ArticleNeurologia medico-chirurgica2023
Comparison of the Interlaminar and Transforaminal Approaches for Full-endoscopic Discectomy for the Treatment of L4/5 Lumbar Disc Herniation.
Article in Neurologia medico-chirurgica, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.
- Full-endoscopic lumbar spine discectomy: in search of the optimal approach-a meta-analysis comparing interlaminar endoscopic lumbar discectomy (IELD) and transforaminal endoscopic lumbar discectomy (TELD).Neurosurgical review · 2026Pooled it
- Comparison of clinical effectiveness between interlaminar and transforaminal endoscopic lumbar discectomy for L4/5 highly migrated lumbar disc herniation: a retrospective study with a minimum one year follow-up.BMC musculoskeletal disorders · 2026Article
- Transforaminal vs interlaminar full -endoscopic lumbar discectomy at the L4/L5 level: a systematic review and meta -analysis.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2026Review
- Full-endoscopic Laminotomy Is Effective for Lumbar Spinal Stenosis with Low-grade Spondylolisthesis: A Comparative Cohort Study.Neurologia medico-chirurgica · 2026Article
- Radiographic and clinical predictors of surgical outcomes following endoscopic decompression for radiculopathy in adult degenerative scoliosis: A multi-center retrospective study.Brain & spine · 2026Article
- Author Reply to "Reference Paper Maroun et al. Endoscopic discectomy for L4-L5 disc herniation a meta-analysis comparing transforaminal and interlaminar approaches".Brain & spine · 2026Article
- Endoscopic discectomy for L4-L5 disc herniation: A meta-analysis comparing transforaminal and interlaminar approaches.Brain & spine · 2026Review
- Comparison of efficacy between transforaminal and interlaminar endoscopic discectomy for single-level lumbar disc herniation.Medicine · 2025Observational
- Endoscopic spine surgery for obesity-related surgical challenges: a systematic review and meta-analysis of current evidence.Asian spine journal · 2025Article
- Comparative outcomes of unilateral biportal endoscopic lumbar intervertebral discectomy with and without annulus fibrosus suture in lumbar disc herniation: a retrospective analysis.Frontiers in surgery · 2025Article
- Full-endoscopic Discectomy for the Treatment of Thoracic Myelopathy Caused by Upward-migrating Thoracic Disc Herniation.NMC case report journal · 2025Article
- Full-endoscopic Spine Surgery for the Treatment of Lumbar Ligamentous Flavum Hematoma.Neurologia medico-chirurgica · 2024Article
- Comparison of Percutaneous Endoscopic Transforaminal Discectomy, Chemonucleolysis, Microdiscectomy, and Microendoscopic Discectomy for Symptomatic Lumbar Disc Herniation: One-year Follow-up Clinical Results and Disc Degeneration.Neurologia medico-chirurgica · 2024Article
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
This study aims to compare the outcomes of interlaminar and transforaminal approaches for full-endoscopic discectomy (FED) for treating L4/5 lumbar disc herniation (LDH).A retrospective study of patients with L4/5 LDH treated with interlaminar endoscopic lumbar discectomy (IELD, n = 19) or transforaminal endoscopic lumbar discectomy (TELD, n = 105) was conducted. Patient background, radiological findings, and operative data were collected. Oswestry Disability Index (ODI) and European Quality of Life-5 Dimension (EQ-5D) scores were recorded preoperatively and 1 and 2 years postoperatively.Although ODI and EQ-5D scores 1 and 2 years postoperatively improved statistically in the IELD and TELD groups, there were no statistical differences between the groups. IELD was predominantly performed in patients who were taller and heavier. The mean operative times and the frequency of laminectomy for IELD and TELD were 67.2 and 44.6 min and 63.2 and 17.1%, respectively (P < 0.001). The radiological findings showed that the concave configuration of the L4 lamina, interlaminar space width, and foraminal width were statistically different between the groups. There were no complications in either of the groups. Reoperation was required for recurrence in two and five patients in the IELD and TELD groups (P = 0.29), respectively.Operative outcomes were identical between the two groups. Although the operative time was longer in the IELD group, both approaches were safely and effectively performed. Depending on the patient's physique and preoperative radiological findings, the more suitable approach for L4/5 LDH should be chosen.
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