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Rural Orthopaedic Foundation of India© 2026 Orthopedic Professional Network

Thesis

Endoscopic Versus Microscopic Lumbar Discectomy: A Comparative Thesis

A residency thesis comparing uniportal endoscopic and microscopic discectomy on early pain scores, ambulation and the operator learning curve.

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Specialty

Spine

Location

Pune, Maharashtra

Published

8 Nov 2025

Research type

Prospective Study

endoscopydiscectomylearning curveODI

Abstract

Demo abstract. Sixty consecutive patients with single-level herniation were allocated to endoscopic or microscopic discectomy and followed for twelve months with ODI and VAS scoring.

Description

The study was designed to answer a practical question: does the endoscopic learning curve cost the early patients anything measurable?

Operative time, fluoroscopy exposure and length of stay were captured alongside patient-reported outcomes.

Learning-curve analysis used cumulative sum charting of operative time.

Innovation / discovery

Learning-curve effects were reported transparently rather than excluded, giving trainees a realistic view of the first twenty cases.

Surgical / procedural method

Prospective allocation, standardised anaesthesia and post-operative protocol, blinded outcome assessment at 6 weeks, 6 months and 12 months.

Research findings

  • Early ambulation favoured the endoscopic group in the demo dataset.
  • Twelve-month ODI converged between groups.
  • Operative time stabilised after roughly the twentieth endoscopic case.

Attached documents

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PDF4.6 MB

Full thesis document

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Slide Deck8.1 MB

Defence presentation

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