Cochrane · systematic review · CD010328
Minimally invasive discectomy versus microdiscectomy/open discectomy for symptomatic lumbar disc herniation
Rasouli, MR, Rahimi‐Movaghar, V, Shokraneh, F, et al. · Cochrane Database of Systematic Reviews · 2014 · Cochrane Library
Back and NeckAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
12
current version
GRADE rated
11
No studies
1
Included studies
NR
No studies 1 · 8.3%Ungraded 0 · 0%Very low 1 · 8.3%Low 9 · 75%Moderate 1 · 8.3%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Minimal invasive discectomy compared with micro/discectomy for lumbar disc herniation
Population: participants with lumbar disc herniation
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Outcomes# Minimal invasive discectomy vs micro/discectomy | no estimate extracted | NR | No studies |
Mean leg pain intensity on a numerical scale, e.g. 0 (no pain) to 10 (maximum pain) ‐ 1‐year post operative Minimal invasive discectomy vs micro/discectomy | no estimate extracted | 4 studies · 599 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Mean LBP intensity on a numerical scale, e.g. 0 (no pain) to 10 (maximum pain) ‐ 6‐month post operative Minimal invasive discectomy vs micro/discectomy | no estimate extracted | 3 studies · 577 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Mean LBP intensity on a numerical scale, e.g. 0 (no pain) to 10 (maximum pain) ‐ 1‐year post operative Minimal invasive discectomy vs micro/discectomy | no estimate extracted | 3 studies · 577 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Mean LBP intensity on a numerical scale, e.g. 0 (no pain) to 10 (maximum pain) ‐ 2‐year post operative Minimal invasive discectomy vs micro/discectomy | no estimate extracted | 3 studies · 577 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Persistent motor deficits post operative Minimal invasive discectomy vs micro/discectomy | no estimate extracted | 4 studies · 126 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Persistent sensory deficits post operative Minimal invasive discectomy vs micro/discectomy | no estimate extracted | 4 studies · 165 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Persistent reflex deficit post operative (12 months) Minimal invasive discectomy vs micro/discectomy | no estimate extracted | 2 studies · 47 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Disability (higher ratings mean greater disability). Various instruments were used, e.g. in Oswestry Disability Index > 6 months' post operative 0% (no disability) to 100% (bedridden) Minimal invasive discectomy vs micro/discectomy | no estimate extracted | 3 studies · 312 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Side effects ‐ surgical site and other infections > 6 months' Minimal invasive discectomy vs micro/discectomy | RR 0.23 [0.07, 0.79] | 6 studies · 931 participants | Moderate Downgraded: risk of bias, imprecision, inconsistency |
Side effects ‐ re‐hospitalisation due to recurrent disc herniation ≥ 6 months' Minimal invasive discectomy vs micro/discectomy | RR 1.74 [1.03, 2.94] | 6 studies · 949 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
SF‐36 Physical Functioning subclass > 6 months' Minimal invasive discectomy vs micro/discectomy | no estimate extracted | 2 studies · 385 participants | Low Downgraded: risk of bias, imprecision, inconsistency |