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Complication rates of different discectomy techniques for the treatment of lumbar disc herniation: A network meta-analysis

European Spine Journal Nov 04, 2019

Chen X, et al. - Via searching three online databases for randomized controlled trials, researchers compared the complication rates of discectomy/microdiscectomy, percutaneous laser disc decompression (PLDD), percutaneous endoscopic lumbar discectomy (PELD), microendoscopic discectomy (MED), and tubular discectomy for symptomatic lumbar disc herniation (LDH). Participants in the study were 2,273 patients. According to this network meta-analysis, no significant difference was found in any of the pairwise comparisons. For LDH with minimal intraoperative and postoperative complications, respectively, discectomy/microdiscectomy and PELD are the safest procedures. In terms of minimal rates for complications necessitating conservative, pharmacological, and surgical treatment, respectively, PELD, MED, and PLDD are the safest procedures for LDH.
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