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Related Experiment Video

Updated: Jul 15, 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
|April 20, 2007
PubMed
Summary

Surgical discectomy offers faster relief for lumbar disc prolapse sciatica compared to conservative care. However, long-term effects on the disc disease remain unclear, and minimally invasive techniques require more evidence.

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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 and a frequent indication for surgical intervention.
  • This review focuses on evaluating the efficacy of various surgical treatments for lumbar disc prolapse.

Purpose of the Study:

  • To systematically review and assess the effects of surgical interventions for treating lumbar disc prolapse.
  • To compare the outcomes of different surgical techniques and conservative management.

Main Methods:

  • Searched major databases (Cochrane, MEDLINE, PubMed, Spine) and conference abstracts for randomized and quasi-randomized trials up to January 2007.
  • Two reviewers assessed trial quality and extracted data, seeking additional information from authors when necessary.

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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 15, 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:

  • Forty randomized controlled trials (RCTs) and two quasi-randomized controlled trials (QRCTs) were identified.
  • Discectomy shows better outcomes than chemonucleolysis, which is better than placebo. Microdiscectomy results are comparable to standard discectomy.
  • Limited evidence suggests membranes can reduce scarring, but clinical outcome data is scarce. Evidence for other minimally invasive techniques is insufficient.

Conclusions:

  • Surgical discectomy provides faster relief for acute sciatica from lumbar disc prolapse than conservative management.
  • Long-term effects on the natural history of disc disease are still uncertain.
  • Microdiscectomy outcomes are similar to open discectomy; evidence for other minimally invasive methods is unclear.