RT Journal Article
SR Electronic
T1 Percutaneous Endoscopic Lumbar Discectomy Versus Microdiscectomy for the Treatment of Lumbar Disc Herniation: Pain, Disability, and Complication Rate—A Randomized Clinical Trial
JF International Journal of Spine Surgery
JO Int J Spine Surg
FD International Society for the Advancement of Spine Surgery
SP 72
OP 78
DO 10.14444/7010
VO 14
IS 1
A1 GUILHERME MEYER
A1 IVAN DIAS DA ROCHA
A1 ALEXANDRE FOGAÇA CRISTANTE
A1 RAPHAEL MARTUS MARCON
A1 THIAGO PEREIRA COUTINHO
A1 ALESSANDRO GONZALEZ TORELLI
A1 PEDRO ARAUJO PETERSEN
A1 OLAVO BIRAGHI LETAIF
A1 TARCÍSIO ELOY PESSOA DE BARROS FILHO
YR 2020
UL http://ijssurgery.com//content/14/1/72.abstract
AB Purpose The objective was to compare the traditional microdiscectomy with percutaneous endoscopic lumbar discectomy for the treatment of disc herniations regarding pain, disability, and complications.Methods Randomized clinical trial with 47 patients with disc herniations treated with 2 different surgical techniques: traditional microdiscectomy or percutaneous endoscopic lumbar discectomy. Forty-seven patients were divided into 2 groups and monitored for 12 months. Irradiated and low back pain were evaluated with the visual analog scale. Surgery complications were recorded.Results After surgery, the sciatica and disability improved significantly but without significant differences between the groups. Improvements in back pain were significant until the third month. There were no statistical differences between groups regarding recurrence, infection, and the need for reoperation.Conclusions Endoscopic discectomy results are similar to those of conventional microdiscectomy regarding pain and disability improvement. Postoperative lumbar pain is less intense with endoscopic discectomy than conventional microdiscectomy only during the first 3 months. Endoscopic discectomy is a safe and efficient alternative to microdiscectomy.Clinical Trials Trial protocol registration number: RBR-5symrd (http://www.ensaiosclinicos.gov.br).