Percutaneous endoscopic lumbar discectomy for recurrent lumbar disc herniation

International Journal of Surgery
Xinhua LiLijun Li

Abstract

The objective of this systematic review was to identify the effectiveness of percutaneous endoscopic lumbar discectomy (PELD) in the treatment of recurrent lumbar disc herniation (rLDH) and to present its indications and techniques. We conducted a comprehensive search in MEDLINE, EMBASE, PubMed, Web of Science and Cochrane databases, searching for relevant studies of managing rLDH with PELD up to July 2015. Only papers published in English were included. Two review authors independently selected the studies, extracted relevant data and assessed their methodological quality. The Cochrane Collaboration's Revman 5.3 software was used for data analyses among the controlled studies. At last, one randomized controlled trial (RCT), two non-randomized control studies and five observational studies including a total of 579 cases were selected for this system review. The methodological quality of these studies was low to modern. The mean overall improvement of leg pain (visual analogue scale) was 66.92% (50.6%-89.87%), back pain (visual analogue scale) 54.91% (29%-67.95%), Oswestry Disability Index 60.9% (40.7%-75%), global perceived effect (MacNab/other) 75.77% (60%-95%). The mean overall of complication rate was 4.89% (0%-9.76%), dural...Continue Reading

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Citations

May 26, 2016·Expert Review of Neurotherapeutics·Laxmaiah ManchikantiJoshua A Hirsch
Aug 24, 2017·British Journal of Neurosurgery·Chiazor U Onyia, Sajesh K Menon
Jun 7, 2019·Clinical Spine Surgery : a Spine Publication·Qinghao ZhaoQingchu Li
Oct 12, 2018·Revista da Associação Médica Brasileira·Andrei Fernandes JoaquimWanderley Marques Bernardo
Apr 1, 2020·FASEB Journal : Official Publication of the Federation of American Societies for Experimental Biology·Xinhua LiShuying Yang

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