Higher risk of dural tears and recurrent herniation with lumbar micro-endoscopic discectomy.

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
Marco TeliLeone Minoia

Abstract

Existing studies on micro-endoscopic lumbar discectomy report similar outcomes to those of open and microdiscectomy and conflicting results on complications. We designed a randomised controlled trial to investigate the hypothesis of different outcomes and complications obtainable with the three techniques. 240 patients aged 18-65 years affected by posterior lumbar disc herniation and symptoms lasting over 6 weeks of conservative management were randomised to micro-endoscopic (group 1), micro (group 2) or open (group 3) discectomy. Exclusion criteria were less than 6 weeks of pain duration, cauda equina compromise, foraminal or extra-foraminal herniations, spinal stenosis, malignancy, previous spinal surgery, spinal deformity, concurrent infection and rheumatic disease. Surgery and follow-up were made at a single Institution. A biomedical researcher independently collected and reviewed the data. ODI, back and leg VAS and SF-36 were the outcome measures used preoperatively, postoperatively and at 6-, 12- and 24-month follow-up. 212/240 (91%) patients completed the 24-month follow-up period. VAS back and leg, ODI and SF36 scores showed clinically and statistically significant improvements within groups without significant differen...Continue Reading

References

Aug 1, 1993·Journal of Clinical Laser Medicine & Surgery·D S Choy
Aug 27, 1999·The Journal of Bone and Joint Surgery. British Volume·F Postacchini
Sep 10, 1999·BMJ : British Medical Journal·S Hollis, F Campbell
Apr 15, 2000·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·M Brayda-Bruno, P Cinnella
Sep 18, 2002·Neurosurgery·Mick J Perez-CruetRichard G Fessler
Mar 15, 2003·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Hiroyuki NakagawaTadaatsu Miyasaka
Jan 11, 1964·JAMA : the Journal of the American Medical Association·L SMITH
Sep 24, 2005·Acta Orthopaedica. Supplementum·Gustavo Zanoli
May 10, 2006·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·Elisabeth Hansson, Tommy Hansson
Nov 23, 2006·JAMA : the Journal of the American Medical Association·James N WeinsteinRichard A Deyo
Jun 27, 2007·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·Anne F MannionDieter Grob
Jul 17, 2007·Spine·J N Alastair Gibson, Gordon Waddell

❮ Previous
Next ❯

Citations

May 23, 2013·International Orthopaedics·Jiwei ChengYue Zhou
Sep 5, 2013·Archives of Orthopaedic and Trauma Surgery·Hiroyuki Yoshihara, Daisuke Yoneoka
Jan 21, 2011·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·Robert C Mulholland
Dec 24, 2011·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·Greger LønneØystein P Nygaard
Feb 5, 2013·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·Gerrit J BoumaMilorad Vilendecic
Jun 25, 2013·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·Nick SmithAndrew Sprowson
Mar 3, 2011·Acta neurochirurgica·Mark P ArtsUNKNOWN Leiden-Hague Spine Intervention Prognostic Study Group
Apr 13, 2011·Neurology India·Pankaj SharmaRahul Lath
Mar 7, 2014·Indian Journal of Orthopaedics·Arvind G KulkarniAbhilash Dhruv
Jul 21, 2012·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·Wilco C H JacobsWilco C Peul
Jan 21, 2014·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·Steven J KamperMaurits W van Tulder
Apr 8, 2014·Neurosurgery Clinics of North America·James A StadlerJohn C Liu
Jan 31, 2015·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·Lin CongGuanjun Tu
Feb 22, 2012·The Spine Journal : Official Journal of the North American Spine Society·Geoff A BakerMichael J Lee
Jan 19, 2016·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·S L SchmidC M Woernle
Feb 8, 2011·The Spine Journal : Official Journal of the North American Spine Society·Bing WangIvan Cheng
Mar 24, 2016·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·JuLiang HeZhenChao Yuan
Oct 2, 2015·Neurosurgical Focus·Michael F ShriverThomas E Mroz
Jul 24, 2012·Neuro-Chirurgie·R Billon-GrandH Katranji
Jan 21, 2015·Clinical Neurology and Neurosurgery·Zhixiang ChenDong Zhao
Dec 12, 2013·Journal of Spinal Disorders & Techniques·Hiroyuki Yoshihara, Daisuke Yoneoka
Sep 16, 2016·Journal of Craniovertebral Junction and Spine·Pallav S BhatiaRahul Kaul
Aug 29, 2016·World Neurosurgery·Yuan YaoYue Zhou
Mar 24, 2016·Clinical Spine Surgery : a Spine Publication·Hiroyuki YoshiharaThomas J Errico
Sep 4, 2014·The Cochrane Database of Systematic Reviews·Mohammad R RasouliRoger Chou
Dec 1, 2011·Global Spine Journal·Jeffrey G ClarkThomas E Mroz
May 28, 2017·Journal of Neurology, Neurosurgery, and Psychiatry·Gijsbert M OverdevestUNKNOWN Leiden-The Hague Spine Intervention Prognostic Study Group
Mar 8, 2017·Clinical Spine Surgery : a Spine Publication·Daniel R FelbaumFaheem A Sandhu

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

The Journal of Bone and Joint Surgery. American Volume
David HannallahJames D Kang
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
Suhayl I Tafazal, Philip J Sell
© 2021 Meta ULC. All rights reserved