Comparison of outcomes between tubular microdiscectomy and conventional microdiscectomy for lumbar disc herniation: a systematic review and meta-analysis of randomized controlled trials
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...
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| Format: | Article |
| Language: | English |
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BMC
2023-07-01
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| Series: | Journal of Orthopaedic Surgery and Research |
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| Online Access: | https://doi.org/10.1186/s13018-023-03962-8 |
| _version_ | 1797784496275193856 |
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| author | Tingxin Zhang Nana Guo Kaifeng Wang Gang Gao Yanhong Li Feng Gao Wupeng Yang Yonghua Wang Yongjiang Wang |
| author_facet | Tingxin Zhang Nana Guo Kaifeng Wang Gang Gao Yanhong Li Feng Gao Wupeng Yang Yonghua Wang Yongjiang Wang |
| author_sort | Tingxin Zhang |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-03-13T00:40:44Z |
| format | Article |
| id | doaj.art-81ef37003ee04963b360bc98427edf18 |
| institution | Directory Open Access Journal |
| issn | 1749-799X |
| language | English |
| last_indexed | 2024-03-13T00:40:44Z |
| publishDate | 2023-07-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj.art-81ef37003ee04963b360bc98427edf182023-07-09T11:19:37ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2023-07-011811910.1186/s13018-023-03962-8Comparison of outcomes between tubular microdiscectomy and conventional microdiscectomy for lumbar disc herniation: a systematic review and meta-analysis of randomized controlled trialsTingxin Zhang0Nana Guo1Kaifeng Wang2Gang Gao3Yanhong Li4Feng Gao5Wupeng Yang6Yonghua Wang7Yongjiang Wang8Department of Orthopedics, Ordos Central HospitalCritical Care Medicine, Ordos Central HospitalFujian Medical UniversityDepartment of Orthopedics, Ordos Central HospitalDepartment of Orthopedics, Ordos Central HospitalDepartment of Orthopedics, Ordos Central HospitalDepartment of Orthopedics, Ordos Central HospitalDepartment of Orthopedics, Ordos Central HospitalDepartment of Orthopedics, Ordos Central HospitalAbstract 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.https://doi.org/10.1186/s13018-023-03962-8Tubular microdiscectomyLumbar disc herniationConventional microdiscectomyMeta-analysisSystematic review |
| spellingShingle | Tingxin Zhang Nana Guo Kaifeng Wang Gang Gao Yanhong Li Feng Gao Wupeng Yang Yonghua Wang Yongjiang Wang Comparison of outcomes between tubular microdiscectomy and conventional microdiscectomy for lumbar disc herniation: a systematic review and meta-analysis of randomized controlled trials Journal of Orthopaedic Surgery and Research Tubular microdiscectomy Lumbar disc herniation Conventional microdiscectomy Meta-analysis Systematic review |
| title | Comparison of outcomes between tubular microdiscectomy and conventional microdiscectomy for lumbar disc herniation: a systematic review and meta-analysis of randomized controlled trials |
| title_full | Comparison of outcomes between tubular microdiscectomy and conventional microdiscectomy for lumbar disc herniation: a systematic review and meta-analysis of randomized controlled trials |
| title_fullStr | Comparison of outcomes between tubular microdiscectomy and conventional microdiscectomy for lumbar disc herniation: a systematic review and meta-analysis of randomized controlled trials |
| title_full_unstemmed | Comparison of outcomes between tubular microdiscectomy and conventional microdiscectomy for lumbar disc herniation: a systematic review and meta-analysis of randomized controlled trials |
| title_short | Comparison of outcomes between tubular microdiscectomy and conventional microdiscectomy for lumbar disc herniation: a systematic review and meta-analysis of randomized controlled trials |
| title_sort | comparison of outcomes between tubular microdiscectomy and conventional microdiscectomy for lumbar disc herniation a systematic review and meta analysis of randomized controlled trials |
| topic | Tubular microdiscectomy Lumbar disc herniation Conventional microdiscectomy Meta-analysis Systematic review |
| url | https://doi.org/10.1186/s13018-023-03962-8 |
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