Percutaneous endoscopic interlaminar discectomy vs. percutaneous endoscopic transforaminal discectomy for L5/S1 lumbar disc herniation: a systematic review and meta-analysis of randomized controlled trials - Scorecard - MDSpire
Advertisement
Percutaneous endoscopic interlaminar discectomy vs. percutaneous endoscopic transforaminal discectomy for L5/S1 lumbar disc herniation: a systematic review and meta-analysis of randomized controlled trials
Clinical Scorecard: A Systematic Review and Meta-Analysis of Randomized Trials Comparing Percutaneous Endoscopic Interlaminar Discectomy and Transforaminal Discectomy for L5/S1 Lumbar Disc Herniation
At a Glance
Category
Detail
Condition
L5/S1 Lumbar Disc Herniation
Key Mechanisms
Comparison of percutaneous endoscopic interlaminar discectomy (PEID) and transforaminal discectomy (PETD) for surgical outcomes.
Target Population
Adults with single-level L5/S1 lumbar disc herniation.
Care Setting
Minimally invasive surgical procedures.
Key Highlights
PEID associated with shorter operative time compared to PETD.
Fluoroscopy frequency favored PEID over PETD.
No significant difference in hospital stay between PEID and PETD.
VAS leg pain and ODI outcomes were comparable across both techniques.
Complications/adverse events did not differ significantly between approaches.
Guideline-Based Recommendations
Diagnosis
Diagnosis of L5/S1 lumbar disc herniation should be confirmed through clinical evaluation and imaging.
Management
Consider PEID for patients with anatomical constraints favoring the interlaminar approach.
Monitoring & Follow-up
Monitor postoperative pain relief and functional recovery.
Risks
Evaluate risks of complications associated with both PEID and PETD.
Patient & Prescribing Data
Adults with single-level L5/S1 lumbar disc herniation.
PEID may reduce operative time and fluoroscopy frequency.
Clinical Best Practices
Individualize procedure selection based on anatomical considerations.
Utilize randomized controlled trial evidence for decision-making.
