SynthesisEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2016
Microendoscopic discectomy versus open discectomy for lumbar disc herniation: a meta-analysis.
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, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
43 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Effect of obesity on results of endoscopic versus open lumbar discectomy: a systematic review and meta-analysis.Archives of orthopaedic and trauma surgery · 2023Pooled it
- Complication rates of different discectomy techniques for the treatment of lumbar disc herniation: a network 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 · 2019Pooled it
- Percutaneous Transforaminal Endoscopic Discectomy versus Micro-Endoscopic Discectomy for Lumbar Disc Herniation.Medical science monitor : international medical journal of experimental and clinical research · 2019Pooled it
- Percutaneous endoscopic transforaminal discectomy precedes interlaminar discectomy in the efficacy and safety for lumbar disc herniation.Bioscience reports · 2019Pooled it
- Unilateral biportal endoscopic versus microscopic discectomy in degenerative lumbar spinal stenosis: A prospective cohort study.Medicine · 2025Trial
- Comparison of the effectiveness and outcome of microendoscopic and open discectomy in patients suffering from lumbar disc herniation.Medicine · 2019Trial
- 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
- Transforaminal Endoscopic Lumbar Decompression: Defining Its Scope and Limitations.International journal of spine surgery · 2026Article
- Lumbar Disc Herniation: What's New in Surgical Treatment.Revista brasileira de ortopedia · 2026Article
- [Lumbar Disc Herniation: What's New in Surgical Treatment].Revista brasileira de ortopedia · 2026Article
- Lumbar Spinal Endoscopy: Mature, Durable, and Established-Not Investigational.International journal of spine surgery · 2026Article
- Interpretable prediction of prolonged length of stay for patients undergoing lumbar disc herniation surgery based on machine learning and SHAP.BMC health services research · 2026Article
- Advanced hydrogel therapeutics for intervertebral disc degeneration: Engineering structural-functional properties in natural and synthetic biomaterials.Bioengineering & translational medicine · 2025Review
- Comparison of the clinical efficacy of percutaneous endoscopic lumbar interbody fusion through different surgical approaches: a retrospective study.Journal of orthopaedic surgery and research · 2025Article
- Comparison of surgical outcomes between unilateral biportal endoscopic technique and open microdiscectomy in patients with single-level lumbar disc herniation: a single-center retrospective study in China.Asian spine journal · 2025Article
- Recent advances and evolving strategies in the treatment of lumbar disc herniation.Frontiers in neurology · 2025Review
- When can lumbar fusion be considered appropriate in the treatment of recurrent lumbar disc herniation? A systematic review and meta-analysis.Brain & spine · 2025Article
- Advanced Visualization in Minimally Invasive Spine Surgery: The Ergonomics, Economics, and Evolution of Camera-Based Tubes and Retractors.International journal of spine surgery · 2024Article
- Role of surgery in primary lumbar disk herniation: WFNS spine committee recommendations.World neurosurgery: X · 2024Review
- A study on the 10-year trend of surgeries performed for lumbar disc herniation and comparative analysis of prescribed opioid analgesics and hospitalization duration: 2010-2019 HIRA NPS Data.BMC musculoskeletal disorders · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo compare the outcomes of microendoscopic discectomy and open discectomy for patients with lumbar disc herniation.
methodsAn extensive search of studies was performed in PubMed, Medline, Embase, Cochrane library and Google Scholar. The following outcome measures were extracted: visual analogue scale (VAS), Oswestry disability index (ODI), complication, operation time, blood loss and length of hospital stay. Data analysis was conducted with RevMan 5.0.
resultsFive randomized controlled trials involving 501 patients were included in this meta-analysis. The pooled analysis showed that there was no significant difference in the VAS, ODI or complication between the two groups. However, compared with the open discectomy, the microendoscopic discectomy was associated with less blood loss [WMD = -151.01 (-288.22, -13.80), P = 0.03], shorter length of hospital stay [WMD = -69.33 (-110.39, -28.28), P = 0.0009], and longer operation time [WMD = 18.80 (7.83, 29.76), P = 0.0008].
conclusionsMicroendoscopic discectomy, which requires a demanding learning curve, may be a safe and effective alternative to conventional open discectomy for patients with lumbar disc herniation.
Indexed as
Identifiers
27001138What 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.