Evidence map›Paper›PMID 26688809›Full record

ReviewBioMed research international2015

Lumbar Endoscopic Microdiscectomy: Where Are We Now? An Updated Literature Review Focused on Clinical Outcome, Complications, and Rate of Recurrence.

Giulio Anichini, Alessandro Landi, Federico Caporlingua, André Beer-Furlan, Christian Brogna, Roberto Delfini, Emiliano Passacantilli

Open access · hybridAbstract readReview
In one paragraph

Review in BioMed research international, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 12% of its field
1 · What the graph read from 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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 46 citations in OpenAlex.

  1. Complication rates of different discectomy techniques for symptomatic lumbar disc herniation: a systematic review and meta-analysis.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 · 2020
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 3 countries.

Giulio AnichiniDepartment of Neuroscience, Neurosurgery, Imperial College of London, Charing Cross Hospital, London, UK.
Alessandro LandiDepartment of Neurology and Psychiatry, Neurosurgery, University of Rome "Sapienza", Rome, Italy.
Federico CaporlinguaDepartment of Neurology and Psychiatry, Neurosurgery, University of Rome "Sapienza", Rome, Italy.
André Beer-FurlanDepartment of Neurological Surgery, Wexner Medical Center, The Ohio State University College of Medicine, Columbus, OH, USA.
Christian BrognaDepartment of Neurosurgery, King's College of London, London, UK.
Roberto DelfiniDepartment of Neurology and Psychiatry, Neurosurgery, University of Rome "Sapienza", Rome, Italy.
Emiliano PassacantilliDepartment of Neurology and Psychiatry, Neurosurgery, University of Rome "Sapienza", Rome, Italy.
Sapienza University of Rome · ITCharing Cross Hospital · GBKing's College London · GBNeurological Surgery · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Endoscopic disc surgery (EDS) for lumbar spine disc herniation is a well-known but developing field, which is increasingly spreading in the last few years. Rate of recurrence/residual, complications, and outcomes, in comparison with standard microdiscectomy (MD), is still debated and need further data. We performed an extensive review based on the last 6 years of surgical series, systematic reviews, and meta-analyses reported in international, English-written literature. Articles regarding patients treated through endoscopic transforaminal or interlaminar approaches for microdiscectomy (MD) were included in the present review. Papers focused on endoscopic surgery for other spinal diseases were not included. From July 2009 to July 2015, we identified 51 surgical series, 5 systematic reviews, and one meta-analysis reported. In lumbar EDS, rate of complications, length of hospital staying, return to daily activities, and overall patients' satisfaction seem comparable to standard MD. Rate of recurrence/residual seems higher in EDS, although data are nonhomogeneous among different series. Surgical indication and experience of the performing surgeon are crucial factors affecting the outcome. There is growing but still weak evidence that lumbar EDS is a valid and safe alternative to standard open microdiscectomy. Statistically reliable data obtained from randomized controlled trials (better if multicentric) are desirable to further confirm these results.

Indexed as

EndoscopyHumansIntervertebral DiscIntervertebral Disc DisplacementMicrodissectionPostoperative Complications

Identifiers

PMID26688809
PMCPMC4672102
OpenAlexW2178052359

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.