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Related Experiment Video

Updated: Jul 17, 2026

Multilevel Oblique Lumbar Interbody Fusion in Degenerative Lumbar Disc Disease with Instability
11:30

Multilevel Oblique Lumbar Interbody Fusion in Degenerative Lumbar Disc Disease with Instability

Published on: July 25, 2025

Surgical interventions for lumbar disc prolapse.

J N A Gibson1, G Waddell

  • 1Royal Infirmary of Edinburgh, Lothian University Hospitals NHS Trust, Little France, Edinburgh, UK, EH16 4SU. j.n.a.gibson@blueyonder.co.uk

The Cochrane Database of Systematic Reviews
|January 27, 2007
PubMed
Summary

Surgical discectomy offers faster relief for lumbar disc prolapse sciatica than conservative care, though long-term effects are unclear. Microdiscectomy shows results comparable to traditional open discectomy for improved outcomes.

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Intervertebral disc herniation refers to the displacement of the nucleus pulposus (the gel-like inner core of the disc) through a tear or weakened area in the annulus fibrosus (the outer fibrous ring). The displaced disc material extends beyond the normal boundaries of the disc space and may compress or irritate nearby spinal nerve roots or, less commonly, the spinal cord.Etiology and Risk FactorsHerniation commonly results from degeneration, in which aging reduces disc hydration and...

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Surgical interventions for lumbar disc prolapse.

The Cochrane database of systematic reviews·2007

Area of Science:

  • Neurosurgery
  • Orthopedics
  • Spinal Surgery

Background:

  • Lumbar disc prolapse is a common cause of low-back disorders, frequently necessitating surgical intervention.
  • Surgical treatments aim to alleviate pain and improve function in patients with debilitating disc herniation.

Purpose of the Study:

  • To systematically review the efficacy of various surgical interventions for treating lumbar disc prolapse.
  • To compare different surgical techniques and their outcomes based on available evidence.

Main Methods:

  • Comprehensive search of major databases (Cochrane, MEDLINE, PubMed, Spine) and conference abstracts up to June 2006.
  • Inclusion of randomized controlled trials (RCTs) and quasi-randomized controlled trials (QRCTs) on surgical management.
  • Data extraction and quality assessment performed by two independent reviewers.

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Full-Endoscopic Transforaminal Approach for Lumbar Discectomy
01:24

Full-Endoscopic Transforaminal Approach for Lumbar Discectomy

Published on: September 8, 2023

Related Experiment Videos

Last Updated: Jul 17, 2026

Multilevel Oblique Lumbar Interbody Fusion in Degenerative Lumbar Disc Disease with Instability
11:30

Multilevel Oblique Lumbar Interbody Fusion in Degenerative Lumbar Disc Disease with Instability

Published on: July 25, 2025

Full-Endoscopic Transforaminal Approach for Lumbar Discectomy
01:24

Full-Endoscopic Transforaminal Approach for Lumbar Discectomy

Published on: September 8, 2023

Main Results:

  • Thirty-nine RCTs and two QRCTs were identified, with many recent trials focusing on discectomy techniques and anti-adhesion membranes.
  • Discectomy demonstrated superior clinical outcomes compared to chemonucleolysis and placebo.
  • Microdiscectomy yielded results comparable to standard open discectomy; evidence for other minimally invasive techniques remains limited.

Conclusions:

  • Surgical discectomy provides rapid symptom relief for selected lumbar disc prolapse patients compared to conservative management.
  • Long-term impacts on the natural history of disc disease remain uncertain.
  • While microdiscectomy is comparable to open discectomy, evidence for newer minimally invasive approaches requires further investigation.