Review compares surgeries for sciatica due to herniated disc

November 10, 2012
Review compares surgeries for sciatica due to herniated disc
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.

(HealthDay)—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 to update the 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 herniation should be based on preferences of patients and surgeons rather [than] outcome measures."

Explore further: Newer, minimally invasive surgery to treat sciatica does not result in better outcomes

More information: Abstract
Full Text

Related Stories

Lower back pain and surgery

June 28, 2010

A literature review, led by Dr. Joseph Lee, published in the June 2010 issue of the Journal of the American Academy of Orthopaedic Surgeons (JAAOS) suggests that a herniated disk is one of the most frequent causes of low ...

UCSF analysis shows newer surgery for neck pain may be better

April 11, 2011

A new surgery for cervical disc disease in the neck may restore range of motion and reduce repeat surgeries in some younger patients, according to a team of neurosurgeons from the University of California, San Francisco (UCSF) ...

Oxiplex improves outcomes after lumbar discectomy

April 24, 2012

(HealthDay) -- The use of Oxiplex gel (containing carboxymethylcellulose, polyethylene oxide, and calcium) to coat the surgical site during discectomy procedures for the treatment of lumbar disc herniation is associated with ...

Recommended for you

Outside the body, a heart beats via life-saving system

September 1, 2015

(Medical Xpress)—A system that enables heart transplants involving hearts that stopped beating in the donor's body continues to save lives. The Organ Care System (OCS) has been used in UK hospitals with good results.

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.