SynthesisEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2013
Systematic review of microendoscopic discectomy for lumbar disc herniation.
Synthesis in European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02535273 (The Effect of Dexmedetomidine Subsidiary Analgesia and Sedation in Minimally Invasive Spine Surgery Under Local Anesthesia：A Randomized, Double Blind Controlled Trial), which is not on this map. Cited by 25 papers, 4 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
The Effect of Dexmedetomidine Subsidiary Analgesia and Sedation in Minimally Invasive Spine Surgery Under Local Anesthesia：A Randomized, Double Blind Controlled Trial
Who cites it
25 citing papers in PubMed, 4 syntheses or guidelines pooled it, 60 citations in OpenAlex.
- Effectiveness of Microscopic Tubular Discectomy for Improved Pain and Mobility in Far Lateral Lumbar Disc Herniation: A Systematic Review.Orthopaedic surgery · 2025Pooled it
- Eight Surgical Interventions for Lumbar Disc Herniation: A Network Meta-Analysis on Complications.Frontiers in surgery · 2021Pooled it
- Comparison of percutaneous endoscopic lumbar discectomy versus microendoscopic discectomy for the treatment of lumbar disc herniation: a meta-analysis.International orthopaedics · 2019Pooled it
- Minimally invasive discectomy versus microdiscectomy/open discectomy for symptomatic lumbar disc herniation.The Cochrane database of systematic reviews · 2014Pooled it
- A randomised controlled trial of transforaminal endoscopic discectomy vs microdiscectomy.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2017Trial
- Spinal cord-like hypertension syndrome with metabolic acidosis and pulmonary edema following lumbar discectomy under general anesthesia: a case report.BMC anesthesiology · 2026Article
- Endoscopic Diskectomy in Athletes: A Systematic Review and Meta-Analysis.Asian journal of neurosurgery · 2026Review
- A Retrospective Study of Lumbar Disk Herniation: An Analysis of Clinical Cases and Treatment Plans.Journal of clinical medicine · 2025Article
- Use of the Zebris Ultrasonic Three-Dimensional Motion Analysis System to Evaluate Range of Motion of the Cervical Spine in 61 Healthy Adults.Medical science monitor : international medical journal of experimental and clinical research · 2025Article
- Percutaneous Endoscopic Backhand Holding (EBH) Technique for Extraforaminal Lumbar Disc Herniations: A Modified Operative Technique.Journal of pain research · 2025Article
- Comparing mid-term outcomes and patient satisfaction between percutaneous endoscopic lumbar discectomy and microendoscopic discectomy for foraminal and extraforaminal lumbar disc herniations: a retrospective matched cohort study.Frontiers in surgery · 2025Article
- Evaluation of Spin in Systematic Reviews and Meta-Analyses of Minimally Invasive Surgical Techniques and Standard Microdiscectomies for Treating Lumbar Disc Herniation.Global spine journal · 2024Review
- Minimally Invasive Spinal Treatment (MIST)-A New Concept in the Treatment of Spinal Diseases: A Narrative Review.Medicina (Kaunas, Lithuania) · 2022Review
- Microendoscope-Assisted Versus Open Posterior Lumbar Interbody Fusion for Lumbar Degenerative Disease: A Multicenter Retrospective Cohort Study.Medicina (Kaunas, Lithuania) · 2021Article
- Minimally invasive discectomy for lumbar disc herniation: current concepts, surgical techniques, and outcomes.International orthopaedics · 2019Review
- Lumbar disc herniation treated by microendoscopic discectomy : Prognostic predictors of long-term postoperative outcome.Der Orthopade · 2018Article
- Combining YESS and TESSYS techniques during percutaneous transforaminal endoscopic discectomy for multilevel lumbar disc herniation.Medicine · 2018Article
- Effects of release and decompression techniques on nerve roots through percutaneous transforaminal endoscopic discectomy on patients with central lumbar disc herniation.Experimental and therapeutic medicine · 2017Article
- Article
- Lumbar Endoscopic Microdiscectomy: Where Are We Now? An Updated Literature Review Focused on Clinical Outcome, Complications, and Rate of Recurrence.BioMed research international · 2015Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
STUDY
designSystematic review.
objectiveTo search and analyse randomised controlled trials (RCTs) published since the Cochrane review by Gibson and Waddell (2007) comparing microendoscopic discectomy (MED) with open discectomy (OD) or microdiscectomy (MD) and to assess whether MED improves patient-reported outcomes. Discectomy for symptomatic herniated lumbar discs is an effective operative treatment. A number of operative techniques exist including OD, MD, and MED. A 2007 Cochrane review identified OD as an effective treatment for symptom improvement, and found sufficient evidence for MD. However, evidence for MED was lacking.
methodsA systematic review of Medline and Embase was carried out. Aiming to identify RCTs carried out after 2007, which compared OD with MD and MED which reported the Oswestry disability index (ODI) as an outcome.
resultsFour RCTs were identified. None of the studies found a significant difference in the ODI scores between study groups at any time point. Three studies compared MED to OD and one compared OD, MD, and MED. The largest study reported an increased number of severe complications in the MED group.
conclusionsThere is some evidence to suggest that MED performed by surgeons skilled in the technique in tertiary referral centres is as effective as OD.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.