Limited microdiscectomy effective for disc herniation

Limited microdiscectomy effective for disc herniation

(HealthDay)—In patients with lumbar disc herniation, limited discectomy with removal of the fragment is associated with good long-term outcomes, according to a study published in the February issue of the Journal of Spinal Disorders & Techniques.

John Soliman, D.O., from the Advocate BroMenn Medical Center in Normal, Ill., and colleagues reviewed outcomes a mean of 7.2 years after surgery in 54 with lumbar disc herniation treated by minimally invasive microsurgical fragmentectomy.

The researchers found that 88.9 percent of patients reported an excellent or good outcome after surgery. Among patients with back pain, 89.8 percent reported improvement, and among those with leg pain, 88.0 percent reported improvement. Disability was minimal, as assessed by the Oswestry Disability Index. Same-level recurrences requiring reoperation occurred in 11.1 percent of patients. There was no appreciable difference in operative reherniation between patients with known contained herniations and known extruded herniations.

"Our long-term outcome study shows that a minimally invasive approach to microdiscectomy with removal of the fragment only is an effective way to treat lumbar disc herniation," Soliman and colleagues conclude.

More information: Abstract
Full Text (subscription or payment may be required)

add to favorites email to friend print save as pdf

Related Stories

Evidence-based guidelines developed for disc herniation

Dec 26, 2013

(HealthDay)—Evidence-based clinical guidelines have been developed for management of lumbar disc herniation with radiculopathy; the guidelines have been published in the Jan. 1 issue of The Spine Journal.

Less benefit for obese with lumbar disc herniation tx

Feb 08, 2013

(HealthDay)—Obese patients derive less benefit from both operative and non-operative lumbar disc herniation treatment, according to a study published in the Jan. 2 issue of The Journal of Bone & Joint Su ...

MRI findings linked to effect of lumbar spine surgery

Jun 26, 2013

(HealthDay)—Certain findings on magnetic resonance imaging (MRI) are linked with surgical outcome in patients with lumbar intervertebral disc herniation, according to research published in the June 15 issue ...

Recommended for you

Photodynamic therapy vs. cryotherapy for actinic keratoses

17 minutes ago

Photodynamic therapy (PDT, which uses topical agents and light to kill tissue) appears to better clear actinic keratoses (AKs, a common skin lesion caused by sun damage) at three months after treatment than cryotherapy (which ...

US official warns Ebola outbreak will get worse

2 hours ago

A third top doctor has died from Ebola in Sierra Leone, a government official said Wednesday, as a leading American health official warned that the outbreak sweeping West Africa would get worse before it ...

UN releases $1.5mn to help DR Congo fight Ebola

3 hours ago

The United Nations on Wednesday allocated $1.5 million (1.1 million euros) to help the Democratic Republic of Congo fight Ebola, just days after the country confirmed its first cases this year.

'Junk' blood tests may offer life-saving information

5 hours ago

Some 30 percent of all positive hospital blood culture samples are discarded every day because they're "contaminated"—they reflect the presence of skin germs instead of specific disease-causing bacteria.

Drug represents first potential treatment for common anemia

6 hours ago

An experimental drug designed to help regulate the blood's iron supply shows promise as a viable first treatment for anemia of inflammation, according to results from the first human study of the treatment published online today in Blood, the Journal of the American Society o ...

User comments