Percutaneous lumbar discectomy: a systematic review

Authors

  • Marcelo Ferraz de Campos a Centro Universitário Faculdade de Medicina do ABC, São Caetano do Sul, SP-Brasil. b Hospital Heliópolis, Departamento de Neurocirurgia. São Paulo, SP- Brasil.
  • Thiago Salatii a Centro Universitário Faculdade de Medicina do ABC, São Caetano do Sul, SP-Brasil.
  • José Carlos Rodrigues Junior a Centro Universitário Faculdade de Medicina do ABC, São Caetano do Sul, SP-Brasil.
  • Ricardo Maximo Grecco a Centro Universitário Faculdade de Medicina do ABC, São Caetano do Sul, SP-Brasil.
  • Ingrid Soares de Souza a Centro Universitário Faculdade de Medicina do ABC, São Caetano do Sul, SP-Brasil.
  • Agatha Mesaroch a Centro Universitário Faculdade de Medicina do ABC, São Caetano do Sul, SP-Brasil.
  • Naomi Rodrigues Andrade c Universidade de Franca, Franca, SP-Brasil.
  • Yasmin Matos Araújo Silva c Universidade de Franca, Franca, SP-Brasil.
  • Cynthia A. Kallas Bachur c Universidade de Franca, Franca, SP-Brasil.
  • José Alexandre Bachur c Universidade de Franca, Franca, SP-Brasil.

DOI:

https://doi.org/10.36311/jhgd.v33.14187

Keywords:

low back pain, degenerative disc disease, disc decompression

Abstract

Introduction: low back pain is a clinical condition with a multifactorial etiopathogenesis, which has a high socioeconomic impact, especially in the economically active population, as it is associated with frequent absenteeism and reduced quality of life. Through intervertebral disc degeneration, a progressive instability of the compromised region is observed, triggering a harmful positive feedback mechanism that further promotes intervertebral disc disease. Built by the interaction between the predisposing biopsychosocial components, a multidisciplinary therapeutic proposition is suggested. In persistent low back pain, treatment involves surgical procedures such as Percutaneous Lumbar Discectomy.

Objective: to evaluate the scientific evidence regarding the clinical outcomes and safety of this surgery.

Methods: systematic review duly registered in Prospero (CRD42022370811), based on the PICOD question, elaborated from a Boolean search in different databases for scientific articles, evaluated and selected in a paired way based on the eligibility criteria. In addition to extracting data related to the proposed objectives, the articles included were evaluated in relation to their level of evidence and strength of recommendation.

Results: among the 12 articles included, it was observed that it is a clinically effective and safe procedure. In the set of evidences gathered, they are of high and moderate level of evidence with respective strength of recommendation strong/good and weak/moderate.

Conclusion: Percutaneous Lumbar Discectomy promotes significant reduction of pain and increase in body functionality, in addition to preserving local musculoskeletal structures and preventing post-surgical joint instability. It is, therefore, a safe and clinically effective minimally invasive procedure for patients with herniated discs.

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Published

2023-03-23

Issue

Vol. 33 No. 1 (2023)

Section

ORIGINAL ARTICLES

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Copyright (c) 2023 Campos MFC, Salatii T, Junior JCR, Grecco RM, Souza IS, Mesaroch A, Andrade NR, Silva YMA, Bachur CAK, Bachur JA.

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