Evidence map›Paper›PMID 38969821›Full record

ArticleInternational orthopaedics2024

Percutaneous endoscopic interlaminar discectomy for high-grade migrated lumbar disc herniation: clinical efficacy and safety assessment.

Haijun Ma, Mingkui Shen, Zhongxin Tang, Kuankuan Li, Honggang Zhou, Xiao Sun, Zhaochen Zhou, Jun Tan

Abstract read
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Article in International orthopaedics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. [Short-term effectiveness of uni-portal non-coaxial spinal endoscopic surgery via crossing midline approach in treatment of free lumbar disc herniation].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2025
    Article
  5. Article
  6. Article
  7. [Early effectiveness of unilateral biportal endoscopy technique for migrated lumbar intervertebral disc herniation].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2024
    Article
  8. Article
4 · The record

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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

8 authors.

Haijun MaDepartment of Mini‑Invasive Spinal Surgery, The Third People's Hospital of Henan Province, Zhengzhou, Henan, China.
Mingkui ShenDepartment of Mini‑Invasive Spinal Surgery, The Third People's Hospital of Henan Province, Zhengzhou, Henan, China.
Zhongxin TangDepartment of Mini‑Invasive Spinal Surgery, The Third People's Hospital of Henan Province, Zhengzhou, Henan, China.
Kuankuan LiDepartment of Mini‑Invasive Spinal Surgery, The Third People's Hospital of Henan Province, Zhengzhou, Henan, China.
Honggang ZhouDepartment of Mini‑Invasive Spinal Surgery, The Third People's Hospital of Henan Province, Zhengzhou, Henan, China.
Xiao SunDepartment of Mini‑Invasive Spinal Surgery, The Third People's Hospital of Henan Province, Zhengzhou, Henan, China.
Zhaochen ZhouDepartment of Mini‑Invasive Spinal Surgery, The Third People's Hospital of Henan Province, Zhengzhou, Henan, China.
Jun TanDepartment of Mini‑Invasive Spinal Surgery, The Third People's Hospital of Henan Province, Zhengzhou, Henan, China. Doctortan0718@126.com.

Funding

The Joint Project of Medical Science and Technology of Henan Province LHGJ20190859The National Clinical Key Specialty Construction Project YU Medical Letter 2023 [30]
6 · The paper itself

Abstract

purposeThis study aimed to assess the clinical effectiveness and safety of percutaneous endoscopic interlaminar discectomy (PEID) in the management of high-grade migrated Lumbar disc herniation (LDH).

methodsA total of 328 patients who underwent PEID for high-grade migrated LDH between May 2020 and January 2023 in our hospital were selected. Patients were categorized into high-grade migrated group and low-grade migrated group according to preoperative MRI findings. The preoperative and postoperative evaluations of clinical outcomes, such as Visual Analogue Scale (VAS) for lower backs and legs, Oswestry Disability Index (ODI), and modified MacNab criteria for surgical success, were compared between groups.

resultsNo statistically significant differences were found in hospitalization time, surgery time, intraoperative hemorrhage, number of intraoperative fluoroscopies, or incision length between the two groups. The lower back and leg VAS scores and ODI exhibited a statistically significant decrease in both groups across all postoperative time intervals. However, the difference between the two groups was not statistically significant. Postoperative nerve root stimulation symptoms were reported in two and three cases in the high-grade migrated group and low-grade migrated group, respectively. One patient in the high-grade migrated group underwent reoperation due to re-herniation at the same segment. There was no significant difference in the rate of excellent-good cases between the two groups, with an overall rate of 94.7%.

conclusionIn treating high-grade migrated disc herniation, PEID offers advantages such as reduced trauma, small incision, quicker recovery and satisfactory clinical safety and efficacy.

Indexed as

Diskectomy, PercutaneousEndoscopyIntervertebral Disc DisplacementLumbar VertebraeAdultAgedDisability EvaluationFemaleHumansMaleMiddle AgedRetrospective StudiesTreatment OutcomeEndoscopic spine surgeryMigrated lumbar disc herniationMinimally invasive spine surgeryPercutaneous endoscopic interlaminar discectomy

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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.