Microendoscopic and open discectomy effective in treating lumbar disc herniation .
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Microendoscopic versus open discectomy for lumbar disc herniation: a prospective randomised study
J Orthop Surg (Hong Kong). 2011 Apr;19(1):30-4Exclusive Author Interview
Dr. Garg discusses differences between microendoscopic discectomy versus open discectomy.
112 patients with a single-level disc herniation were randomized to undergo either microendoscopic discectomy or open (fenestration/laminotomy) discectomy either posterior lumbar interbody fusion or posterolateral fusion, to compare the safety and efficacy of the treatment methods. Following radiographic and clinical evaluations over a 12 month period, the results indicated that radicular pain was reduced equally by the two methods, but that the length of hospital stay was shorter and blood loss was lower for the Microendoscopic Discectomy group. However, due to the complexity of microendoscopic discectomy, the operation duration took significantly longer.
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