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Research ArticleEndoscopic Minimally Invasive Surgery

Is Transforaminal Endoscopic Discectomy the Best Option for Recurrent Lumbar Disc Herniation? A Systematic Review

Gerald Musa, Medetbek D. Abakirov, Naya Arzoumi, Samat T. Mamyrbaev, Rossi E. Barrientos Castillo, Gennady E. Chmutin, Jeff Ntalaja, Tshiunza Mpoyi Chérubin, Edinson David Berrio Perea, Gervit Reyes-Soto, Carlos Castillo-Rangel, Manuel De Jesus Encarnacion Ramirez and Nicola Montemurro
International Journal of Spine Surgery January 2025, 8698; DOI: https://doi.org/10.14444/8698
Gerald Musa
1 Department of Neurological Disease and Neurosurgery, Peoples Friendship University of Russia named after Patrice Lumumba (RUDN), Moscow, Russia
MD
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Medetbek D. Abakirov
2 Department of Orthopedics and Traumatology, Peoples Friendship University of Russia named after Patrice Lumumba (RUDN), Moscow, Russia
MD
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Naya Arzoumi
3 Medical Institute, Peoples Friendship University of Russia named after Patrice Lumumba (RUDN), Moscow, Russia
MD
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Samat T. Mamyrbaev
4 Kyrgyz State Medical Academy, Bishkek, Kyrgyzstan
MD
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Rossi E. Barrientos Castillo
1 Department of Neurological Disease and Neurosurgery, Peoples Friendship University of Russia named after Patrice Lumumba (RUDN), Moscow, Russia
MD
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Gennady E. Chmutin
1 Department of Neurological Disease and Neurosurgery, Peoples Friendship University of Russia named after Patrice Lumumba (RUDN), Moscow, Russia
MD
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Jeff Ntalaja
5 Unit of Neurosurgery, Center Hospitalier Initiative Plus, Kinshasa, Democratic Republic of the Congo
MD
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Tshiunza Mpoyi Chérubin
5 Unit of Neurosurgery, Center Hospitalier Initiative Plus, Kinshasa, Democratic Republic of the Congo
MD
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Edinson David Berrio Perea
6 Centro Médico Issemym Toluca, Universidad Autonoma de Mexico, Toluca de Lerdo, Mexico
MD
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Gervit Reyes-Soto
7 Unidad de Neurociencias, Department of Head and Neck, Instituto Nacional de Cancerología, Mexico City, Mexico
MD
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Carlos Castillo-Rangel
8 Department of Neurosurgery, Servicio of the 1ro de Octubre Hospital of the Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado, Mexico City, Mexico
MD
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Manuel De Jesus Encarnacion Ramirez
9 Assistant of the Department of Human Anatomy and Histology of the Institute of Clinical Medicine Named after N.V. Sklifosovskiy, Moscow, Russia
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Nicola Montemurro
10 Department of Neurosurgery, Azienda Ospedaliero Universitaria Pisana (AOUP), Pisa, Italy
MD, PʜD, MBA, MSᴄ, FACS
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  • For correspondence: nicola.montemurro@unipi.it
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    Study selection according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses.

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    Table 1

    Analysis of intraoperative parameters.

    StudyType of Cohort StudyNo. of PatientsDuration of Surgery, min, mean ± SDBlood Loss, mL, mean ± SDDurotomy, n
    Hoogland et al, 200810 Prospective262NANA0
    Ruetten et al, 200911 Prospective2124 ± 6.4Not measurable0
    Xu et al, 202312 Retrospective31NA00
    Wang et al, 202013 Retrospective24113.3 ± 45.4417.75 ± 17.05NA
    Jiang et al, 202114 Retrospective2465.3 ± 12.528.6 ± 4.70
    Ahn et al, 200415 Retrospective43NANANA
    Total-40567.53 ± 27.4223.18 ± 5.40
    • Abbreviation: NA, not available.

    • View popup
    Table 2

    Analysis of intraoperative and postoperative complications.

    StudyLOS, d, mean ± SDNerve Injury, n (%)Recurrence, n (%)Fusion, n (%)Complications, n (%)
    Hoogland et al, 200810 NA3 (1.1%)11 (4.62%)1 (0.4%)0
    Ruetten et al, 200911 NA02 (9.5%)NA0
    Xu et al, 202312 NA00NA0
    Wang et al, 202013 1.9 ± 0.971 (4.2%5 (20.83%)2 (8.3%)1 (4.15%)
    Jiang et al, 202114 4.7 ± 1.20NANA1 (4.2%)
    Ahn et al, 200415 NA00NA2 (4.7%)
    Total 3.3 ± 1.24 (0.1%)18 (4.4%)3 (0.7%)4 (0.1%)
    • Abbreviations: LOS, length of stay (in hospital); NA, not available.

    • Note: The data have been represented as N (%) and mean ± SD.

    • View popup
    Table 3

    Postoperative pain and quality of life.

    StudyVASODI
    PreoperativePostoperativePreoperativePostoperative
    Hoogland et al, 200810 8.56 ± 0.512.85 ± 0.34NANA
    Ruetten et al, 200911 8 ± 1.24 ± 1.042 ± 4.5611 ± 1.25
    Xu et al, 202312 5.68 ± 1.011.61 ± 1.50NANA
    Wang et al, 202013 7.05 ± 0.761.20 ± 0.6228.15 ± 1.6910.65 ± 0.81
    Jiang et al, 202114 8.65 ± 1.570.43 ± 0.2639.87 ± 7.652.61 ± 1.55
    Ahn et al, 200415 8.72 ± 1.202.58 ± 1.55NANA
    Total 7.77 ± 1082.11 ± 1.0836.34 ± 5.888.09 ± 3.88
    • Abbreviations: NA, not available; ODI, Oswestry Disability Index; VAS, visual analog scale.

    • Note: Data are presented as mean ± SD.

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International Journal of Spine Surgery: 19 (S2)
International Journal of Spine Surgery
Vol. 19, Issue S2
1 Apr 2025
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Is Transforaminal Endoscopic Discectomy the Best Option for Recurrent Lumbar Disc Herniation? A Systematic Review
Gerald Musa, Medetbek D. Abakirov, Naya Arzoumi, Samat T. Mamyrbaev, Rossi E. Barrientos Castillo, Gennady E. Chmutin, Jeff Ntalaja, Tshiunza Mpoyi Chérubin, Edinson David Berrio Perea, Gervit Reyes-Soto, Carlos Castillo-Rangel, Manuel De Jesus Encarnacion Ramirez, Nicola Montemurro
International Journal of Spine Surgery Jan 2025, 8698; DOI: 10.14444/8698

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Is Transforaminal Endoscopic Discectomy the Best Option for Recurrent Lumbar Disc Herniation? A Systematic Review
Gerald Musa, Medetbek D. Abakirov, Naya Arzoumi, Samat T. Mamyrbaev, Rossi E. Barrientos Castillo, Gennady E. Chmutin, Jeff Ntalaja, Tshiunza Mpoyi Chérubin, Edinson David Berrio Perea, Gervit Reyes-Soto, Carlos Castillo-Rangel, Manuel De Jesus Encarnacion Ramirez, Nicola Montemurro
International Journal of Spine Surgery Jan 2025, 8698; DOI: 10.14444/8698
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Keywords

  • recurrent lumbar disc herniation
  • transforaminal endoscopic discectomy
  • lumbar spine
  • degenerative disc disease

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