Sumary of Endoscopic discectomy may be good alternative to microdiscectomy for sciatica:
- Paper 178. Presented at: North American Spine Society Annual Meeting.
- Back to Healio Percutaneous transfemoral endoscopic discectomy may be a good alternative to open microdiscectomy for treatment of sciatica, according to results presented at the North American Spine Society Annual Meeting.
- Pravesh Gadjradj, MD, PhD, and colleagues randomly assigned 613 patients with sciatica caused by lumbar disc herniation to undergo either percutaneous transfemoral endoscopic discectomy (n=304) or open microdiscectomy (n=309).
- Although the groups had no differences in VAS for leg pain 6 weeks after surgery, Gadjradj noted there was a statistically significant difference between the two groups by 12 months in favor of the percutaneous transfemoral endoscopic discectomy group.
- The two groups also had small statistically significant differences in the ODI, VAS for back pain, quality of life VAS and the physical component summary of the SF-36 in favor of the percutaneous transfemoral endoscopic discectomy group;
- Estimated blood loss was less in the endoscopic group,” Gadjradj said in his presentation.
- “Complications were less in the endoscopic group, mobilization was earlier in the endoscopic group and the rate of repeated surgery within 1 year was similar (5.3% vs.
- ” Patients in the percutaneous transfemoral endoscopic discectomy group had lower cost of primary care, secondary care, medication, informal care, absenteeism, presenteeism and unpaid productivity loss compared with open microdiscectomy, according to Gadjradj.