Create Account | Sign In: Author or Forum

 
News  |  Journals  |  Conferences  |  Opinion  |  Articles  |  Forums  |  Twitter    
 
Category: Orthopedics | Surgery | Anesthesiology & Pain | Journal

Back to Journal Articles

Review Compares Surgeries for Sciatica Due to Herniated Disc

Last Updated: November 09, 2012.

 

No conclusions on comparative efficacy of open, microscopic, and tubular discectomy procedures

Share |

Comments: (0)

Tell-a-Friend

 

  Related
 
No conclusions can be drawn with regard to the comparative efficacy of open, microscopic, and tubular discectomy surgical techniques to treat sciatica due to a herniated disc, according to the results of a systematic literature review published in the November issue of the European Spine Journal.

FRIDAY, Nov. 9 (HealthDay News) -- No conclusions can be drawn with regard to the comparative efficacy of open, microscopic, and tubular discectomy surgical techniques to treat sciatica due to a herniated disc, according to the results of a systematic literature review published in the November issue of the European Spine Journal.

Wilco C.H. Jacobs, M.D., of the Leiden University Medical Center in the Netherlands, and colleagues conducted a systematic literature review on the effect of surgical techniques for sciatica due to disc herniation to update the Cochrane review of 2007. Sixteen studies were included: seven from the original review and nine additional studies, of which four had a low risk of bias.

Compared with open discectomy, the researchers found that microscopic discectomy resulted in a statistically but not clinically significant longer operation time of 12 minutes and shorter incision of 24 mm. There was no clinically relevant superiority of either technique. The results comparing tubular discectomy and microscopic discectomy for back pain and surgical duration were conflicting.

"Due to the limited amount and quality of evidence, no firm conclusions on effectiveness of the current surgical techniques, being open discectomy, microscopic discectomy, and tubular discectomy, compared with each other can be drawn," the authors write. "Therefore, the surgical strategy in the treatment of lumbar disc herniation should be based on preferences of patients and surgeons rather [than] outcome measures."

Abstract
Full Text

Copyright © 2012 HealthDay. All rights reserved.


Previous: Lower Income More Strongly Linked to Albuminuria in Blacks Next: Increased Risk of Carotid Artery Wall Thickening in COPD

Reader comments on this article are listed below. Review our comments policy.


Submit your opinion:

Name:

Email:

Location:

URL:

Remember my personal information

Notify me of follow-up comments?

advertisement.gif (61x7 -- 0 bytes)
 

Are you a Doctor, Pharmacist, PA or a Nurse?

Join the Doctors Lounge online medical community

  • Editorial activities: Publish, peer review, edit online articles.

Doctors Lounge Membership Application

 
     

 advertisement.gif (61x7 -- 0 bytes)

 

 

Useful Sites
MediLexicon
  Tools & Services: Follow DoctorsLounge on Twitter Follow us on Twitter | RSS News | Newsletter | Contact us
Copyright © 2001-2014
Doctors Lounge.
All rights reserved.

Medical Reference:
Diseases | Symptoms
Drugs | Labs | Procedures
Software | Tutorials

Advertising
Links | Humor
Forum Archive
CME | Conferences

Privacy Statement
Terms & Conditions
Editorial Board
About us | Email

This website is certified by Health On the Net Foundation. Click to verify. This site complies with the HONcode standard for trustworthy health information:
verify here.