ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2025
Comparison of a progressive bone drilling system and a visualized reaming system in percutaneous transforaminal endoscopic discectomy: a comparative study.
Article in European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
What it found
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Who cites it
3 citing papers in PubMed.
- Visualized reamer foraminoplasty in transforaminal endoscopic lumbar discectomy for upward-migrated lumbar disc herniation: a case report with surgical video.International journal of surgery case reports · 2026Article
- Comparative Efficacy of Posterior Versus Lateral Endoscopic Approaches in the Management of Complex Lumbar Disc Herniation: A Retrospective Cohort Study.Orthopaedic surgery · 2026Article
- Efficacy of visualized reamer foraminoplasty in transforaminal endoscopic lumbar discectomy: a retrospective controlled study.Frontiers in surgery · 2026Article
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPercutaneous transforaminal endoscopic discectomy (PTED) is an alternative, minimally invasive procedure for the treatment of symptomatic lumbar disc herniation (LDH). Two foraminoplasty techniques exist, however, insufficient literature exists highlighting the differences between these procedures.
methodsA multicentre retrospective study was conducted in consecutive patients diagnosed with symptomatic LDH who received PTED at spine centres from March 2015 to June 2019. A total of 798 patients were recruited, of whom 432 underwent progressive bone drilling system (PBDS) for foraminoplasty and 366 received a visualized reaming system (VRS).
resultsThe average radiation exposure and operative time in the PBDS group were significantly greater than those in the VRS group (P < 0.05). Compared with those before the operation, the postoperative VAS and ODI scores in both groups were significantly improved (P < 0.05). Additionally, the VAS score for leg pain and the JOA/ODI score in the PBDS group were significantly lower than those in the VRS group at both the 1-week and 1-month follow-up (P < 0.05). The good-to-excellent rates of the PBDS group and VRS group were 90.97% and 81.14%, whereas the complication occurrence rates were 11.80% and 15.30% in the PBDS group and VRS group, respectively.
conclusionPBDS and VRS have acceptable efficacy at a midterm follow-up of 2 years in treating LDH with PTED. Although PBDS is associated with longer intraoperative fluoroscopy and operative times, it should still be considered superior to VRS considering the benefits of fewer complications, quicker pain relief, and functional recovery.
Indexed as
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Registered trials
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.