Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Search research articles

Related Experiment Video

Updated: May 5, 2026

A Mobile Outside-in Technique of Transforaminal Lumbar Endoscopy for Lumbar Disc Herniations

A Mobile Outside-in Technique of Transforaminal Lumbar Endoscopy for Lumbar Disc Herniations

Published on: August 7, 2018

Tubular diskectomy vs conventional microdiskectomy for sciatica: a randomized controlled trial.

Mark P Arts¹, Ronald Brand, M Elske van den Akker

¹Department of Neurosurgery, Medical Center Haaglanden, Lijnbaan 32, The Hague, 2512 VA Netherlands. m.arts@mchaaglanden.nl

|July 9, 2009

Summary

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same author

Towards global clinical practice guidelines for the management of non-specific low back pain in primary care: a review of current guideline recommendations and how they have changed over the last 30 years.

The Lancet. Rheumatology·2026

Same author

A meta-model of low back pain to examine collective expert knowledge of treatment effects and their mechanisms.

European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·2026

Same author

Monitoring Changes in Aerobic Fitness Using the Dance-Specific Aerobic Fitness Test (DAFT): A Longitudinal Study of Contemporary Dance and Dance Teacher Students.

Journal of dance medicine & science : official publication of the International Association for Dance Medicine & Science·2026

Same author

A meta-model of low back pain to examine collective expert knowledge of the effects of treatments and their mechanisms.

Research square·2025

Same author

Cost-effectiveness of a corticosteroid injection versus exercise therapy for shoulder pain in general practice (SIX-Shoulder Study): a randomized controlled trial.

Family practice·2025

Same author

Diagnostic prediction models for spinal fractures in individuals with spinal pain or trauma: a systematic review and meta-analysis.

EClinicalMedicine·2025

Transmuscular tubular diskectomy did not improve sciatica recovery compared to conventional microdiskectomy. Conventional microdiskectomy showed better outcomes for leg pain, back pain, and overall recovery at one year.

Area of Science:

Neurosurgery
Orthopedic Surgery
Minimally Invasive Procedures

Background:

Conventional microdiskectomy is standard for sciatica from lumbar disk herniation.
Transmuscular tubular diskectomy is a newer technique lacking efficacy evidence.

Purpose of the Study:

Compare outcomes and recovery time between tubular diskectomy and conventional microdiskectomy for sciatica.
Evaluate functional status, pain reduction, and patient-reported recovery.

Main Methods:

Randomized controlled trial (Sciatica Micro-Endoscopic Diskectomy) of 328 patients.
Blinded follow-up for 1 year.
Interventions: tubular diskectomy (n=167) vs. conventional microdiskectomy (n=161).

Main Results:

More Related Videos

Full-Endoscopic Transforaminal Approach for Lumbar Discectomy

Full-Endoscopic Transforaminal Approach for Lumbar Discectomy

Published on: September 8, 2023

Author Spotlight: Development and Application of a Novel Suture Technique for Annular Fibrosus Repair in Percutaneous Transforaminal Endoscopic Discectomy

Author Spotlight: Development and Application of a Novel Suture Technique for Annular Fibrosus Repair in Percutaneous Transforaminal Endoscopic Discectomy

Published on: January 26, 2024

Related Experiment Videos

Last Updated: May 5, 2026

A Mobile Outside-in Technique of Transforaminal Lumbar Endoscopy for Lumbar Disc Herniations

A Mobile Outside-in Technique of Transforaminal Lumbar Endoscopy for Lumbar Disc Herniations

Published on: August 7, 2018

Full-Endoscopic Transforaminal Approach for Lumbar Discectomy

Full-Endoscopic Transforaminal Approach for Lumbar Discectomy

Published on: September 8, 2023

Author Spotlight: Development and Application of a Novel Suture Technique for Annular Fibrosus Repair in Percutaneous Transforaminal Endoscopic Discectomy

Author Spotlight: Development and Application of a Novel Suture Technique for Annular Fibrosus Repair in Percutaneous Transforaminal Endoscopic Discectomy

Published on: January 26, 2024

No significant difference in Roland-Morris Disability Questionnaire (RDQ) scores at 8 weeks or 1 year.
Conventional microdiskectomy showed better 1-year RDQ scores (mean difference 1.3).
Conventional microdiskectomy led to greater improvement in leg and back pain (VAS) and higher self-reported recovery rates (69% vs. 79%).

Conclusions:

Tubular diskectomy did not offer statistically significant improvement over conventional microdiskectomy for sciatica.
Conventional microdiskectomy demonstrated superior results in pain reduction and patient recovery.