Cost-effectiveness of microdiscectomy versus endoscopic discectomy for lumbar disc herniation

Choi, Kyung-Chul; Shim, Hyeong-Ki; Kim, Jin-Sung; Han, Kichang; Lee, Jun Young; Kim, Ea Ran; Kim, Mee Jung; Park, Choon‐Keun

doi:10.1016/j.spinee.2019.02.003

Cited by 83 publications

(77 citation statements)

References 25 publications

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“…It is important for industry, health care policymakers, and endoscopic spine surgeons to be aware of the social responsibility of reasonable costs in the provision of endoscopic spine surgical care, in order to fulfil the objective of providing similarly effective minimally invasive spinal surgery regardless of the social background of the presenting patient. 28…”

Section: For Richer: Cost Of Endoscopic Spine Surgery-related Equipmentmentioning

confidence: 99%

Development of Endoscopic Spine Surgery for Healthy Life: To Provide Spine Care for Better, for Worse, for Richer, for Poorer, in Sickness and in Health

Kim

Jang

2020

Neurospine

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Section: For Richer: Cost Of Endoscopic Spine Surgery-related Equipmentmentioning

confidence: 99%

Development of Endoscopic Spine Surgery for Healthy Life: To Provide Spine Care for Better, for Worse, for Richer, for Poorer, in Sickness and in Health

Kim

Jang

2020

Neurospine

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“…But for CLDH attracted less attention because laminectomy and discectomy, TLIF (Transforaminal Lumbar Interbody Fusion) and PLIF (Posterior Lumbar Interbody Fusion) could remove the calci cation e ciently and safely. With the prosperity of transforaminal endoscopic surgery, this minimally-invasive, rapid-recovering and cost-saving technique has been widely applied in the treatment of LDH [12,13]. Is it possible to treat CLDH through transforaminal endoscopy?…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Efficacy and Safety of Percutaneous Transforaminal Endoscopic Surgery (PTES) for Surgical Treatment of Calcified Lumbar Disc Herniation: A Retrospective Cohort Study of 101 Patients

Wang

Zhou

Gu³

et al. 2020

Preprint

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Purpose: Percutaneous transforaminal endoscopy has been widely used to treat lumbar disc herniation, but the steep learning curve and difficulties in removing the calcified disc hinders the application of conventional endoscopy in treating calcified lumbar disc herniation. In 2017, we first reported Percutaneous Transforaminal Endoscopic Surgery (PTES) as an easy-to-learn posterolateral transforaminal endoscopic technique to decompress the nerve root for lumbar disc herniation. We used our PTES technique to remove the calcified lumbar disc herniation and the purpose of this study is to evaluate the safety and efficacy of this technique.Methods: Forty-six patients with calcified lumbar disc herniation (CLDH) and fifty-five patients with uncalcified lumbar disc herniation (ULDH) underwent PTES surgery to decompress the nerve root. Visual analogue scale was collected before the surgery, immediately, one week, one month, two months, three months, six months, 12 months and 24 months after surgery. The outcomes of MacNab classification were collected 24 months after surgery. Intra- and Post-operative complications were also recorded.Results: For CLDH patients, the VAS score was 9 (5-10) before operation, and then dropped to 2 (1-4) after surgery. VAS score continually decreased to 0 (0-3) at 24 months after surgery. 95.65% of CLDH patients showed excellent or good outcomes. ULDH group showed similar MacNab classification (94.55%) and VAS changing curve. The therapeutic effect of PTES in treating calcified lumbar disc herniation was as good as that in treating uncalcified patients.Conclusion: PTES is an effective and safe method to treat calcified lumbar disc herniation.

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“…Furthermore, with healthcare costs increasing at unsustainable rates, there has been increasing emphasis placed on the development of more cost-effective treatment strategies. 5 Today, transforaminal, interlaminar, cervical, and thoracic approaches have all been described utilizing spinal endoscopy. While the most compelling evidence supports the role of spinal endoscopy in the treatment of lumbar disc herniations and spinal stenosis, [6][7][8][9][10] more recently, surgical indications have further expanded to include spinal instrumentation and the management of tumors and infection.…”

Section: Introductionmentioning

confidence: 99%

The Rationale for Endoscopic Spinal Surgery

Chung

Wang

2020

Neurospine

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Cost-effectiveness of microdiscectomy versus endoscopic discectomy for lumbar disc herniation

Cited by 83 publications

References 25 publications

Development of Endoscopic Spine Surgery for Healthy Life: To Provide Spine Care for Better, for Worse, for Richer, for Poorer, in Sickness and in Health

Development of Endoscopic Spine Surgery for Healthy Life: To Provide Spine Care for Better, for Worse, for Richer, for Poorer, in Sickness and in Health

Evaluation of Efficacy and Safety of Percutaneous Transforaminal Endoscopic Surgery (PTES) for Surgical Treatment of Calcified Lumbar Disc Herniation: A Retrospective Cohort Study of 101 Patients

The Rationale for Endoscopic Spinal Surgery

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