Related Experiment Video

Updated: Feb 10, 2026

Author Spotlight: Unveiling the Potential of TUBE Technique in Spinal Surgery
06:26

Author Spotlight: Unveiling the Potential of TUBE Technique in Spinal Surgery

Published on: November 17, 2023

2.2K

Comparison of Surgical Invasiveness Between Microdiscectomy and 3 Different Endoscopic Discectomy Techniques for

Kyung-Chul Choi1, Hyeong-Ki Shim1, Jin-Sup Hwang2

  • 1Department of Neurosurgery, The Leon Wiltse Memorial Hospital, Anyang, Korea.

World Neurosurgery
|May 23, 2018
PubMed
Abstract

Insights

Percutaneous endoscopic lumbar discectomy (PELD) causes less paraspinal muscle injury than other spinal surgery techniques. This minimally invasive approach leads to better clinical outcomes and shorter recovery times.

Area of Science:

  • Spine surgery
  • Minimally invasive spinal techniques
  • Muscle injury assessment

Background:

  • Surgical exposure of the spine often leads to unavoidable paraspinal muscle injury.
  • Different surgical techniques may result in varying degrees of muscle damage and patient outcomes.

Purpose of the Study:

  • To compare the extent of paraspinal muscle injury following four distinct spinal surgical techniques.
  • To evaluate clinical outcomes and recovery metrics associated with each surgical method.

Main Methods:

  • Prospective observation of 80 patients undergoing microdiscectomy (MD), percutaneous endoscopic lumbar discectomy (PELD), percutaneous endoscopic interlaminar discectomy (PEID), or unilateral biportal endoscopic discectomy (UBED).
  • Measurement of creatine phosphokinase (CPK) and C-reactive protein (CRP) levels, calculation of CPK ratio, and MRI assessment of paraspinal muscle lesion size.
  • Evaluation of operative time, hospital stay, and visual analog scale (VAS) pain scores.

Main Results:

  • The microdiscectomy (MD) group exhibited the highest CPK levels, CPK ratio, CRP levels, and largest muscle lesion size.
  • Percutaneous endoscopic lumbar discectomy (PELD) and percutaneous endoscopic interlaminar discectomy (PEID) showed lower postoperative CRP levels compared to unilateral biportal endoscopic discectomy (UBED).
  • PELD demonstrated the shortest operative time and hospital stay, with the MD group reporting higher VAS back pain scores.

Conclusions:

  • Percutaneous endoscopic lumbar discectomy (PELD) is identified as the least invasive spinal surgical technique among those studied.
  • Minimally invasive techniques like PELD are associated with reduced muscle damage and improved patient recovery.
Keywords:
MicrodiscectomyMuscle injuryPercutaneous endoscopic interlaminar discectomyPercutaneous endoscopic lumbar discectomyUnilateral biportal endoscopic discectomy

More Related Videos

Full-Endoscopic Isolation Zone Technique for the Treatment of Lumbar Disc Herniation05:42

Full-Endoscopic Isolation Zone Technique for the Treatment of Lumbar Disc Herniation

Published on: April 7, 2023

1.3K
Transtubular Endoscopic Posterolateral Decompression for L5-S1 Lumbar Lateral Disc Herniation10:09

Transtubular Endoscopic Posterolateral Decompression for L5-S1 Lumbar Lateral Disc Herniation

Published on: October 14, 2022

4.5K

Related Concept Videos

The Sense of Self: Reflected Self-Appraisal and Social Comparison02:57

The Sense of Self: Reflected Self-Appraisal and Social Comparison

According to Charles Cooley, we base our image on what we think other people see (Cooley 1902). We imagine how we must appear to others, then react to this speculation. We don certain clothes, prepare our hair in a particular manner, wear makeup, use cologne, and the like—all with the notion that our presentation of ourselves is going to affect how others perceive us. We expect a certain reaction, and, if lucky, we get the one we desire and feel good about it. But more than that, Cooley...
56.1K
Multiple Comparison Tests01:13

Multiple Comparison Tests

Multiple comparison test, abbreviated as MCT, is a post hoc analysis generally performed after comparing multiple samples with one or more tests. An MCT will help identify a significantly different sample among multiple samples or a factor among multiple factors.
It would be easy to compare two samples using a significance alpha level of 0.05. In other words, there is only one sample pair to be compared. However, it would be difficult to identify a significantly different sample if the number...
4.5K
Evolutionary Relationships through Genome Comparisons02:54

Evolutionary Relationships through Genome Comparisons

Genome comparison is one of the excellent ways to interpret the evolutionary relationships between organisms. The basic principle of genome comparison is that if two species share a common feature, it is likely encoded by the DNA sequence conserved between both species. The advent of genome sequencing technologies in the late 20th century enabled scientists to understand the concept of conservation of domains between species and helped them to deduce evolutionary relationships across diverse...
7.0K
Endoscopic Studies II: Thoracocentesis01:26

Endoscopic Studies II: Thoracocentesis

Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
1.5K
Endoscopic Procedures I: Esophagogastroduodenoscopy01:29

Endoscopic Procedures I: Esophagogastroduodenoscopy

An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
1.3K
Endoscopic Procedures II: Colonoscopy01:25

Endoscopic Procedures II: Colonoscopy

The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
761