Evidence map›Paper›PMID 40128294›Full record

ArticleScientific reports2025

Comparison of the efficacy of microendoscopic discectomy and percutaneous endoscopic lumbar discectomy for treating adolescent lumbar disc herniation.

Lu Mao, Zicong Shen, Weiye Zhu, Kun Wang, Pan Fan, Xiaotao Wu, Lijun Li, Guanyi Liu

Abstract readComparative Study
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Pediatric lumbosacral disc herniation: risk factors, surgical outcomes, and the potential impact of the lockdown associated with the COVID-19 pandemic.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2026
    Article
  3. Article
  4. Article
  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

8 authors.

Lu MaoDepartment of Spine Surgery, Medical College, Zhongda Hospital, Southeast University, No. 87, Dingjiaqiao Road, Nanjing, Jiangsu, China.
Zicong ShenDepartment of Spine Surgery, Medical College, Zhongda Hospital, Southeast University, No. 87, Dingjiaqiao Road, Nanjing, Jiangsu, China. 827672895@qq.com.
Weiye ZhuDepartment of Spine Surgery, Medical College, Zhongda Hospital, Southeast University, No. 87, Dingjiaqiao Road, Nanjing, Jiangsu, China.
Kun WangDepartment of Spine Surgery, Medical College, Zhongda Hospital, Southeast University, No. 87, Dingjiaqiao Road, Nanjing, Jiangsu, China.
Pan FanDepartment of Spine Surgery, Medical College, Zhongda Hospital, Southeast University, No. 87, Dingjiaqiao Road, Nanjing, Jiangsu, China.
Xiaotao WuDepartment of Spine Surgery, Medical College, Zhongda Hospital, Southeast University, No. 87, Dingjiaqiao Road, Nanjing, Jiangsu, China.
Lijun LiDepartment of Orthopedics, Shanxi Provincial People's Hospital, Taiyuan, Shanxi, China. llj_11070715@sina.com.
Guanyi LiuDepartment of Spine Surgery, Ningbo No.6 Hospital, Ningbo, China. 18906628697@163.com.

Funding

the China Postdoctoral Science Foundation (No.:2017T100320)the Ningbo "Science and Technology Yongjiang 2035" Science and Technology Innovation Ecological Incubation Plan (No.: 2024Z048) No.: 2024Z048)
6 · The paper itself

Abstract

Microendoscopic discectomy (MED) has long been employed as the standard operation for adolescent lumbar disc herniation (ALDH). However, due to iatrogenic injury, it has been suspected to cause adverse effects. Alternatively, percutaneous endoscopic lumbar discectomy (PELD) is considered as effective as MED. Few studies have compared MED and PELD in the treatment of ALDH. The purpose of this study was to compare the possible differences in young patients who underwent MED or PELD. From January 2011 to January 2021, 49 consecutive patients were treated with MED (17 patients) or PELD (32 patients) at the authors institution. Numeric Rating Scales (NRS) scores, Oswestry Disability Index (ODI) and modified MacNab criteria demonstrated significant improvement in both early and late follow-up evaluations (P < 0.01). PELD group resulted in shorter operative times and lower re-operation and complication rate. The PELD group exhibited shorter incision length, length of hospital stay and less intraoperative blood loss than the MED group. Both PELD and MED have demonstrated great efficacy in managing symptomatic ALDH. PELD appears to offer superior control over surgical trauma and promotes rapid recovery compared to MED.

Indexed as

DiskectomyDiskectomy, PercutaneousEndoscopyIntervertebral Disc DisplacementLumbar VertebraeAdolescentAdultFemaleHumansLength of StayMaleOperative TimeTreatment OutcomeYoung AdultAdolescentDiscectomyDisc herniationEndoscopicLumbar

Identifiers

PMID40128294
PMCPMC11933457

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.