Which surgical procedures are performed for the treatment of lumbar disc disease?

Updated: Sep 25, 2018
  • Author: Kamran Sahrakar, MD, FACS; Chief Editor: Brian H Kopell, MD  more...
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What constitutes surgical therapy is open to discussion. The standard lumbar microdiscectomy has numerous variations, one of which is outlined below. Percutaneous discectomies are still performed frequently. Endoscopic techniques have gained in popularity. This method appears more applicable in small and contained disc herniations. [21] Chemonucleolysis, although in principle an excellent alternative, is no longer performed. Other procedures, such as thermal ablation, are also performed. [22, 23, 24, 25]

A complete workup is essential. Based on the patient's age group and comorbidities, perform the appropriate laboratory examinations, radiographic examinations, and further tests, as needed, to ensure a safe anesthetic period.

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