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March 5, 20260 citations

Comparative Efficacy of Posterior Versus Lateral Endoscopic Approaches in the Management of Complex Lumbar Disc Herniation: A Retrospective Cohort Study.

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WLWentao LiuJHJialin HeMLMingzhi Liu

Key Points

  • The study aims to compare the efficacy and safety of posterior and lateral endoscopic approaches in treating complex lumbar disc herniation.
  • Conducted a retrospective cohort analysis of patients with complex lumbar disc herniation
  • Compared outcomes of posterior endoscopic intervertebral discectomy and lateral endoscopic discectomy
  • Evaluated operative time, radiation exposure, and extent of facet resection
  • Both surgical options were found to be effective and safe
  • Posterior endoscopic approach resulted in reduced operative time and lower radiation exposure
  • Lateral approach required more extensive facet resection, impacting treatment strategy

Abstract

Both PEID and PETD are effective and safe surgical options for treating CLDH. PEID offers reduced operative time and radiation exposure, while PETD requires more extensive facet resection. This study further outlines tailored surgical strategies for different CLDH subtypes, supporting individualized endoscopic treatment selection.

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Cite This Study

Liu et al. (2026) studied this question.

synapsesocial.com/papers/69a91df9d6127c7a504c172ahttps://doi.org/10.1111/os.70279
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