MIS vs. open back surgery in ASCs: 6 takeaways on which method yields superior outcomes

Researchers conducted a study on how full-endoscopic assisted lumbar discectomy fared in the ASC setting compared to other spine surgery methods.

In the study, researchers analyzed 178 patients. Of these patients, 97 percent had lumbar degenerative disc case;, 82 percent had facet arthroplasty; 72 percent had foramina stenosis; and 57 percent had central canal stenosis.

Patients between the ages of 16 and 90 participated in the five-year study.

Here are six study insights:

1. Traditional open lumbar sine surgery had complications between 5.3 percent and 20.7 percent, while full-endoscopic assisted lumbar discectomy had a 16.6 percent complication rate overall.

2. Comparatively, microendoscopic discectomy had a complication rate between 4 percent and 41.5 percent and minimally invasive surgery had a complication rate between 5 percent and 15.4 percent.

3. Age impacted the overall operating room time. However, body-mass index did not contribute to overall OR time.

4. During the procedures, 95 percent of patients had less than 5 mL of blood loss .

5. Between 70 percent and 80 percent of patients were either greatly satisfied or satisfied with their surgery's outcome and 88 percent said they would recommend their procedure.

6. Based on these findings, researchers noted MIS is both a safe and viable alternative to traditional open back surgery.

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