Microdiscectomy compared with strongstandardstrong discectomy an old.pdfVIP

Eur Spine J (2009) 18 (Suppl 3):S360–S366 DOI 10.1007/s00586-009-0917-9 ORIGINAL ARTICLE Microdiscectomy compared with standard discectomy: an old problem revisited with new outcome measures within the framework of a spine surgical registry F. Porchet Æ V. Bartanusz Æ F. S. Kleinstueck Æ F. Lattig Æ D. Jeszenszky Æ D. Grob Æ A. F. Mannion Received: 22 December 2008 / Accepted: 10 February 2009 / Published online: 3 March 2009 Springer-Verlag 2009 Abstract Studies comparing the relative merits of micro- group had significantly greater blood-loss than the micro- discectomy and standard discectomy report conflicting discectomy (P \0.05). There were no group differences in results, depending on the outcome measure of interest. Most the proportion of surgical complications or duration of trials are small, and few have employed validated, hospital stay (P [0.05). The groups did not differ in rela- multidimensional patient-orientated outcome measures, tion to any of the patient-orientated outcomes or individual considered essential in outcomes research. In the present outcome domains (P [0.05). Though not equivalent to an study, data were collected prospectively from six surgeons RCT, the study included every single eligible patient in our participating in a surgical registry. Inclusion criteria were: Spine Center and allowed surgeons to use their regular lumbar/lumbosacral degenerative disease; discectomy/ procedure; it hence had extremely high external validity sequestrectomy without additional fusion/stabilisation; (relevance/generalisability). There was no clinically rele- German or English-speaking. Before and 3 and 12 months vant difference in outcome after lumbar disc excision after surgery, patients completed the Core Outcome M