Microlumbar discectomy is one of the debatable topics of spine surgery. The most important question is “Can we decrease the unsatisfactory results with microsurgery?” If we lock at the literature, we can see the successful results with microsurgery. There is no doubt microsurgery helps some parameters such as short operation time, minimal tissue damage, short hospital stay and in many cases sho...

We present a case of an acute psoas muscle hematoma following percutaneous endoscopic lumbar discectomy. A 60-year-old female who presented with far lateral lumbar disc herniation underwent endoscopic discectomy on the right side at the L4-5 level. On the second postoperative day, the patient complained of severe right flank and leg pain and her blood pressure decreased. A computed tomography s...

INTRODUCTION Lumbar discectomy constitutes the most common and probably easiest spine surgery but it is not without complications. The aim of this work is to report a case with total ureteral avulsion during lumbar discectomy due to careless advancement of the pituitary rongeur. METHODS A 59-year-old male presented with refractory left L5-S1 lumbar disc herniation. During the surgery, left si...

BACKGROUND There is a controversy regarding the treatment of lumbar disc herniation. Most of patients with lumbar disc herniation and radiculopathy improve with rest and medicine. Lumbar disc surgery gives rapid relief to the patients with severe root pain in legs. This study was conducted to see the risks and benefits of surgery in single level symptomatic lumbar disc disease. METHODS This p...

Objective is to analyze the surgical strategy, safety, and clinical results of percutaneous full-endoscopic discectomy through interlaminar or extraforaminal puncture technique for LDH. Preoperative CT and MRI were analyzed, which were based on the main location of the herniated disc and its relationship with compressed nerve root. Sixty-two patients satisfied the inclusion criteria during the ...

OBJECTIVE This is prospective study of clinical outcomes of percutaneous plasma disc coagulation Therapy (PDCT) in patients with herniated lumbar disc disease (HLD) to evaluate the safety and efficacy in its clinical application and usefulness as a reliable alternative to microscopic discectomy. METHODS Forty-six patients were enrolled in this study from April 2006 to June 2010. All patients ...

BACKGROUND L4-L5 disc herniations can be treated with percutaneous endoscopic lumbar discectomy (PELD) using a transforaminal posterolateral approach. Although PELD has some distinct advantages over conventional open discectomy, inadequate decompression is a major cause of failure of the procedure, especially with high-grade migrations. The objective of this technical note is to present a new s...

Lumbar microdiscectomy, which relies on the operating microscope for visualization, was first described in the late 1970s. This operation is considered the gold standard procedure for patients who require surgery for symptomatic lumbar disc herniation causing radiculopathy that has not improved with conservative measures. A new approach to the management of symptomatic lumbar disc herniation, m...

Lumbar discectomy is the most common spinal procedure performed, and can be done on an outpatient basis. In this study, we want to compare the incidence of complications in patients undergoing single level lumbar discectomy between the inpatient and outpatient settings, to determine baseline 30-day complication rates, and to identify independent risk factors for complications. To achieve those,...