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Different operative possibilities for treatment of lumbar disc herniations — how to choose the best method for the individual patient

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Summary

The indications for operative treatment of lumbar disc herniations are outlined and the advantages, short-comings and temptations of discolysis, microoperation and large approach discussed.

The following indication scheme is proposed:

Discolysis: Non-displaced disc herniation without other major causative pathology

Micro-operation: Displaced disc herniation; nondisplaced disc herniation with monosegmental additional causative factors

Large approach: Multiple disc herniations with suspected displacement and multisegmental additional pathologies.

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References

For literature see the following review article and monograph

  1. [1]

    Loew, F., W. Caspar: Surgical approach to lumbar disc herniation. In: Krayenbühl, H., et al. “Advances and Technical Standards in Neurosurgery”, Vol. 5, pp. 153–174. Springer, Wien—New York 1978

  2. [2]

    McCulloch, J. A., I. McNab: Sciatica and Chymopapain. Williams and Wilkins, Baltimore—London 1983

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Loew, F. Different operative possibilities for treatment of lumbar disc herniations — how to choose the best method for the individual patient. Neurosurg. Rev. 9, 109–111 (1986). https://doi.org/10.1007/BF01743060

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Keywords

  • Discolysis
  • lumbar disc herniation
  • lumbar stenosis
  • micro-operation of lumbar disc herniation