Comparing Clinical Outcomes of Microdiscectomy, Interspinous Device Implantation, and Full-Endoscopic Discectomy for Simple Lumbar Disc Herniation
Abstract
:1. Introduction
2. Materials and Methods
Clinical Data Collection
3. Results
4. Discussion
5. Conclusions
6. Limitation
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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MD | IPD | PELD | |
---|---|---|---|
Age (y/o) | 58.1 ± 17.43 | 53.5 ± 14.10 | 53.5 ± 15.55 |
Male/female | 121/79 | 42/34 | 66/41 |
Smoking (%) | 35% | 25% | 21% |
BMI | 31.8 ± 4.36 * | 28.4 ± 5.67 * | 27.5 ± 4.22 * |
Preop./postop. VAS * | 8.22/1.39 * | 7.35/1.89 * | 8.35/1.34 * |
Preop./postop. ODI (%) | 75.4/18.7 * | 73.5/16.3 | 71.2/12.4 * |
SIS | 8.1 | 8.5 | 7.9 |
Op. Level (N) | |||
L1/2 | 3 | 2 | |
L2/3 | 12 | 7 | 5 |
L3/4 | 22 | 10 | 6 |
L4/5 | 91 | 57 | 59 |
L5/S1 | 72 | 0 | 37 |
MD | IPD | PELD | |
---|---|---|---|
Operative time (mins) | 126.35 ± 38.5 | 171.59 ± 56.98 | 127.92 ± 47.64 |
Blood loss (mL) * | 73.1 ± 102.25 | 164.74 ± 180.75 | 21 ± 23.13 |
Wound size (cm) | 5.89 ± 3.76 | 6.74 ± 2.86 | 0.82 ± 0.76 |
Hospital stays (days) | 5.5 ± 3.59 | 6.97 ± 4.22 | 4.2 ± 2.35 |
Medical cost (NT$) * | 32,845 ± 3458 | 150,984 ± 8354 | 107,304 ± 5748 |
Preop./postop. disc height (mm) | 10.2/8.43 * | 9.12/9.35 | 8.23/7.03 * |
Change in IDH (%) | −17% | +3% | −15% |
Complication rate (%) | 4% | 5.2% | 7.5% |
MD | IPD | PELD | |
---|---|---|---|
SI | 4 | 4 | - |
Recurrent rupture disc | 3 | - | 4 |
Drop foot | 1 | - | - |
Dura tear | - | - | 4 |
Spine instability | 6 | 1 | 3 |
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Lee, C.-C.; Lin, R.-M.; Juan, W.-S.; Chuang, H.-Y.; Lin, H.-L.; Cheng, C.-H.; Yao, C.-H. Comparing Clinical Outcomes of Microdiscectomy, Interspinous Device Implantation, and Full-Endoscopic Discectomy for Simple Lumbar Disc Herniation. J. Clin. Med. 2025, 14, 1925. https://doi.org/10.3390/jcm14061925
Lee C-C, Lin R-M, Juan W-S, Chuang H-Y, Lin H-L, Cheng C-H, Yao C-H. Comparing Clinical Outcomes of Microdiscectomy, Interspinous Device Implantation, and Full-Endoscopic Discectomy for Simple Lumbar Disc Herniation. Journal of Clinical Medicine. 2025; 14(6):1925. https://doi.org/10.3390/jcm14061925
Chicago/Turabian StyleLee, Chien-Ching, Ruey-Mo Lin, Wei-Sheng Juan, Hao-Yu Chuang, Hung-Lin Lin, Cheng-Hsin Cheng, and Chun-Hsu Yao. 2025. "Comparing Clinical Outcomes of Microdiscectomy, Interspinous Device Implantation, and Full-Endoscopic Discectomy for Simple Lumbar Disc Herniation" Journal of Clinical Medicine 14, no. 6: 1925. https://doi.org/10.3390/jcm14061925
APA StyleLee, C.-C., Lin, R.-M., Juan, W.-S., Chuang, H.-Y., Lin, H.-L., Cheng, C.-H., & Yao, C.-H. (2025). Comparing Clinical Outcomes of Microdiscectomy, Interspinous Device Implantation, and Full-Endoscopic Discectomy for Simple Lumbar Disc Herniation. Journal of Clinical Medicine, 14(6), 1925. https://doi.org/10.3390/jcm14061925