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Lumbar disc herniation--to operate or not to operate?

Timothy F Witham1, Ziya L Gokaslan

  • 1Department of Neurosurgery, Johns Hopkins University, School of Medicine, Baltimore, MD 21287, USA. twitham2@jhmi.edu

Nature Clinical Practice. Neurology
|April 26, 2007
PubMed
Summary

No abstract available in PubMed .

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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...