Surgical Outcomes for Upper Lumbar Disc Herniations: A Systematic Review and Meta-analysis.
discectomy
intervertebral disc degeneration
intervertebral disc disease
intervertebral disc displacement
laminectomy
odds ratio
Journal
Global spine journal
ISSN: 2192-5682
Titre abrégé: Global Spine J
Pays: England
ID NLM: 101596156
Informations de publication
Date de publication:
06 2021
06 2021
Historique:
pubmed:
4
8
2020
medline:
4
8
2020
entrez:
4
8
2020
Statut:
ppublish
Résumé
Systematic review and meta-analysis. To conduct a literature review on outcomes of discectomy for upper lumbar disc herniations (ULDH), estimate pooled rates of satisfactory outcomes, compare open laminectomy/microdiscectomy (OLM) versus minimally invasive surgical (MIS) techniques, and compare results of disc herniations at L1-3 versus L3-4. A systematic review of articles reporting outcomes of nonfusion surgical treatment of L1-2, L2-3, and/or L3-4 disc herniations was performed. The inclusion and exclusion of studies was performed according to the latest version of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. A total of 20 articles were included in the quantitative meta-analysis. Pooled proportion of satisfactory outcome (95% CI) was 0.77 (0.70, 0.83) for MIS and 0.82 (0.78, 0.84) for OLM. There was no significant improvement with MIS techniques compared with standard OLM, odds ratio (OR) = 0.86, 95% CI (0.42, 1.74), Our analysis reveals that discectomy for ULDH has an overall success rate of approximately 80% and has not improved with MIS. Discectomy for herniations at L3-4 trends toward better outcomes compared with L1-2 and L2-3, but was not significant.
Identifiants
pubmed: 32744112
doi: 10.1177/2192568220941815
pmc: PMC8165931
doi:
Types de publication
Journal Article
Langues
eng
Pagination
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