Evidence map›Paper›PMID 39761996›Full record

ArticleInternational journal of spine surgery2025

Is Transforaminal Endoscopic Discectomy the Best Option for Recurrent Lumbar Disc Herniation? A Systematic Review.

Gerald Musa, Medetbek D Abakirov, Naya Arzoumi, Samat T Mamyrbaev, Rossi E Barrientos Castillo, Gennady E Chmutin, Jeff Ntalaja, Tshiunza Mpoyi Chérubin, Edinson David Berrio Perea, Gervit Reyes-Soto and 3 more

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Article in International journal of spine surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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

13 authors.

Gerald MusaDepartment of Neurological Disease and Neurosurgery, Peoples Friendship University of Russia named after Patrice Lumumba (RUDN), Moscow, Russia.
Medetbek D AbakirovDepartment of Orthopedics and Traumatology, Peoples Friendship University of Russia named after Patrice Lumumba (RUDN), Moscow, Russia.
Naya ArzoumiMedical Institute, Peoples Friendship University of Russia named after Patrice Lumumba (RUDN), Moscow, Russia.
Samat T MamyrbaevKyrgyz State Medical Academy, Bishkek, Kyrgyzstan.
Rossi E Barrientos CastilloDepartment of Neurological Disease and Neurosurgery, Peoples Friendship University of Russia named after Patrice Lumumba (RUDN), Moscow, Russia.
Gennady E ChmutinDepartment of Neurological Disease and Neurosurgery, Peoples Friendship University of Russia named after Patrice Lumumba (RUDN), Moscow, Russia.
Jeff NtalajaUnit of Neurosurgery, Center Hospitalier Initiative Plus, Kinshasa, Democratic Republic of the Congo.
Tshiunza Mpoyi ChérubinUnit of Neurosurgery, Center Hospitalier Initiative Plus, Kinshasa, Democratic Republic of the Congo.
Edinson David Berrio PereaCentro Médico Issemym Toluca, Universidad Autonoma de Mexico, Toluca de Lerdo, Mexico.
Gervit Reyes-SotoUnidad de Neurociencias, Department of Head and Neck, Instituto Nacional de Cancerología, Mexico City, Mexico.
Carlos Castillo-RangelDepartment of Neurosurgery, Servicio of the 1ro de Octubre Hospital of the Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado, Mexico City, Mexico.
Manuel De Jesus Encarnacion RamirezAssistant of the Department of Human Anatomy and Histology of the Institute of Clinical Medicine Named after N.V. Sklifosovskiy, Moscow, Russia.
Nicola MontemurroDepartment of Neurosurgery, Azienda Ospedaliero Universitaria Pisana (AOUP), Pisa, Italy nicola.montemurro@unipi.it.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionRecurrent lumbar disc herniation (rLDH) remains a challenge in spinal surgery. This systematic review analyzes the use of transforaminal endoscopic discectomy (TFED) for the treatment of rLDH.

methodsA comprehensive search of 4 electronic databases, including PubMed, Google Scholar, Science Direct, and Cochrane, was conducted. Studies that analyzed the use of TFED to manage rLDH were included in the review. The primary outcomes assessed in these studies encompassed postoperative complications, length of surgery, blood loss, duration of hospitalization, pain scores, and recurrence rates.

resultsSix studies met the inclusion criteria, comprising 405 patients. The mean duration of surgery was 24 to 158.74 minutes with intraoperative estimated blood loss of 0 to 34.8 mL. The mean recurrence rate was 4.4% with a 0.7% progression to fusion during the follow-up period. Durotomy was seen in 2.7% of cases. There was a 0.1% incidence of temporary nerve irritation with no permanent nerve injuries reported.

conclusionsTFED for the management of rLDH is a lateral minimally invasive technique that avoids going through scar tissue, hence associated with a short duration of surgery, minimal to no measurable blood loss, and a very low complication rate. The few studies in the literature seem to suggest that TFED should be considered in patients with rLDH without segmental instability who meet the criteria for surgery. LEVEL OF EVIDENCE: 5:

Indexed as

degenerative disc diseaselumbar spinerecurrent lumbar disc herniationtransforaminal endoscopic discectomy

Identifiers

PMID39761996
PMCPMC12053245

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