Percutaneous Endoscopic Lumbar Discectomy for L5S1 Lumbar Disc Herniation Using a Transforaminal Approach Versus an Interlaminar Approach: A Systematic Review and Meta-Analysis

World Neurosurgery
Jiageng ChenJun Ma

Abstract

Several studies have compared the clinical efficacy of percutaneous endoscopic lumbar discectomy for L5-S1 lumbar disc herniation (LDH) using a transforaminal approach with an interlaminar approach, but with contradictory results. The aim of this study was to explore the comparison of efficacy and safety between percutaneous endoscopic transforaminal discectomy (PETD) and percutaneous endoscopic interlaminar discectomy (PEID) for L5-S1 LDH. Six common databases were comprehensively searched, and relevant studies were included into the analysis when they met all the inclusion criteria. Nine studies involving 621 patients were included into the study. The results indicated that PETD was significantly associated with greater fluoroscopy times (mean difference [MD], 9.28 times; 95% confidence interval [CI], 6.84-11.71; P < 0.01) and longer operative time (MD, 16.51 minutes; 95% CI, 4.01-29.02; P = 0.01) compared with PEID. However, there were no distinct differences between PETD and PEID in estimated blood loss (P = 0.24), bed time after surgery (P = 0.32), hospitalization time (P = 0.27), or MacNab evaluation (P = 0.78). Similarly, no obvious differences were detected between PETD and PEID regarding Visual Analogue Scale score, Ja...Continue Reading

References

Sep 25, 2008·Neurologia Medico-chirurgica·Dong Yeob Lee, Sang-Ho Lee
Jul 22, 2009·PLoS Medicine·David MoherUNKNOWN PRISMA Group
Aug 1, 2016·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Xinhua LiLijun Li
Oct 11, 2017·Global Spine Journal·Kevin PhanSamuel K Cho
Nov 9, 2017·Asian Journal of Neurosurgery·Low Yong LeeWong Sii Hieng

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Citations

Oct 18, 2019·Neurospine·Manyoung KimSeong Hoon Oh
Aug 12, 2020·World Neurosurgery·Yong Ahn

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