DOI: https://doi.org/10.15674/0030-59872014241-50

The current state of endoscopic disc surgery: review of controlled studies comparing full-endoscopic procedures for disc herniations to standard procedures

Christof Birkenmaier, Martin Komp, Hansjörg F. Leu, Bernd Wegener, Sebastian Ruetten

Abstract


Background: Endoscopic spinal surgery is increasingly popular because it minimizes access trauma and hastens recovery from the intervention. Objective: To assess the clinical outcomes and complication rates of full-endoscopic disc surgery compared to the microsurgical standard procedures. Methods: A PubMed and Embase search was performed, considering entries up to January 2013. Only 5 controlled trials of 504 articles could finally be considered for evaluation. Results: Overall, the endoscopic techniques had shorter operating times, less blood loss, less operative site pain, and faster postoperative rehabilitation / shorter hospital stay / faster return to work than the microsurgical techniques. All 5 studies had fewer complications with the endoscopic technique. Conclusions: The studies show that full-endoscopic disc surgery can achieve the same clinical results in symptomatic cervical and lumbar disc herniations as the microsurgical standard techniques.

Keywords


neuropathic pain; disc herniation; cervical; lumbar; endoscopic; endoscopy; review

Full Text:

PDF

References


Saberski L. R. A retrospective analysis of spinal canal endoscopy and laminectomy outcomes data / L. R. Saberski // Pain Physician. — 2000. — Vol. 3. — P. 193–196.

Kambin P. Arthroscopic microdiscectomy / P. Kambin // Arthroscopy. — 1992. — Vol. 8. — P. 287–295.

Kovac D. Automated endoscopic percutaneous diskectomy in the treatment of lumbar disk hernia / D. Kovac // Lijec Vjesn. — 1991. — Vol. 113. — P. 158–161.

Leu H. J. 10 years of percutaneous disk surgery: results anddevelopments / H. J. Leu, A. Schreiber // Schweiz Rundsch Med Prax. — 1989. — Vol. 78. — P. 1434–1439.

Suezawa Y. Percutaneous nucleotomy with discoscopy. 7 years’ experience and results / Y. Suezawa, A. Schreiber // Z. Orthop. Ihre Grenzgeb. — 1988. — Vol. 126. — P. 1–7.

Schreiber A. Transdiscoscopic percutaneous nucleotomy in disk herniation / A. Schreiber, Y. Suezawa // Orthop. Rev. — 1986. — Vol. 15. — P. 35–38.

Hausmann B. Nucleoscope. Instrumentarium for endoscopy of the intervertebral disc space / B. Hausmann, R. Forst // Arch. Orthop. Trauma Surg. — 1983. — Vol. 102. — P. 57–59.

Gibson J. Surgical interventions for lumbar disc prolapse / J. Gibson, G. Waddell // Spine. — 2007. — Vol. 32. — P. 1735–1747.

Effectiveness of microdiscectomy for lumbar disc herniation: A randomized controlled trial with 2 years of follow-up / H. Osterman, S. Seitsalo, J. Karppinen, A. Malmivaara // Spine. — 2006. — Vol. 31. — P. 2409–2414.

Comparison of surgical outcomes between macro discectomy and micro discectomy for lumbar disc herniation: A prospective randomized study with surgery performed by the same spine surgeon / Y. Katayama, Y. Matsuyama, H. Yoshihara [et al.] // Journal Spinal Disorders Techniques. — 2006. — Vol. 19. — P. 344–347.

A controlled study of microsurgical versus standard lumbar discectomy / L. Henriksen, K. Schmidt, V. Eskesen, E. Jantzen // Br. J. Neurosurg. — 1996. — Vol. 10. — P. 289–293.

Transforaminal endoscopic surgery for symptomatic lumbar disc herniations: a systematic review of the literature / J. Nellensteijn, R. Ostelo, R. Bartels [et al.] // Eur. Spine J. — 2010. — Vol. 19. — P. 181–204.

Less systemic cytokine response in patients following microendoscopic versus open lumbar discectomy / T. J. Huang, R. W. Hsu, Y. Y. Li, C. C. Cheng // J. Orthop. Res. — 2005. — Vol. 23. — P. 406–411.

Microendoscopic lumbar discectomy versus open surgery: an intraoperative EMG study / U. Schick, J. Dohnert, A. Richter [et al.] // Eur. Spine J. — 2002. — Vol. 11. — P. 20–26.

Tubular diskectomy vs conventional microdiskectomy for sciatica: a randomized controlled trial / M. P. Arts, R. Brand, M. E. van den Akker [et al.] // JAMA. — 2009. — Vol. 302. — P. 149–158.

Higher risk of dural tears and recurrent herniation with lumbar micro-endoscopic discectomy / M. Teli, A. Lovi, M. Brayda-Bruno [et al.] // Eur. Spine J. — 2010. — Vol. 19. — P. 443–450.

A critical review of the American Pain Society Clinical practice guidelines for interventional techniques: Part 2. Therapeutic interventions / L. Manchikanti, S. Datta, S. Gupta [et al.] // Pain Physician. — 2010. — Vol. 13. — P. E215–E264.

An algorithmic approach for clinical management of chronic spinal pain / L. Manchikanti, S. Helm, V. Singh [et al.] // Pain Physician. — 2009. — Vol. 12. — P. E225–E264.

Reassessment of evidence synthesis of occupational medicine practice guidelines for interventional pain management / L. Manchikanti, V. Singh, R. Derby [et al.] // Pain Physician. — 2008. — Vol. 11. — P. 393–482.

Systematic review of effectiveness and complications of adhesiolysis in the management of chronic spinal pain: an update / A. M. Trescot, P. Chopra, S. Abdi [et al.] // Pain Physician. — 2007. — Vol. 10. — P. 129–146.

Interventional techniques: Evidencebased practice guidelines in the management of chronic spinal pain / M. V. Boswell, A. M. Trescot, S. Datta [et al.] // Pain Physician. — 2007. — Vol. 10. — P. 7–111.

Role of adhesiolysis in the management of chronic spinal pain: A systematic review of effectiveness and complications / P. Chopra, H. S. Smith, T. R. Deer, R. C. Bowman // Pain Physician. — 2005. — Vol. 8. — P. 87–100.

Interventional techniques in the management of chronic spinal pain: Evidencebased practice guidelines / M. V. Boswell, R. V. Shah, C. R. Everett [et al.] // Pain Physician. — 2005. — Vol. 8. — P. 1–47.

Minisurgical approach for spinal endoscopy in the presence of stenosis of the sacral hiatus / S. Helm 2nd, J. D. Gross, K. G. Varley [et al.] // Pain Physician. — 2004. — Vol. 7. — P. 323–325.

Spinal endoscopic adhesiolysis in the management of chronic low back pain: a preliminary report of a randomized, double-blind trial / L. Manchikanti, J. J. Rivera, V. Pampati [et al.] / Pain Physician. — 2003. — Vol. 6. — P. 259–267.

Transforaminal posterolateral endoscopic discectomy with or without the combination of a low-dose chymopapain: a prospective randomized study in 280 consecutive cases / T. Hoogland, M. Schubert, B. Miklitz, A. Ramirez / Spine. — 2006. — Vol. 31. — P. E890–E897.

Interleukin-6 protein expression is more important than interleukin-6 mRNA levels in assessing surgical invasiveness / T. J. Huang, Y. Y. Li, Y. J. Weng [et al.] / J. Surgical Research. — 2007. — Vol. 142. — P. 53–58.

Righesso O. Comparison of open discectomy with microendoscopic discectomy in lumbar disc herniations: results of a randomized controlled trial / O. Righesso, A. Falavigna, O. Avanzi // Neurosurgery. — 2007. — Vol. 61. — P. 545–549.

Full-endoscopic cervical posterior foraminotomy for the operation of lateral disc herniations using 5.9-mm endoscopes: a prospective, randomized, controlled study / S. Ruetten, M. Komp, H. Merk, G. Godolias // Spine. — 2008. — Vol. 33. — P. 940–948.

Full-endoscopic interlaminar and transforaminal lumbar discectomy versus conventional microsurgical technique: a prospective, randomized, controlled study / S. Ruetten, M. Komp, H. Merk, G. Godolias // Spine. — 2008. — Vol. 33. — P. 931–939.

Recurrent lumbar disc herniation after conventional discectomy: a prospective, randomized study comparing full-endoscopic interlaminar and transforaminal versus microsurgical revision / S. Ruetten, M. Komp, H. Merk, G. Godolias // J. Spinal Disord. Tech. — 2009. — Vol. 22. — P. 122–129.

Full-endoscopic anterior decompression versus conventional anterior decompression and fusion in cervical disc herniations / S. Ruetten, M. Komp, H. Merk, G. Godolias // Int. Orthop. — 2009. — Vol. 33. — P. 1677–1682.

Analysis of the results of endoscopic surgical treatment for hernias of the lumbosacral disks / S. K. Akshulakov, T. T. Kerimbaev, G. T. Sekenova, G. S. Makimova // Zh Vopr Neirokhir im N. N. Burdenko. — 2005. — № 4. — P. 18–21.

Microendoscopic discectomy, a less traumatic procedure for lumbar disk herniation / Z. Chao, Z. Yue, C. Tong-wei [et al.] // Chin J. Traumatol. — 2007. — Vol. 10. — P. 311–314.

Kang Y. Sagittal spinal alignment in patients with lumbar disc herniation after endoscopic discectomy / Y. Kang, K. Endo // Journal of Tokyo Medical University. — 2009. — Vol. 67. — P. 431–438.

Lee D. Y. Learning curve for percutaneous endoscopic lumbar discectomy / D. Y. Lee, S. H. Lee // Neurol. Med .Chir. (Tokyo). — 2008. — Vol. 48. — P. 383–388.

Comparison of percutaneous endoscopic lumbar discectomy and open lumbar microdiscectomy for recurrent disc herniation / D. Y. Lee, C. S. Shim, Y. Ahn [et al.] // J. Korean Neurosurg. Soc. — 2009. — Vol. 46. — P. 515–521.

Long-term outcomes of percutaneous lumbar discectomy and microendoscopic discectomy for lumbar disc herniation / W. G. Liu, X. T. Wu, J. Min [et al.] // Zhonghua Yi Xue Za Zhi. — 2009. — Vol. 89. — Р. 750–753.

Mayer H. M. Percutaneous endoscopic discectomy: surgicaltechnique and preliminary results compared to microsurgical discectomy / H. M. Mayer, M. Brock // J. Neurosurg. — 1993. — Vol. 78. — P. 216–225.

Objective assessment of reduced invasiveness in MED: Compared with conventional one-level laminotomy / R. Sasaoka, H. Nakamura, S. Konishi [et al.] // European Spine Journal. — 2006. — Vol. 15. — P. 577–582.

The efficacy of microendoscopic discectomy in reducing iatrogenic muscle injury / D. A. Shin, K. N. Kim, H. C. Shin, Yoon do H. // J. Neurosurg. Spine. — 2008. — Vol. 8. — P. 39–43.

Low-back pain following surgery for lumbar disc herniation: A prospective study / T. Toyone, T. Tanaka, D. Kato, R. Kaneyama // J. Bone Joint Surgery. — 2004. — Vol. 86-A. — P. 893–896.

Xiao L. Z. A comparative study about curative effect of two different therapies to the lumbar disc herniation [Chinese] / L. Z. Xiao, D. R. Zhang, J. Jiang // Chinese Journal of Clinical Rehabilitation. — 2002. — Vol. 6. — P. 552–553.

Identifying pathogens of spondylodiscitis: percutaneous endoscopy or CTguided biopsy / S. C. Yang, T. S. Fu, L. H. Chen [et al.] // Clin. Orthop. Related Research. — 2008. — Vol. 466. — P. 3086–3092.

Microendoscopic discectomy, a less traumatic procedure for lumbar disk herniation / C. Zhang, Y. Zhou, T. W. Chu [et al.] // Chin. J. Traumatol. (Engl. Ed.). –2007. — Vol. 10. — P. 311–314.

Traumatic responses following microendoscopic discectomy: clinical analysis of 44 patients / C. Zhang, T. W. Chu, Y. Zhou [et al.] // Zhonghua Yi Xue Za Zhi. — 2006. — Vol. 86. — P. 3039–3042.

Minimally invasive strategies and options for farlateral lumbar disc herniation / Y. Zhou, C. Zhang, J. Wang [et al.] / Chin. J. Traumatol. — 2008. — Vol. 11. — P. 259–266.




Copyright (c) 2014 Christof Birkenmaier, Martin Komp, Hansjörg F. Leu, Bernd Wegener, Sebastian Ruetten

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.