当前位置： SCI文献检索 > Neurosurgical Focus期刊下所有文献 > Perioperative results following lumbar discectomy: comparison of minimally invasive discectomy and standard microdiscectomy.

Perioperative results following lumbar discectomy: comparison of minimally invasive discectomy and standard microdiscectomy.

Abstract：

OBJECT:Minimally invasive lumbar discectomy is a refinement of the standard open microsurgical discectomy technique. Proponents of the minimally invasive technique suggest that it improves patient outcome, shortens hospital stay, and decreases hospital costs. Despite these claims there is little support in the literature to justify the adoption of minimally invasive discectomy over standard open microsurgical discectomy. In the present study, the authors address some of these issues by comparing the short-term outcomes in patients who underwent first time, single-level lumbar discectomy at L3-4, L4-5, or L5-S1 using either a minimally invasive percutaneous, muscle splitting approach or a standard, open, muscle-stripping microsurgical approach. METHODS:A retrospective chart review of 172 patients who had undergone a first-time, single-level lumbar discectomy at either L3-4, L4-5, or L5-S1 was performed. Perioperative results were assessed by comparing the following parameters between patients who had undergone minimally invasive discectomy and those who received standard open microsurgical discectomy: length of stay, operative time, estimated blood loss, rate of cerebrospinal fluid leak, post-anesthesia care unit narcotic use, need for a physical therapy consultation, and need for admission to the hospital. RESULTS:Forty-nine patients underwent minimally invasive discectomy, and 123 patients underwent open microsurgical discectomy. At baseline the groups did differ significantly with respect to age, but did not differ with respect to height, weight, sex, body mass index, level of radiculopathy, side of radiculopathy, insurance status, or type of preoperative analgesic use. No statistically significant differences were identified in operative time, rate of cerebrospinal fluid leak, or need for a physical therapy consultation. Statistically significant differences were identified in length of stay, estimated blood loss, postanesthesia care unit narcotic use, and need for admission to the hospital. CONCLUSIONS:In this retrospective study, patients who underwent minimally invasive discectomy were found to have similar perioperative results as those who underwent open microsurgical discectomy. The differences, although statistically significant, are of modest clinical significance.

journal_name

Neurosurg Focus

journal_title

Neurosurgical focus

authors

German JW,Adamo MA,Hoppenot RG,Blossom JH,Nagle HA

doi

10.3171/FOC/2008/25/8/E20

subject

Has Abstract

pub_date

2008-01-01 00:00:00

pages

E20

issue

issn

1092-0684

journal_volume

pub_type

杂志文章,评审

在线工具

Perioperative results following lumbar discectomy: comparison of minimally invasive discectomy and standard microdiscectomy.