1. Comparison of outcomes between tubular microdiscectomy and conventional microdiscectomy for lumbar disc herniation: a systematic review and meta-analysis of randomized controlled trials.
- Author
-
Zhang, Tingxin, Guo, Nana, Wang, Kaifeng, Gao, Gang, Li, Yanhong, Gao, Feng, Yang, Wupeng, Wang, Yonghua, and Wang, Yongjiang
- Subjects
ONLINE information services ,MEDICAL databases ,LENGTH of stay in hospitals ,SURGICAL blood loss ,INTERVERTEBRAL disk displacement ,META-analysis ,MEDICAL information storage & retrieval systems ,MICROSURGERY ,SYSTEMATIC reviews ,SURGICAL complications ,VISUAL analog scale ,DISCECTOMY ,TREATMENT effectiveness ,COMPARATIVE studies ,DISEASE relapse ,RESEARCH funding ,REOPERATION ,LUMBAR vertebrae ,MEDLINE ,EVALUATION - Abstract
Purpose: The clinical outcomes of using a tubular microdiscectomy for lumbar disc herniation were evaluated by comparison with conventional microdiscectomy. Methods: All of the comparative studies published in the PubMed, Cochrane Library, Medline, Web of Science, and EMBASE databases as of 1 May 2023 were included. All outcomes were analysed using Review Manager 5.4. Results: This meta-analysis included four randomized controlled studies with a total of 523 patients. The results showed that using tubular microdiscectomy for lumbar disc herniation was more effective than conventional microdiscectomy in improving the Oswestry Disability Index (P < 0.05). However, there were no significant differences in operating time, intraoperative blood loss, hospital stay, Visual Analogue Scale, reoperation rate, postoperative recurrence rate, dural tear incidence, and complications rate (all P > 0.05) between the tubular microdiscectomy and conventional microdiscectomy groups. Conclusions: Based on our meta-analysis, it was found that the tubular microdiscectomy group had better outcomes than the conventional microdiscectomy group in terms of Oswestry Disability Index. However, there were no significant differences between the two groups in terms of operating time, intraoperative blood loss, hospital stay, Visual Analogue Scale, reoperation rate, postoperative recurrence rate, dural tear incidence, and complications rate. Current research suggests that tubular microdiscectomy can achieve clinical results similar to those of conventional microdiscectomy. PROSPERO registration number is: CRD42023407995. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF