Minimally invasive discectomy efficacious but inherits a higher risk for recurrence .
The safety and efficacy of minimally invasive discectomy: a meta-analysis of prospective randomised controlled trials
Int Orthop. 2014 Jun;38(6):1225-34. doi: 10.1007/s00264-014-2331-0. Epub 2014 Apr 11.16 RCTs were included (MID: 1085 patients, SD: 1054 patients) in this meta-analysis comparing minimally invasive discectomy (MID) to standard discectomy (SD) in the management of lumbar disc herniation, with respect to risk of recurrence, safety, and efficacy. Pooled results indicated comparable complication totals and postoperative leg pain scores. MID was favoured in outcomes of Incision size, blood loss, and hospital stay, but was associated with a higher risk for disc herniation recurrence and longer surgical times, when compared to SD.
Unlock the Full ACE Report
You have access to 4 more FREE articles this month.
Click below to unlock and view this ACE Reports
Unlock Now
Critical appraisals of the latest, high-impact randomized controlled trials and systematic reviews in orthopaedics
Access to OrthoEvidence podcast content, including collaborations with the Journal of Bone and Joint Surgery, interviews with internationally recognized surgeons, and roundtable discussions on orthopaedic news and topics
Subscription to The Pulse, a twice-weekly evidence-based newsletter designed to help you make better clinical decisions
Exclusive access to original content articles, including in-house systematic reviews, and articles on health research methods and hot orthopaedic topics