ArticleGlobal spine journal2021
Surgical Outcomes for Upper Lumbar Disc Herniations: A Systematic Review and Meta-analysis.
Article in Global spine journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 15 citations in OpenAlex.
- A technical report and pilot feasibility study of a novel minimally invasive tubular trans-isthmus oblique approach for upper lumbar disc herniation.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 · 2026Article
- Full-Endoscopic Surgery for Lumbar Disc Herniation: Comparative Outcomes and Risk Factors Between Lumbar Levels-The EndoLEVEL Study.International journal of spine surgery · 2026Article
- Comparison of short-term clinical efficacy between percutaneous endoscopic transforaminal discectomy and unilateral biportal endoscopy in the treatment of upper lumbar disc herniation.BMC musculoskeletal disorders · 2026Article
- Upper lumbar disc herniation presenting as chronic right lower abdominal pain in a patient with multilevel lumbar degeneration: a case report.Frontiers in surgery · 2026Article
- Decompression alone for 62 isolated L1-2 lumbar disc herniation.Surgical neurology international · 2026Article
- Unilateral biportal endoscopy for upper lumbar disc herniation: surgical challenges and clinical outcomes.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2025Article
- O-arm navigation-based transforaminal unilateral biportal endoscopic discectomy for upper lumbar disc herniation: an innovative preliminary study.Asian spine journal · 2025Article
- Far-Lateral Transforaminal Unilateral Biportal Endoscopic Lumbar Discectomy for Upper Lumbar Disc Herniations.Neurospine · 2025Article
- Unilateral biportal endoscopy via two different approaches for upper lumbar disc herniation: a technical note.BMC musculoskeletal disorders · 2024Article
- 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
- Technical challenges and surgical outcomes of percutaneous transforaminal endoscopic discectomy in patients with upper lumbar disc herniation: a prospective clinical study.Archives of orthopaedic and trauma surgery · 2023Article
- [Imaging study and clinical application of unilateral biportal endoscopy technique for upper lumbar disc herniation via contralateral approach].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2022Article
- Treatment of Upper Lumbar Disc Herniation with a Transforaminal Endoscopic Technique.Frontiers in surgery · 2022Article
- The impact of operative level on patient-reported outcome measures following single-level posterior lumbar decompression for disc herniation.Journal of craniovertebral junction & spineArticle
Corrections and comments
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Authors and funding
13 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
STUDY
designSystematic review and meta-analysis.
objectiveTo conduct a literature review on outcomes of discectomy for upper lumbar disc herniations (ULDH), estimate pooled rates of satisfactory outcomes, compare open laminectomy/microdiscectomy (OLM) versus minimally invasive surgical (MIS) techniques, and compare results of disc herniations at L1-3 versus L3-4.
methodsA systematic review of articles reporting outcomes of nonfusion surgical treatment of L1-2, L2-3, and/or L3-4 disc herniations was performed. The inclusion and exclusion of studies was performed according to the latest version of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement.
resultsA total of 20 articles were included in the quantitative meta-analysis. Pooled proportion of satisfactory outcome (95% CI) was 0.77 (0.70, 0.83) for MIS and 0.82 (0.78, 0.84) for OLM. There was no significant improvement with MIS techniques compared with standard OLM, odds ratio (OR) = 0.86, 95% CI (0.42, 1.74),
conclusionOur analysis reveals that discectomy for ULDH has an overall success rate of approximately 80% and has not improved with MIS. Discectomy for herniations at L3-4 trends toward better outcomes compared with L1-2 and L2-3, but was not significant.
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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.