Author:
Zhang Tingxin,Guo Nana,Wang Kaifeng,Gao Gang,Li Yanhong,Gao Feng,Yang Wupeng,Wang Yonghua,Wang Yongjiang
Abstract
Abstract
Purpose
The clinical outcomes of using a tubular microdiscectomy for lumbar disc herniation were evaluated by comparison with conventional microdiscectomy.
Methods
All of the comparative studies published in the PubMed, Cochrane Library, Medline, Web of Science, and EMBASE databases as of 1 May 2023 were included. All outcomes were analysed using Review Manager 5.4.
Results
This meta-analysis included four randomized controlled studies with a total of 523 patients. The results showed that using tubular microdiscectomy for lumbar disc herniation was more effective than conventional microdiscectomy in improving the Oswestry Disability Index (P < 0.05). However, there were no significant differences in operating time, intraoperative blood loss, hospital stay, Visual Analogue Scale, reoperation rate, postoperative recurrence rate, dural tear incidence, and complications rate (all P > 0.05) between the tubular microdiscectomy and conventional microdiscectomy groups.
Conclusions
Based on our meta-analysis, it was found that the tubular microdiscectomy group had better outcomes than the conventional microdiscectomy group in terms of Oswestry Disability Index. However, there were no significant differences between the two groups in terms of operating time, intraoperative blood loss, hospital stay, Visual Analogue Scale, reoperation rate, postoperative recurrence rate, dural tear incidence, and complications rate. Current research suggests that tubular microdiscectomy can achieve clinical results similar to those of conventional microdiscectomy.
PROSPERO registration number is: CRD42023407995.
Funder
Ordos City Science and Technology Plan Project
Publisher
Springer Science and Business Media LLC
Subject
Orthopedics and Sports Medicine,Surgery
Reference27 articles.
1. Mixter WJ, Barr JS. Rupture of intervertebral disc with involvement of the spinal canal. N Engl J Med. 1934;211:210–5.
2. Caspar W. A new surgical procedure for lumbar disc herniation causing less tissue damage through a microsurgical approach. Berlin: Springer; 1977. p. 74–7.
3. Yasargil MG. Microsurgical operation of herniated disc. In: Wullenweber R, Brock M, Hamer J, editors. Advances in neurosurgery. Berlin: Springer; 1977. p. 81.
4. Riesenburger RI, David CA. Lumbar microdiscectomy and microendoscopic discectomy. Minim Invasive Ther Allied Technol. 2006;15:267–70.
5. Katayama Y, Matsuyama Y, Yoshihara H, Sakai Y, Nakamura H, Nakashima S, Ito Z, Ishiguro N. Comparison of surgical outcomes between macro discectomy and micro discectomy for lumbar disc herniation: a prospective randomized study with surgery performed by the same spine surgeon. J Spinal Disord Tech. 2006;19(5):344–7.