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Research ArticleEndoscopic Minimally Invasive Surgery

Percutaneous Endoscopic Lumbar Discectomy Versus Microdiscectomy for the Treatment of Lumbar Disc Herniation: Pain, Disability, and Complication Rate—A Randomized Clinical Trial

GUILHERME MEYER, IVAN DIAS DA ROCHA, ALEXANDRE FOGAÇA CRISTANTE, RAPHAEL MARTUS MARCON, THIAGO PEREIRA COUTINHO, ALESSANDRO GONZALEZ TORELLI, PEDRO ARAUJO PETERSEN, OLAVO BIRAGHI LETAIF and TARCÍSIO ELOY PESSOA DE BARROS FILHO
International Journal of Spine Surgery February 2020, 14 (1) 72-78; DOI: https://doi.org/10.14444/7010
GUILHERME MEYER
1Spine Surgery Division, Instituto de Ortopedia e Traumatologia da Faculdade de Medicina da Universidade de São Paulo, FMUSP, São Paulo, Brazil
2Spine Surgery Division, Instituto Vita, São Paulo, Brazil
MD, MS
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IVAN DIAS DA ROCHA
1Spine Surgery Division, Instituto de Ortopedia e Traumatologia da Faculdade de Medicina da Universidade de São Paulo, FMUSP, São Paulo, Brazil
MD, MS
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ALEXANDRE FOGAÇA CRISTANTE
1Spine Surgery Division, Instituto de Ortopedia e Traumatologia da Faculdade de Medicina da Universidade de São Paulo, FMUSP, São Paulo, Brazil
MD, PhD
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RAPHAEL MARTUS MARCON
1Spine Surgery Division, Instituto de Ortopedia e Traumatologia da Faculdade de Medicina da Universidade de São Paulo, FMUSP, São Paulo, Brazil
MD, PhD
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THIAGO PEREIRA COUTINHO
1Spine Surgery Division, Instituto de Ortopedia e Traumatologia da Faculdade de Medicina da Universidade de São Paulo, FMUSP, São Paulo, Brazil
MD, MS
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ALESSANDRO GONZALEZ TORELLI
1Spine Surgery Division, Instituto de Ortopedia e Traumatologia da Faculdade de Medicina da Universidade de São Paulo, FMUSP, São Paulo, Brazil
MD
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PEDRO ARAUJO PETERSEN
1Spine Surgery Division, Instituto de Ortopedia e Traumatologia da Faculdade de Medicina da Universidade de São Paulo, FMUSP, São Paulo, Brazil
MD, MS
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OLAVO BIRAGHI LETAIF
1Spine Surgery Division, Instituto de Ortopedia e Traumatologia da Faculdade de Medicina da Universidade de São Paulo, FMUSP, São Paulo, Brazil
MD, PhD
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TARCÍSIO ELOY PESSOA DE BARROS FILHO
1Spine Surgery Division, Instituto de Ortopedia e Traumatologia da Faculdade de Medicina da Universidade de São Paulo, FMUSP, São Paulo, Brazil
MD, PhD
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    Figure 1

    Endoscopic view of a right-side L5–S1 foraminal herniation. A: exiting nerve root; B: extruded disc fragment; C: flavum ligament on the dorsal limit of the foramen; D: foraminal fat.

  • Figure 2
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    Figure 2

    Endoscopic view of the opening of the flavum ligament. A: flavum ligament; B: epidural fat beneath the flavum ligament.

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    Figure 3

    Function as measured by the Oswestry Disability Index (ODI) before and after surgery for herniated disc treatment in patients submitted to microdiscectomy (MD) or endoscopic discectomy (ED). Values are shown as the mean scores in each follow-up point. P > .05 for comparisons between the study groups.

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International Journal of Spine Surgery
Vol. 14, Issue 1
1 Feb 2020
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Percutaneous Endoscopic Lumbar Discectomy Versus Microdiscectomy for the Treatment of Lumbar Disc Herniation: Pain, Disability, and Complication Rate—A Randomized Clinical Trial
GUILHERME MEYER, IVAN DIAS DA ROCHA, ALEXANDRE FOGAÇA CRISTANTE, RAPHAEL MARTUS MARCON, THIAGO PEREIRA COUTINHO, ALESSANDRO GONZALEZ TORELLI, PEDRO ARAUJO PETERSEN, OLAVO BIRAGHI LETAIF, TARCÍSIO ELOY PESSOA DE BARROS FILHO
International Journal of Spine Surgery Feb 2020, 14 (1) 72-78; DOI: 10.14444/7010

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Percutaneous Endoscopic Lumbar Discectomy Versus Microdiscectomy for the Treatment of Lumbar Disc Herniation: Pain, Disability, and Complication Rate—A Randomized Clinical Trial
GUILHERME MEYER, IVAN DIAS DA ROCHA, ALEXANDRE FOGAÇA CRISTANTE, RAPHAEL MARTUS MARCON, THIAGO PEREIRA COUTINHO, ALESSANDRO GONZALEZ TORELLI, PEDRO ARAUJO PETERSEN, OLAVO BIRAGHI LETAIF, TARCÍSIO ELOY PESSOA DE BARROS FILHO
International Journal of Spine Surgery Feb 2020, 14 (1) 72-78; DOI: 10.14444/7010
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Keywords

  • intervertebral disc displacement
  • diskectomy
  • percutaneous
  • endoscopy
  • prospective studies
  • Intervertebral disc
  • microsurgery

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