Comparative Clinical Effectiveness of Tubular Microdiscectomy and Conventional Microdiscectomy for Lumbar Disc Herniation: A Systematic Review and Network Meta-Analysis

Spine
Yinqing WangChunmei Chen

Abstract

This study is a systematic literature review and meta-analysis. To evaluate the efficacy of tubular microdiscectomy (TMD) compared with conventional microdiscectomy (CMD) for lumbar disc herniation (LDH). TMD has developed rapidly due to reduced tissue trauma by minimization of the required access to spine and disc herniation; however, CMD remains the standard of care for this patient group. To date, it remains debatable whether TMD is superior to CMD for LDH. We performed a comprehensive database search of PubMed, EMBASE, and Cochrane Central Register of Controlled Trails for prospective randomized controlled trials (RCTs), through using Medical Subject Headings (MeSH) terms "microdiscectomy," "tubular microdiscectomy," "minimally invasive surgery," and "spinal disease." The retrieved results were last updated on March 15, 2018. Two independent investigators selected qualified studies, extracted indispensable data, assessed risk of bias of original papers. The Grades of Recommendation, Assessment, Development and Evaluation (GRADE) approach was used to grade quality of evidence. If I >50, the heterogeneity is considerable. Four RCT studies (total n = 605), involving 610 individuals with a follow-up period of no less than 12 mo...Continue Reading

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Citations

Oct 31, 2019·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Christoph MehrenAndreas Korge
Jul 2, 2020·The New England Journal of Medicine·Adham M Khalafallah, Debraj Mukherjee
Jul 2, 2020·The New England Journal of Medicine·Christopher S BaileyJennifer C Urquhart
Jan 11, 2022·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·V JorisS Joo Yuh

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