Lumbar disk herniation: How far should efforts go to minimally invasive procedure?

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

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Keyvan Mostofi1, Babak Gharaei Moghadam2, Morad Peyravi3

  • 1Department of Neurosurgery, Centre Clinical, Chirurgie de Rachis, Soyaux, France.

Journal of Craniovertebral Junction & Spine
|February 21, 2019
PubMed
Abstract

Insights

Minimally invasive surgery for lumbar disc herniation offers benefits like reduced pain and faster recovery. Our study found comparable excellent outcomes across three techniques: discectomy and herniectomy, herniectomy alone, and bone decompression.

Area of Science:

  • Neurosurgery
  • Orthopedic Surgery
  • Minimally Invasive Procedures

Background:

  • Minimally invasive surgery (MIS) for lumbar disc herniation reduces complications.
  • Benefits include less tissue damage, reduced scarring, pain, and infection rates.
  • MIS allows for shorter recovery times compared to traditional open surgery.

Purpose of the Study:

  • To present surgical experience with MIS for lumbar disc herniation.
  • To compare outcomes of three distinct surgical techniques.
  • To evaluate the efficacy of different MIS approaches for treating lumbar disc herniation.

Main Methods:

  • A retrospective analysis of 1147 patients operated between July 2008 and December 2015.
  • Patients underwent posterior endoscopic approaches for lumbar disc herniation.
  • Three techniques were compared: discectomy and herniectomy (DH), herniectomy (H), and bone decompression (BD).

Main Results:

  • Excellent outcomes were achieved in 80.10% (BD), 82.06% (DH), and 84.02% (H) of patients.
  • All three MIS techniques demonstrated high rates of excellent outcomes.
  • The results indicate comparable efficacy among the evaluated surgical methods.

Conclusions:

  • Surgical outcomes for lumbar disc herniation are comparable across different MIS techniques.
  • Discectomy is not systematically required in all cases.
  • MIS approaches offer effective treatment options for lumbar disc herniation with similar results.
Keywords:
Endoscopic surgerylumbalgialumbar disc herniationminimally invasive surgerysciatalgia

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