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

Authors

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

DOI:

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

Keywords:

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

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.

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Birkenmaier, C., Komp, M., Leu, H. F., Wegener, B., & Ruetten, S. (2014). The current state of endoscopic disc surgery: review of controlled studies comparing full-endoscopic procedures for disc herniations to standard procedures. ORTHOPAEDICS TRAUMATOLOGY and PROSTHETICS, (2), 41–50. https://doi.org/10.15674/0030-59872014241-50

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