EFFICACY AND SAFETY OF MICRODISCECTOMY IN THE TREATMENT OF LUMBAR INTERVERTEBRAL DISC HERNIATION: CLINICAL OUTCOMES AND COMPARATIVE ANALYSIS
Keywords:
lumbar disc herniation; microdiscectomy; minimally invasive surgery; clinical effectiveness; complicationsAbstract
Lumbar intervertebral disc herniation is among the most common pathologies in modern neurosurgery, often associated with pain syndrome and neurological deficit, leading to a significant decline in patients’ quality of life. In this study, 60 patients underwent microdiscectomy, and its clinical effectiveness and safety were evaluated. Postoperative results demonstrated a significant reduction in pain and functional limitations, along with a high rate of neurological recovery. Complications were infrequent and mild in severity. Microdiscectomy remains the “gold standard” in the surgical treatment of lumbar disc herniation, although minimally invasive techniques also show clinically relevant advantages.
References
Koebbe CJ, et al. Lumbar microdiscectomy: a historical perspective and current technical considerations. Neurosurg Focus. 2002;13(2):E3.
Ajiboye RM, et al. Surgical Treatment of Recurrent Lumbar Disk Herniation: A Systematic Review and Meta-analysis. Orthopedics. 2018;41(4):e457–e469.
Kamper SJ, et al. Minimally invasive surgery for lumbar disc herniation: a systematic review and meta-analysis. Eur Spine J. 2014;23(5):1021–1043.
Jacobs WC, et al. Surgery versus conservative management of sciatica due to a lumbar herniated disc: a systematic review. Eur Spine J. 2011;20(4):513–522.
Gulati S, et al. Lumbar microdiscectomy for sciatica in adolescents: a multicentre observational registry-based study. Acta Neurochir (Wien). 2017;159(3):509–516.
Feng Z, et al. Unilateral biportal endoscopic discectomy versus microdiscectomy for lumbar disc herniation: a systematic review and meta- analysis. Spine J. 2024;33(6):2139–2153.
Casal-Moro R, et al. Long-term Outcome After Microendoscopic Diskectomy for Lumbar Disk Herniation: A Prospective Clinical Study With a 5-Year Follow-up. Neurosurgery. 2011;68:1568–1575.
