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Related Experiment Video

Updated: May 20, 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

[Learning curve for lumbar disc surgery].

R Billon-Grand1, F De Rose, H Katranji

  • 1Service de neurochirurgie, CHU Jean-Minjoz, 25030 Besançon cedex, France. rbillongrand@chu-besancon.fr

Neuro-Chirurgie
|July 24, 2012
PubMed
Summary
This summary is machine-generated.

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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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For surgeons new to lumbar disc surgery, using a microscope is advised to prevent severe complications. While experienced surgeons may not require one, beginners can avoid critical errors by employing this tool.

Area of Science:

  • Neurosurgery
  • Spinal Surgery

Background:

  • Lumbar disc surgery has various techniques, but failures and adverse events persist.
  • Recent studies suggest microscope use is not mandatory for these procedures.

Purpose of the Study:

  • To evaluate adverse events in early-stage lumbar disc surgery.
  • To determine the necessity of microscope use for novice surgeons.

Main Methods:

  • Analysis of the first 70 spinal procedures for lower limb radicular syndrome performed by a single surgeon.
  • Focused assessment of complications and failures during these initial procedures.

Main Results:

  • Surgery duration and reoperation rates were slightly higher than in experienced hands.
  • No severe complications like battered-root syndrome or neural structure injury occurred.

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Last Updated: May 20, 2026

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

  • No patient experienced neurological worsening post-surgery.

    • Conclusions:

    • Microscope use is not mandatory for experienced lumbar disc surgeons.
    • Surgeons beginning their practice are strongly advised to use a microscope.
    • Microscopes can help prevent critical errors, such as misidentifying the nerve root.