Endoscopic and microsurgical extirpation of a herniated intervertebral disc in the lumbar region
Authors:
M. Mrůzek; O. Krejčí; T. Hrbáč; R. Lipina
Authors‘ workplace:
Neurochirurgická klinika LF OU a FN, Ostrava
Published in:
Prakt. Lék. 2025; 105(4): 139-143
Category:
Of different specialties
Overview
Mrůzek M, Krejčí O, Hrbáč T, Lipina R. Endoscopic and microsurgical extirpation of a herniated intervertebral disc in the lumbar region
Objective: The aim of the study was to compare clinical outcomes and complications after endoscopic and microsurgical extirpation of herniated intervertebral discs in the L4/L5 and L5/S1 segments.
Methods: A retrospective study included 70 patients, divided into two groups: 35 after microsurgical discectomy (MD) and 35 after endoscopic discectomy (ED) via the interlaminar approach. The parameters VAS, ODI, duration of surgery, hospitalization, complications and recurrence after 18 months of follow-up were evaluated.
Results: Both techniques led to significant improvements in VAS and ODI. The endoscopic technique showed shorter hospitalization (2.1 vs. 3.8 days; p < 0.001), but a higher recurrence rate (11.4% vs. 2.9%; p = 0.048). The microsurgical method provided more stable long-term results.
Keywords:
lumbar spine – learning curve – recurrence – endoscopic discectomy – microsurgical discectomy – interlaminar approach – intervertebral disc herniation
Sources
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