Comparative analysis of success rates and complications between lumbar microdiscectomy and open discectomy for lumbar disc herniation.

IF 1.2 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Pakistan Journal of Medical Sciences Pub Date : 2025-04-01 DOI:10.12669/pjms.41.4.10620

Zahid Khan, Seema Sharafat, Haider Ali

{"title":"Comparative analysis of success rates and complications between lumbar microdiscectomy and open discectomy for lumbar disc herniation.","authors":"Zahid Khan, Seema Sharafat, Haider Ali","doi":"10.12669/pjms.41.4.10620","DOIUrl":null,"url":null,"abstract":"Objective: This study aimed to evaluate the success rates and complications associated with lumbar microdiscectomy compared to open discectomy from a tertiary care hospital perspective.Methods: A retrospective analysis was conducted at the Neurosurgery Department of Lady Reading Hospital over four years (January 2020 to December 2023). Inclusion criteria comprised patients of all genders and ages who underwent single-level lumbar microdiscectomy or open discectomy. Exclusion criteria encompassed patients who underwent redo surgeries, or had incomplete data.Results: In the study, 396 patients were enrolled, with 153 undergoing open discectomy and 243 undergoing microdiscectomy. The mean age of the participants was 40.42±11.49 years. Noteworthy findings from the analysis include that the success rates were 77.8% for open discectomy and 86.8% for microdiscectomy (p=0.050), while complications, specifically discitis, occurred in 2.6% of open discectomy patients and 0.4% of microdiscectomy patients (p=0.025).Conclusion: Microdiscectomy exhibited higher success rates and lower complication rates than open discectomy for single-level lumbar disc herniation, underscoring its potential as a preferred surgical intervention.","PeriodicalId":19958,"journal":{"name":"Pakistan Journal of Medical Sciences","volume":"41 4","pages":"992-996"},"PeriodicalIF":1.2000,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12022589/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Pakistan Journal of Medical Sciences","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.12669/pjms.41.4.10620","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}

引用次数: 0

Abstract

Objective: This study aimed to evaluate the success rates and complications associated with lumbar microdiscectomy compared to open discectomy from a tertiary care hospital perspective.

Methods: A retrospective analysis was conducted at the Neurosurgery Department of Lady Reading Hospital over four years (January 2020 to December 2023). Inclusion criteria comprised patients of all genders and ages who underwent single-level lumbar microdiscectomy or open discectomy. Exclusion criteria encompassed patients who underwent redo surgeries, or had incomplete data.

Results: In the study, 396 patients were enrolled, with 153 undergoing open discectomy and 243 undergoing microdiscectomy. The mean age of the participants was 40.42±11.49 years. Noteworthy findings from the analysis include that the success rates were 77.8% for open discectomy and 86.8% for microdiscectomy (p=0.050), while complications, specifically discitis, occurred in 2.6% of open discectomy patients and 0.4% of microdiscectomy patients (p=0.025).

Conclusion: Microdiscectomy exhibited higher success rates and lower complication rates than open discectomy for single-level lumbar disc herniation, underscoring its potential as a preferred surgical intervention.

查看原文本刊更多论文

腰椎微椎间盘切除术与开放式椎间盘切除术治疗腰椎间盘突出症的成功率及并发症比较分析。

目的：本研究旨在从三级医院的角度评估腰椎微椎间盘切除术与开放式椎间盘切除术的成功率和并发症。方法：对Lady Reading医院神经外科4年（2020年1月至2023年12月）的临床资料进行回顾性分析。纳入标准包括接受单节段腰椎微椎间盘切除术或开放式椎间盘切除术的所有性别和年龄的患者。排除标准包括接受重做手术或资料不完整的患者。结果：本研究共纳入396例患者，其中153例行开放椎间盘切除术，243例行微椎间盘切除术。参与者平均年龄40.42±11.49岁。值得注意的是，开放椎间盘切除术的成功率为77.8%，微椎间盘切除术的成功率为86.8% (p=0.050)，而并发症，特别是椎间盘炎的发生率为2.6%，微椎间盘切除术的发生率为0.4% （p=0.025）。结论：与开放式椎间盘切除术相比，微椎间盘切除术治疗单节段腰椎间盘突出症的成功率更高，并发症发生率更低，强调了其作为首选手术干预的潜力。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Pakistan Journal of Medical Sciences 医学-医学：内科

CiteScore

4.10

自引率

9.10%

发文量

363

审稿时长

3-6 weeks

期刊介绍： It is a peer reviewed medical journal published regularly since 1984. It was previously known as quarterly "SPECIALIST" till December 31st 1999. It publishes original research articles, review articles, current practices, short communications & case reports. It attracts manuscripts not only from within Pakistan but also from over fifty countries from abroad. Copies of PJMS are sent to all the import medical libraries all over Pakistan and overseas particularly in South East Asia and Asia Pacific besides WHO EMRO Region countries. Eminent members of the medical profession at home and abroad regularly contribute their write-ups, manuscripts in our publications. We pursue an independent editorial policy, which allows an opportunity to the healthcare professionals to express their views without any fear or favour. That is why many opinion makers among the medical and pharmaceutical profession use this publication to communicate their viewpoint.