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Related Experiment Video

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Endoscopic Diskectomy in Athletes: A Systematic Review and Meta-Analysis.

Samuel H Wakelin1, Joseph S Hudson2, Andrew D Legarreta2

  • 1Georgetown University School of Medicine, Washington, District of Columbia, United States.

Asian Journal of Neurosurgery
|March 5, 2026
PubMed
Summary

Endoscopic diskectomy offers a high return to play rate (96%) for athletes with lumbar disk herniation. This minimally invasive procedure also significantly reduces leg and back pain, aiding faster recovery.

Keywords:
athletesendoscopic diskectomymicroendoscopic diskectomypercutaneous endoscopic lumbar diskectomyreturn to play

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Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Minimally Invasive Procedures

Background:

  • Athletes face heightened risks of lumbar disk herniation from degenerative and traumatic causes.
  • Limited evidence exists on endoscopic diskectomy's effectiveness in athletes compared to traditional methods.

Purpose of the Study:

  • To evaluate the efficacy of endoscopic diskectomy in athletes with lumbar disk herniation.
  • Focus on return to play rates and pain reduction outcomes.

Main Methods:

  • Systematic review and meta-analysis of studies on athletes undergoing endoscopic diskectomy.
  • Exclusion of case reports with fewer than 10 patients.
  • Data synthesis using a random effects model.

Main Results:

  • Four studies with 119 athletes were included.
  • Achieved a combined return to play rate of 96% (95% CI: 90-100%).
  • Mean return to play time was 8.25 weeks (95% CI: 6.51-10.46 weeks).
  • Significant reduction in leg and back pain (VAS scores).

Conclusions:

  • Endoscopic diskectomy demonstrates high efficacy in athletes with lumbar disk herniation.
  • Associated with excellent return to play rates and substantial pain relief.
  • Further research needed to stratify outcomes by competition level and technique.