PT  - JOURNAL ARTICLE
AU  - MEYER, GUILHERME
AU  - DA ROCHA, IVAN DIAS
AU  - CRISTANTE, ALEXANDRE FOGAÇA
AU  - MARCON, RAPHAEL MARTUS
AU  - COUTINHO, THIAGO PEREIRA
AU  - TORELLI, ALESSANDRO GONZALEZ
AU  - PETERSEN, PEDRO ARAUJO
AU  - LETAIF, OLAVO BIRAGHI
AU  - DE BARROS FILHO, TARCÍSIO ELOY PESSOA
TI  - Percutaneous Endoscopic Lumbar Discectomy Versus Microdiscectomy for the Treatment of Lumbar Disc Herniation: Pain, Disability, and Complication Rate—A Randomized Clinical Trial
AID  - 10.14444/7010
DP  - 2020 Feb 01
TA  - International Journal of Spine Surgery
PG  - 72--78
VI  - 14
IP  - 1
4099  - https://www.ijssurgery.com/content/14/1/72.short
4100  - https://www.ijssurgery.com/content/14/1/72.full
SO  - Int J Spine Surg2020 Feb 01; 14
AB  - Purpose The objective was to compare the traditional microdiscectomy with percutaneous endoscopic lumbar discectomy for the treatment of disc herniations regarding pain, disability, and complications.Methods Randomized clinical trial with 47 patients with disc herniations treated with 2 different surgical techniques: traditional microdiscectomy or percutaneous endoscopic lumbar discectomy. Forty-seven patients were divided into 2 groups and monitored for 12 months. Irradiated and low back pain were evaluated with the visual analog scale. Surgery complications were recorded.Results After surgery, the sciatica and disability improved significantly but without significant differences between the groups. Improvements in back pain were significant until the third month. There were no statistical differences between groups regarding recurrence, infection, and the need for reoperation.Conclusions Endoscopic discectomy results are similar to those of conventional microdiscectomy regarding pain and disability improvement. Postoperative lumbar pain is less intense with endoscopic discectomy than conventional microdiscectomy only during the first 3 months. Endoscopic discectomy is a safe and efficient alternative to microdiscectomy.Clinical Trials Trial protocol registration number: RBR-5symrd (http://www.ensaiosclinicos.gov.br).