Chemonucleolysis versus surgical discectomy for sciatica secondary to lumbar disc herniation. A cost and quality-of-life evaluation.

Effectiveness of percutaneous laser disc decompression versus conventional open discectomy in the treatment of lumbar disc herniation; design of a prospective randomized controlled trial

BACKGROUND The usual surgical treatment of refractory sciatica caused by lumbar disc herniation, is open discectomy. Minimally invasive procedures, including percutaneous therapies under local anesthesia, are increasingly gaining attention. One of these treatments is Percutaneous Laser Disc Decompression (PLDD). This treatment can be carried out in an outpatient setting and swift recovery and r...

Cost-effectiveness of microendoscopic discectomy versus conventional open discectomy in the treatment of lumbar disc herniation: a prospective randomised controlled trial [ISRCTN51857546]

BACKGROUND Open discectomy is the standard surgical procedure in the treatment of patients with long-lasting sciatica caused by lumbar disc herniation. Minimally invasive approaches such as microendoscopic discectomy have gained attention in recent years. Reduced tissue trauma allows early ambulation, short hospital stay and quick resumption of daily activities. A comparative cost-effectiveness...

Functionality Status and Surgical Outcome of Fenestration versus Laminotomy Discectomy in Patients with Lumbar Disc Herniation

Background & Aim: To assess functionality status and surgical outcome of fenestration versus laminotomy technique based on Core Outcome Measures Index (COMI) in patients with lumbar disc hernia (LDH). Methods & Materials/Patients: A cross-sectional study was performed between January 2007 and April 2012. A total of 108 patients with a single-level disc herniation were asked to respond to the...

A Cost-utility Analysis at 7 Years of Chemonucleolysis versus Discectomy in Lumbar Disc Herniation

Collagenase chemonucleolysis versus percutaneous endoscopic discectomy for extraforaminal lumbar disc herniations

Objective: To compare the advantages and disadvantages of collagenase chemonucleolysis and percutaneous endoscopic discectomy (PED) in the management of extraforaminal lumbar disc herniation. Methods: In this non-randomized controlled clinical trial, a total of 49 patients who were diagnosed with extraforaminal lumbar disc herniation were assigned to undergo either PED (n=22) or collagenase che...