Results of microsurgical lumbar discectomy

Ebeling, U.; Reichenberg, W.; Reulen, H. J.

doi:10.1007/bf01456264

Cited by 166 publications

(65 citation statements)

References 18 publications

(3 reference statements)

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“…In our series it did not overwhelm the results of these studies [12,53]. Moreover, the complication rates reported by Waguespack and Ebeling were higher and could be explained by different referral patterns and categories provided.…”

Section: Discussionsupporting

confidence: 56%

Clinical outcomes of patients with lumbar disc herniation, selected for one-level open-discectomy and microdiscectomy

2010

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The aim of our study was twofold: firstly, to compare the preoperative and postoperative results at midterm follow-up periods along with the data of the control group. Secondly, to evaluate the effectiveness among opendiscectomy and microdiscectomy surgical groups. In the present study, we investigated a cohort of 100 patients with the lumbar disc herniation causing low back pain compared to 100 subjects of the control group with the non-specific low back pain by applying physical activity, pain scale, Short Form 36 General Health Questionnaire and additional postoperative records of patient's satisfaction and complications level, consumption of analgesics, and return to work status. The quantitative analysis of all questionnaires showed substantial differences in the preoperative and postoperative groups. The best results were achieved at the second year follow-up period. However, there were no statistically significant differences in both the examined surgical subgroups (p [ 0.05). In addition, we estimated from moderate to great statistical significance (p \ 0.01-0.05) among preoperative and overall postoperative results: PHC and MHC in the SF-36, Oswestry and VAS. The total increased satisfaction, reherniation rate and return to work frequency comprised 40, 9 and 64%, respectively. The analgesics were still indicated for 21% of the patients. The results of the present study suggest of sufficient decompression in both surgical groups, as the health-related quality of life parameters (Oswestry, VAS and SF-36) were defined as clinically improved. Regardless of persisted minor pain in both areas, it remained greater in the low back than in the leg, which should be held for beneficial to decompressive surgery.

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Section: Discussionsupporting

confidence: 56%

Clinical outcomes of patients with lumbar disc herniation, selected for one-level open-discectomy and microdiscectomy

2010

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“…1,3,7,15,26 The effectiveness of lumbar microdiscectomy to treat patients with disc herniations has recently been documented in a number of prospective randomized trials in which open surgery was compared to conservative treatment. 17,25 Not too long after the introduction of microsurgery in the 1970s, interest grew among surgeons to minimize further the tissue trauma associated with the access to the disease.…”

Section: Discussionmentioning

confidence: 99%

Operative results and learning curve: microscope-assisted tubular microsurgery for 1- and 2-level discectomies and laminectomies

Parikh¹,

Tomasino²,

Knopman³

et al. 2008

FOC

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Object The authors present their clinical results and the learning curve associated with the use of tubular retractors for 1- and 2-level lumbar microscope-assisted discectomies and laminectomies. Methods The study involves a retrospective and prospective analysis of 230 patients who underwent noninstrumented minimally invasive procedures for degenerative lumbar spinal disease between 2004 and 2007. Data on patient demographic characteristics and operative results, including length of stay, blood loss, operative times, and surgical complications were collected. Clinical outcomes were assessed based on pre- and postoperative Visual Analog Scale scores, Oswestry Disability Index values, and the Macnab outcome scale scores. Results The results showed characteristic differences in blood loss and operating times between 1- and 2-level procedures and between discectomies and laminectomies. A significant learning curve was seen by a decrease in operating time for 1- level discectomies and 2-level laminectomies. Major complications were not observed. Conclusions The use of tubular retractors for microsurgical decompression of degenerative spinal disease is a safe and effective treatment modality. As with other techniques, minimally invasive procedures are associated with a significant learning curve. As surgeons become more comfortable with the procedure, its applications can be expanded to include, for example, spinal instrumentation and deformity correction.

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“…While the results of surgery for herniated lumbar intervertebral discs are good in most cases [5,8], persistent or recurrent lower back pain and sciatica are a considerable clinical problem with an incidence of 10-20% [3,5,8]. When recurrent disc herniation or bony stenosis are absent and if scar formation is visible on MRI the pain is often ascribed to the fibrosis.…”

Section: Introductionmentioning

confidence: 99%

Recurrent pain after lumbar discectomy: the diagnostic value of peridural scar on MRI

Vogelsang

Finkenstaedt

Vogelsang

et al. 1999

European Spine Journal

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Results of microsurgical lumbar discectomy

Cited by 166 publications

References 18 publications

Clinical outcomes of patients with lumbar disc herniation, selected for one-level open-discectomy and microdiscectomy

Clinical outcomes of patients with lumbar disc herniation, selected for one-level open-discectomy and microdiscectomy

Operative results and learning curve: microscope-assisted tubular microsurgery for 1- and 2-level discectomies and laminectomies

Recurrent pain after lumbar discectomy: the diagnostic value of peridural scar on MRI

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