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Updated: Jan 30, 2026

Full-Endoscopic Isolation Zone Technique for the Treatment of Lumbar Disc Herniation
Published on: April 7, 2023
Lumbar herniated disc treatment with percutaneous hydrodiscectomy
, Antonio Silvinato1, Ricardo S Simões1
1. Member of the Guidelines Program of the Brazilian Medical Association, São Paulo, SP, Brasil.
This systematic review evaluated percutaneous hydrodiscectomy for lumbar herniated discs. It found eight studies comparing this treatment to other modalities for radiated lower back pain.
Area of Science:
- Neurosurgery
- Orthopedics
- Evidence-Based Medicine
Background:
- Lumbar herniated discs are a frequent cause of degenerative spine disease.
- Radiated lower back pain is a common symptom associated with these conditions.
Purpose of the Study:
- To systematically review the evidence on percutaneous hydrodiscectomy for lumbar herniated discs.
- To compare the clinical outcomes and complications of percutaneous hydrodiscectomy with alternative treatments.
Main Methods:
- A systematic review methodology was employed, adhering to evidence-based medicine principles.
- A P.I.C.O. (Population, Intervention, Comparison, Outcome) framework was used to formulate the clinical question.
- Medline-PubMed databases were searched, yielding 636 papers, with eight selected after applying eligibility criteria.
Main Results:
- Eight studies were included in the systematic review.
- The review synthesized evidence on the clinical evolution and complication rates associated with percutaneous hydrodiscectomy.
Conclusions:
- The guideline provides an evidence-based assessment of percutaneous hydrodiscectomy for lumbar herniated discs.
- Detailed methodology and results are available in Annex I.
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