Evidence map›Paper›PMID 36134544›Full record

ArticleGlobal spine journal2024

Comparison of the Outcomes of Microendoscopic Discectomy Versus Full-Endoscopic Discectomy for the Treatment of L4/5 Lumbar Disc Herniation.

Muneyoshi Fujita, Takahiro Inui, Yasushi Oshima, Hiroki Iwai, Hirohiko Inanami, Hisashi Koga

Open access · goldAbstract read
In one paragraph

Article in Global spine journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.6field-weighted citation impact, top 16% 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

6 citing papers in PubMed, 11 citations in OpenAlex.

  1. Trial
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  5. Review
  6. Article
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

6 authors at 2 institutions in 1 country.

Muneyoshi FujitaDepartment of Neurosurgery, Iwai FESS Clinic, Tokyo, Japan.
Takahiro InuiDepartment of Orthopaedic Surgery, Teikyo University School of Medicine, Tokyo, Japan.ORCID 0000-0003-4733-5281
Yasushi OshimaDepartment of Orthopaedic Surgery, The University of Tokyo, Tokyo, Japan.ORCID 0000-0003-4696-1846
Hiroki IwaiDepartment of Neurosurgery, Iwai FESS Clinic, Tokyo, Japan.
Hirohiko InanamiDepartment of Neurosurgery, Iwai FESS Clinic, Tokyo, Japan.
Hisashi KogaDepartment of Neurosurgery, Iwai FESS Clinic, Tokyo, Japan.ORCID 0000-0002-4433-2061
Teikyo University · JPUniversity of Tokyo Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designRetrospective Comparative Study.

objectivesTo compare the outcomes of microendoscopic discectomy (MED) versus full-endoscopic discectomy (FED) for treating L4/5 lumbar disc herniation (LDH).

methodsA retrospective study was performed on patients with L4/5 LDH treated using MED (n = 249) or FED (n = 124). A 16-mm tubular retractor and endoscope was used for MED, while a 4.1-mm working channel endoscope was used for FED. Patient background and operative data were collected. The Oswestry Disability Index (ODI) and European Quality of Life-5 Dimensions (EQ-5D) scores were recorded preoperatively and at 1 and 2 years postsurgery.

resultsThe background data of the two groups were similar. The mean operation times for MED and FED were 59.3 and 47.7 min (respectively), and the mean volumes of removed nucleus pulposus were .65 and 1.03 g, respectively. These differences were significant (

conclusionsOperative outcomes were almost identical in both groups. We did not observe any operative or postoperative complications in FED. We, therefore, recommend FED as the first option for the treatment of L4/5 LDH since it has a better safety profile and is minimally invasive.

Indexed as

full-endoscopic discectomyL4/5lumbar disc herniationmicroendoscopic discectomyminimally invasive

Identifiers

PMID36134544
PMCPMC11192103
OpenAlexW4296614836

What OpenQuestion holds

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LicenceCC BY-NC-ND
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.