Surgery for lumbar disc herniation: Analysis of 500 consecutive patients treated in an interdisciplinary spine centre

Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia
S L SchmidC M Woernle

Abstract

Surgical removal of a symptomatic herniated lumbar disc is performed either with or without the support of a microscope. Up to the time of writing, the literature has reported similar clinical outcomes for the two procedures. Five hundred consecutive patients, operated upon for primary single-level lumbar disc herniation in our University Spine Center between 2003-2011, with (n=275), or without (n=225), the aid of a microscope were included. Data were retrospectively analyzed, comparing the primary endpoint of clinical outcome and the secondary endpoints of complications, surgical time and length of hospitalization. Clinical outcomes and reoperation rates were comparable in both groups. Surgical time was significantly shorter with a mean time of 47minutes without use of the microscope compared to the mean time of 87minutes (p<0.001) with the use of the microscope. Mean length of hospitalization was shorter in those operated with the microscope (5.3days) compared to those without (6.1days, p=0.004). There was no difference in rates of complications. Microdiscectomy versus open sequestrectomy and discectomy for surgical treatment of lumbar disc herniation is associated with similar clinical outcomes and reoperation rates. Open se...Continue Reading

References

Jun 1, 1996·British Journal of Neurosurgery·L HenriksenE Jantzen
Aug 27, 1999·The Journal of Bone and Joint Surgery. British Volume·F Postacchini
Mar 31, 2005·Journal of Neurosurgery. Spine·Claudius ThoméPeter Schmiedek
Feb 4, 2010·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
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
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

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Citations

Oct 28, 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·Karin PieberGerold Ebenbichler
Jan 10, 2020·Clinical Spine Surgery : a Spine Publication·Adan OmarAddisu Mesfin

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