Table 3

Summary of outcomes and adverse events for each treatment modality.

VariableOpen SurgeryMinimally InvasiveFull EndoscopicPercutaneous CystRupture and Aspiration P Value < 0.05
N 1112279263497
Age, y, mean (range)63 (54.4–73)65.3 (62–72.4)49.2 (23.1–68.6)63.2 (58.7–68.2)
Sex, male51.9%55.6%52.9%57.8%
Follow-up, mo, mean (range)39.5 (8.3–116.4)24.0 (11.5–79)27.5 (18–55.5)24.2 (11–44.5)
Preoperative degenerative listhesis, %33.6%21.1%8.3%3.9% a,b,c,d,e,f
Satisfactory outcome, % MacNab excellent—good scores (95% CI)93.0% (88.3%–96.7%)82.7% (61.2%–97.5%)90.9% (83.8%–96.4%)66.2% (52.9%–78.4%) c,e,f
Recurrence, % (95% CI)1.4% (0.3%–3.2%)2.3% (0.3%–5.5%)3.0% (0.0%–9.9%)34.3% (20.3%–49.6%) c,e,f
Revisions, % (95% CI)3.0% ( 1.3%–5.3%)3.6% (1.0%–2.3%)2.2% (0.0%–8.3%)29.8% (18.9%–42%) c,e,f
Developing postoperative instability, % (95% CI)3.5% ( 0.6%–8.0%)3.2% (0.2%–8.4%)0%/
Intraoperative/procedural adverse events, % (95% CI)1.1% ( 0.1%–3.0%)8.4% (2.7%–16.3%)1.8% (0.0%–5.3%)0.1% (0.0%–1.2%) a,d,c,e,f
  • Significant differences between: a = open vs minimally invasive; b = open vs full endoscopic; c = full-endoscopic vs percutaneous cyst aspiration and rupture; d = minimally invasive vs full endoscopic; e = minimally invasive vs percutaneous cyst aspiration and rupture; f = full-endoscopic vs percutaneous cyst aspiration and rupture; / : not reported.