Efficacy and Safety of Daoyin and Massage for Lumbar Disc Herniation: An Overview of Systematic Reviews Protocol

ABSTRACT Background: Spine surgery has been transformed significantly by the growth of minimally invasive surgery (MIS) procedures. Easily marketable to patients as less invasive with smaller incisions, MIS is often perceived as superior to traditional open spine surgery. The highest quality evidence comparing MIS with open spine surgery was examined. Methods: A systematic review of randomized controlled trials (RCTs) involving MIS versus open spine surgery was performed using the Entrez gateway of the PubMed database for articles published in English up to December 28, 2015. RCTs and systematic reviews of RCTs of MIS versus open spine surgery were evaluated for three particular entities: Cervical disc herniation, lumbar disc herniation, and posterior lumbar fusion. Results: A total of 17 RCTs were identified, along with six systematic reviews. For cervical disc herniation, MIS provided no difference in overall function, arm pain relief, or long-term neck pain. In lumbar disc herniation, MIS was inferior in providing leg/low back pain relief, rehospitalization rates, quality of life improvement, and exposed the surgeon to >10 times more radiation in return for shorter hospital stay and less surgical site infection. In posterior lumbar fusion, MIS transforaminal lumbar interbody fusion (TLIF) had significantly reduced 2-year societal cost, fewer medical complications, reduced time to return to work, and improved short-term Oswestry Disability Index scores at the cost of higher revision rates, higher readmission rates, and more than twice the amount of intraoperative fluoroscopy. Conclusion: The highest levels of evidence do not support MIS over open surgery for cervical or lumbar disc herniation. However, MIS TLIF demonstrates advantages along with higher revision/readmission rates. Regardless of patient indication, MIS exposes the surgeon to significantly more radiation; it is unclear how this impacts patients. These results should optimize informed decision-making regarding MIS versus open spine surgery, particularly in the current advertising climate greatly favoring MIS.

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Efficacy and safety of percutaneous endoscopic lumbar discectomy via intervertebral approach for L5/S1 lumbar disc herniation: a systematic review and meta-analysis

10.37766/inplasy2021.7.0073 ◽

2021 ◽

Author(s):

Tianci Guo ◽

Huichuan Feng ◽

Aifeng Liu ◽

Jixin Chen ◽

Weijie Yu

Keyword(s):

Systematic Review ◽

Lumbar Disc Herniation ◽

Disc Herniation ◽

Lumbar Disc ◽

Meta Analysis ◽

Lumbar Discectomy ◽

Efficacy And Safety ◽

Percutaneous Endoscopic Lumbar Discectomy ◽

Endoscopic Lumbar Discectomy

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Evaluation of efficacy and safety of percutaneous transforaminal endoscopic surgery (PTES) for surgical treatment of calcified lumbar disc herniation: a retrospective cohort study of 101 patients

10.21203/rs.3.rs-37369/v2 ◽

2020 ◽

Author(s):

Hao Wang ◽

Tianyao Zhou ◽

Yutong Gu ◽

Zuoqin Yan

Keyword(s):

Lumbar Disc Herniation ◽

Disc Herniation ◽

Endoscopic Surgery ◽

Nerve Root ◽

Lumbar Disc ◽

Efficacy And Safety ◽

Steep Learning Curve ◽

Vas Score ◽

Operative Complications ◽

Transforaminal Endoscopic Surgery

Abstract Purpose: Percutaneous transforaminal endoscopy has been widely used to treat lumbar disc herniation (LDH), but the steep learning curve and difficulties in removing the calcified disc hinders the application of conventional endoscopy in treating calcified lumbar disc herniation (CLDH). In 2017, we first reported Percutaneous Transforaminal Endoscopic Surgery (PTES) as an easy-to-learn posterolateral transforaminal endoscopic technique to decompress the nerve root for LDH. We used our PTES technique to remove the calcified LDH and the purpose of this study is to evaluate the safety and efficacy of this technique.Methods: Forty-six patients with CLDH and fifty-five patients with uncalcified lumbar disc herniation (ULDH) underwent PTES to decompress the nerve root. Visual analogue scale was collected before the surgery, immediately, one week, one month, two months, three months, six months, 12 months and 24 months after surgery. The outcomes of MacNab classification were collected 24 months after surgery. Intra- and Post-operative complications were also recorded.Results: For CLDH patients, the VAS score was 9 (5-10) before operation, and then dropped to 2 (1-4) after surgery. VAS score continually decreased to 0 (0-3) at 24 months after surgery. 95.65% of CLDH patients showed excellent or good outcomes. ULDH group showed similar MacNab classification (94.55%) and VAS changing curve. The therapeutic effect of PTES in treating CLDH was as good as that in treating uncalcified patients.Conclusion: PTES is an effective and safe method to treat calcified lumbar disc herniation.

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Efficacy and safety of condoliase disc administration as a new treatment for lumbar disc herniation

Spine Surgery and Related Research ◽

10.22603/ssrr.2021-0035 ◽

2021 ◽

Author(s):

Masahiro Inoue ◽

Takeshi Sainoh ◽

Atsushi Kojima ◽

Masatsune Yamagata ◽

Tatsuo Morinaga ◽

...

Keyword(s):

Lumbar Disc Herniation ◽

Disc Herniation ◽

Lumbar Disc ◽

Efficacy And Safety ◽

New Treatment

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Evaluation of Efficacy and Safety of Percutaneous Transforaminal Endoscopic Surgery (PTES) for Surgical Treatment of Calcified Lumbar Disc Herniation: A Retrospective Cohort Study of 101 Patients

10.21203/rs.3.rs-37369/v1 ◽

2020 ◽

Author(s):

Hao Wang ◽

Tianyao Zhou ◽

Yutong Gu ◽

Zuoqin Yan

Keyword(s):

Lumbar Disc Herniation ◽

Disc Herniation ◽

Endoscopic Surgery ◽

Nerve Root ◽

Lumbar Disc ◽

Efficacy And Safety ◽

Steep Learning Curve ◽

Vas Score ◽

Operative Complications ◽

Transforaminal Endoscopic Surgery

Abstract Purpose: Percutaneous transforaminal endoscopy has been widely used to treat lumbar disc herniation, but the steep learning curve and difficulties in removing the calcified disc hinders the application of conventional endoscopy in treating calcified lumbar disc herniation. In 2017, we first reported Percutaneous Transforaminal Endoscopic Surgery (PTES) as an easy-to-learn posterolateral transforaminal endoscopic technique to decompress the nerve root for lumbar disc herniation. We used our PTES technique to remove the calcified lumbar disc herniation and the purpose of this study is to evaluate the safety and efficacy of this technique.Methods: Forty-six patients with calcified lumbar disc herniation (CLDH) and fifty-five patients with uncalcified lumbar disc herniation (ULDH) underwent PTES surgery to decompress the nerve root. Visual analogue scale was collected before the surgery, immediately, one week, one month, two months, three months, six months, 12 months and 24 months after surgery. The outcomes of MacNab classification were collected 24 months after surgery. Intra- and Post-operative complications were also recorded.Results: For CLDH patients, the VAS score was 9 (5-10) before operation, and then dropped to 2 (1-4) after surgery. VAS score continually decreased to 0 (0-3) at 24 months after surgery. 95.65% of CLDH patients showed excellent or good outcomes. ULDH group showed similar MacNab classification (94.55%) and VAS changing curve. The therapeutic effect of PTES in treating calcified lumbar disc herniation was as good as that in treating uncalcified patients.Conclusion: PTES is an effective and safe method to treat calcified lumbar disc herniation.

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