Microendoscopic Versus Open discectomy for the Treatment of Extruded Lumbar Disc Herniation: A Comparative Cohort Study

Authors

Juan Guapo Mendoza, Neurosurgery Department, General Hospital of Zone 4, Mexican Institute of Social Security Neurosurgery Department, Celaya´s Surgical Medical Center, Celaya, Guanajuato, México Head Professor at Nervous System Department, Medicine School, Latin University of México, Celaya, Guanajuato, MéxicoFollow
Antonio Guapo Mendoza, Neurosurgery Department, Angeles of Leon Hospital, León, Guanajuato, México
Juan Arturo Muciño Mercado, Neurosurgery Department, Angeles of Leon Hospital, León, Guanajuato, México
Sonia Melisa Juarez, Medical data collection department, Celaya´s Surgical Medical Center, Celaya, Guanajuato, México
Arturo Gonzalez, Medical data collection department, Celaya´s Surgical Medical Center, Celaya, Guanajuato, México
Vianney Guapo Ortiz, Medical data collection department, Celaya´s Surgical Medical Center, Celaya, Guanajuato, México

Corresponding Author

Juan Guapo Mendoza Boulevard Adolfo López Mateos 1000-7, Colonia Centro, Celaya, Gto. CP: 38000 Email: neurocirugia@prodigy.net.mx

Document Type

Original Research - Spine

Abstract

Background: Lumbosciatica syndrome affects millions of people worldwide, usually caused by a herniated disc. Most patients with extruded herniated discs are highly symptomatic, and they respond better to surgical treatment. Several studies have tried to compare the efficacy and benefits of microendoscopic discectomy (MED) and open discectomy (OD).

Objective: The objective of this study was to compare the results and complications of our MED experience versus standard OD in patients with lumbar disc extrusion.

Material and methods: We included patients from 18 to 60 years with radicular pain syndrome and single-level extruded disc herniation between January 2015 and December 2020. We grouped into two prospective cohorts to undergo MED and OD. We assessed pain scores (VAS) and functional outcomes (ODI) and followed them over 12 months.

Results: We found a statistically significant difference in VAS score difference and ODI score difference in the first postoperative evaluations, less operative time, less intraoperative bleeding, fewer days of hospital stay, and less time of return to work in favor of the MED group.

Conclusion: Although relief of symptoms was faster among patients with the radicular syndrome in the MED group, this study demonstrated that the MED technique did not result in better overall 1-year functional outcomes than OD; however, in young working-age patients, it is essential to return to work as soon as possible. Our results showed a faster return to work in the MED group.

Completion Checklist

MAIN MANUSCRIPT DOCX; COVER LETTER; TITLE PAGE; ABSTRACT; KEYWORDS; ABBREVIATIONS; HIGHLIGHTS; AUTHOR DISCLOSURES; STATEMENT OF ADHERENCE TO REPORTING GUIDELINES; BACKGROUND; OBJECTIVE; RESULTS; DISCUSSION; CONCLUSIONS; TABLE LEGENDS; FIGURE LEGENDS; REPORTING GUIDELINES CHECKLIST; AUTHOR CREDITS DOCX; AUTHORS STATEMENT FOR INFORMED CONSENT DOCX; CREATIVE COMMONS AGREEMENT DOCX; AKNOWLEDGEMENTS DOCX; TABLES PPTX; FIGURES PPTX

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Recommended Citation

Mendoza, Juan Guapo; Mendoza, Antonio Guapo; Mercado, Juan Arturo Muciño; Juarez, Sonia Melisa; Gonzalez, Arturo; and Ortiz, Vianney Guapo (2024) "Microendoscopic Versus Open discectomy for the Treatment of Extruded Lumbar Disc Herniation: A Comparative Cohort Study," Archives of Neurosurgery: Vol. 2: Iss. 1, Article 8.
Available at: https://www.ansjournal.org/home/vol2/iss1/8