PMID: 11929202Apr 4, 2002Paper

Minimally invasive techniques for the treatment of intervertebral disk herniation

The Journal of the American Academy of Orthopaedic Surgeons
Hallett H Mathews, Brenda H Long

Abstract

Hemilaminectomy with diskectomy, the original surgical option to address intervertebral disk herniation, was superseded by open microdiskectomy, a less invasive technique recognized as the surgical benchmark with which minimally invasive spine surgery techniques have been compared as they have been developed. These minimally invasive surgical techniques for patients with herniated nucleus pulposus and radiculopathy include laser disk decompression, arthroscopic microdiskectomy, laparoscopic techniques, foraminal endoscopy, and microendoscopic diskectomy. Each has its own complications and requires a long learning curve to develop familiarity with the technique. Patient selection, and especially disk morphology, are the most important factors in choice of technique. The optimal candidate has a previously untreated single-level herniation with limited migration or sequestration of free fragments.

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Citations

Dec 3, 2005·The Journal of Bone and Joint Surgery. American Volume·Scott D BodenJames N Weinstein
Feb 11, 2014·Clinical Orthopaedics and Related Research·Joseph A Sclafani, Choll W Kim
Jun 17, 2006·Journal of Spinal Disorders & Techniques·Kingsley R Chin, Todd A Michener
Jun 24, 2009·Medical Physics·John B WeaverEric W Hansen
Apr 27, 2012·Journal of Orthopaedic Surgery·Kamrul AhsanM A Awwal
Sep 4, 2014·The Cochrane Database of Systematic Reviews·Mohammad R RasouliRoger Chou
Feb 6, 2020·HSS Journal : the Musculoskeletal Journal of Hospital for Special Surgery·Dustin H MasselKern Singh
Nov 5, 2014·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·Juergen Reul
Jan 12, 2021·Journal of Lasers in Medical Sciences·Behnam Hosseini, Farzad Allameh
Apr 5, 2005·Disease-a-month : DM·H Gregory Bach, Richard D Lim

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