Limited microdiscectomy effective for disc herniation

January 31, 2014
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.

Explore further: Study finds poorer outcomes for obese patients treated for lumbar disc herniation

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

Related Stories

Less benefit for obese with lumbar disc herniation tx

February 8, 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 Surgery.

MRI findings linked to effect of lumbar spine surgery

June 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 of Spine.

Evidence-based guidelines developed for disc herniation

December 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.

Recommended for you

Monkeys in Asia harbor virus from humans, other species

November 19, 2015

When it comes to spreading viruses, bats are thought to be among the worst. Now a new study of nearly 900 nonhuman primates in Bangladesh and Cambodia shows that macaques harbor more diverse astroviruses, which can cause ...

One-step test for hepatitis C virus infection developed

November 14, 2015

UC Irvine Health researchers have developed a cost-effective one-step test that screens, detects and confirms hepatitis C virus (HCV) infections. Dr. Ke-Qin Hu, director of hepatology services, will present findings at the ...


Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.