutaneous endoscopic discectomy and drainage for infectious spondylitis

Yang

Chen

et al. 2006

International Orthopaedics (SICOT)

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Fifteen patients with infectious spondylitis were treated by percutaneous endoscopic discectomy and drainage (PEDD) and associated appropriate parenteral antibiotics. Infectious spondylitis was diagnosed clinically, on the basis of elevated erythrocyte sedimentation rate (ESR) and Creactive protein (CRP) values, and on roentgenographic and magnetic resonance imaging (MRI) findings. Causative bacteria were identified in 13 (86

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A Prospective, Randomized Study Comparing the Results of Open Discectomy with Those of Video-Assisted Arthroscopic Microdiscectomy*†

Cited by 306 publications

References 21 publications

Efficacy comparison between minimally invasive and conventional surgery for lumbar disc herniation in Chinese Han population: a meta-analysis

Efficacy comparison between minimally invasive and conventional surgery for lumbar disc herniation in Chinese Han population: a meta-analysis

Identifying Pathogens of Spondylodiscitis: Percutaneous Endoscopy or CT-guided Biopsy

Percutaneous endoscopic discectomy and drainage for infectious spondylitis

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