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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.
tajmspr 2026
VOL. 8 / NO. 04 APRIL
VOLUME 8
ISSUE 04
YEAR 2026
PAGES 73-80

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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