Evidence map›Paper›PMID 38069636›Full record

ArticleGlobal spine journal2025

A 2-Year Outcomes and Complications of Various Techniques of Lumbar Discectomy: A Multicentric Prospective Study.

Praveen Goparaju, Pritem A Rajamani, Arvind G Kulkarni, Priyambada Kumar, Yogesh M Adbalwad, Shekhar Bhojraj, Abhay Nene, S Rajasekaran, Shankar Acharya, Arun Bhanot and 7 more

Abstract read
In one paragraph

Article in Global spine journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
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

9 citing papers in PubMed.

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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

17 authors.

Praveen GoparajuDepartment of Orthopaedics, Bombay Hospital and Medical Research Centre, Mumbai, India.
Pritem A RajamaniDepartment of Orthopaedics, Bombay Hospital and Medical Research Centre, Mumbai, India.
Arvind G KulkarniDepartment of Orthopaedics, Bombay Hospital and Medical Research Centre, Mumbai, India.ORCID 0000-0002-0919-7108
Priyambada KumarDepartment of Orthopaedics, Bombay Hospital and Medical Research Centre, Mumbai, India.ORCID 0000-0002-7168-4767
Yogesh M AdbalwadDepartment of Orthopaedics, Bombay Hospital and Medical Research Centre, Mumbai, India.
Shekhar BhojrajP. D. Hinduja National Hospital and Medical Research Centre, Mumbai, India.
Abhay NeneP. D. Hinduja National Hospital and Medical Research Centre, Mumbai, India.
S RajasekaranDepartment of Spine Surgery, Ganga Hospital, Coimbatore, India.
Shankar AcharyaDepartment of Spine Surgery, Sir Ganga Ram Hospital, New Delhi, India.
Arun BhanotDepartment of Spine Services, Columbia Asian Hospital, Gurugram, India.
Pramod LokhandeDepartment of Orthopaedics, Smt. Kashibai Navale Medical College and General Hospital, Pune, India.
Priyank PatelDepartment of Orthopaedics, Jupiter Hospital, Thane, India.
Paresh Chandra DeyModern Orthopedic Clinic, Bhubaneshwar, India.
Harvinder Singh ChhabraIndian Spinal Injuries Centre, New Delhi, India.
Achimuthu RajamaniPreetams Spine Surgery Centre, Madurai, India.
Bharat Rajendraprasad DaveGujarat University, Ahmedabad, India.ORCID 0000-0003-2668-5848
Ajay KrishnanStavya Spine Hospital & Research Institute, Ahmedabad, India.ORCID 0000-0001-9808-2371

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designProspective Study.

objectivesThere are numerous techniques for performing lumbar discectomy, each with its own rationale and stated benefits. The authors set out to evaluate and compare the perioperative variables, results, and complications of each treatment in a group of patients provided by ten hospitals and operated on by experienced surgeons.

methodsThis prospective study comprised of 591 patients operated between February-2017 to February-2019. The procedures included open discectomy, microdiscectomy, tubular microdiscectomy, interlaminar endoscopic lumbar discectomy, transforaminal endoscopic lumbar discectomy and Destandau techniques with a follow-up of minimum 2 years. VAS (Visual Analogue Score) for back and leg pain, ODI (Oswestry Disability Index), duration of surgery, hospital stay, length of scar, operative blood loss and peri-operative complications were recorded in each group.

resultsPost-operatively, there was a significant improvement in the VAS score for back pain as well as leg pain, and ODI scores spanning all groups, with no significant distinction amongst them. When compared to open procedures (open discectomy and microdiscectomy), minimally invasive surgeries (tubular discectomy, interlaminar endoscopic lumbar discectomy, transforaminal endoscopic lumbar discectomy, and Destandau techniques) reported shorter operative time, duration of hospital stays, better cosmesis, and lower blood loss. Overall, the complication rate was reported to be 8.62%. Complication rates differed slightly across approaches.

conclusionMinimally invasive surgeries have citable advantages over open approaches in terms of perioperative variables. However, all approaches are successful and provide comparable pain relief with similar functional outcomes at long term follow up.

Indexed as

destandau’s techniqueendoscopic interlaminar discectomylumbar discectomymicrodiscectomymicrotubular microdiscectomymulticentric studyopen discectomyoswestry disability indexvisual analogue score

Identifiers

PMID38069636
PMCPMC11877671

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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.