Mr Greg Rudol
21/04/2020
Some of you may be interested in this one as I had several patients asking for KEYHOLE lumbar discectomy as opposed to microdiscetomy.
There is a paper in one of the top spinal journals published this week which in essence suggests NO DIFFERENCE in long term results between the two techniques.
This lack of advantage of the largely promoted key-hole is not surprising in my view. This method may still lead to inadequate decompression while posing higher risk of damage to the nerve.
For those interested in more than this nitty-gritty follow the link below.
Percutaneous Transforaminal Endoscopic Discectomy Versus... : Spine nimally invasive spine surgeries, PTED and MED, are now widely used for the treatment of lumbar disc herniation (LDH). It is still a controversial issue to choose the proper surgical approach. Methods. In this single-center, open-label, randomized controlled trial, patients were included if they had...
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