Medical Science
| Open Access |
DOI: Comparison of Surgical Treatment of Intervertebral Fusion and Nucleus Pulposus Removal in The Treatment of Varying Degrees of Disc Herniation: A Systematic Review with Meta-Analysis
Bianca Gabriella de Oliveira , Médica pela Universidade Salvador -UNIFACS, Salvador, BA, Brasil Priscilla Borges de Sousa , Médica Ortopedista e Traumatologista pelo Hospital Universitário Gaffrée e Guinle, Rio de Janeiro, RJ. Diego Arnaldo Miño Rojas , Médico Ortopedista e Traumatologista pelo Hospital Universitário Gaffrée e Guinle, Rio de Janeiro, RJ. Henrique Lima Couto Rosa , Médico residente de Ortopedia e Traumatologia da Santa Casa de Misericórdia de Ribeirão Preto, Ribeirão Preto, SP, Brasil Natalia Nagano Nishida , Médico residente de Ortopedia e Traumatologia do Centro Medico de Campinas, Campinas, SP. Marcella Rodrigues Costa Simões , Orthopedist and Traumatologist specializing in Hand Surgery, MG.Abstract
Objectives: To compare the efficacy of intervertebral fusionand removal of the nucleus pulposus in the treatment of herniated discs. Methodology: systematic review with meta-analysis in which the bibliographic search through the electronic databases: PubMed/MEDLINE and Cochrane Library without language restriction of publications untilApril 26, 2024. Results: The studies showed insignificant differences between the variations in the Oswestry disability indices of patients undergoing endoscopic microdiscectomy and open discectomy, a greater algic condition, greater bloodloss and length of hospital stay for the open discectomy procedure. Conclusion: Endoscopic microdiscectomy is related to better outcomes.
Keywords
Herniated disc, nucleus pulposus protrusion, intervertebral fusion
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Copyright (c) 2026 Bianca Gabriella de Oliveira, Priscilla Borges de Sousa, Diego Arnaldo Miño Rojas, Henrique Lima Couto Rosa, Natalia Nagano Nishida, Marcella Rodrigues Costa Simões
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