Transcutaneous Lumbar Diskectomy for Internal Disk Derangement: A New Indication

Richard A. Marks, MD, Baylor/Richardson Medical Center, Richardson, Tex

South Med J. 2000;93(9) 

In This Article


After a trial of 103 consecutive patients available for long-term follow-up, transcutaneous lumbar diskectomy has been found to be a valid and effective treatment for internal disk derangement and should be reclassified as a useful and viable alternative for the treatment of this condition. The procedure is an effective, minimally invasive method that should be given strong consideration when conservative treatment for this condition fails. Physicians should at least offer transcutaneous lumbar diskectomy as an option before attempting major open surgery or sentencing a patient prematurely to that great wasteland reserved for the mythical, long-suffering "low back loser."


Comments on Medscape are moderated and should be professional in tone and on topic. You must declare any conflicts of interest related to your comments and responses. Please see our Commenting Guide for further information. We reserve the right to remove posts at our sole discretion.
Post as: