Familial Incidence of Disc Herniation. Epidemiologic and Genetic Evidence: A Hypothesis Suggesting That Laminectomy and Discectomy Are Counterproductive

  • Daniel S.J. Choy


Perhaps it is time to reassess an operation that has been in existence for 69 years, taught unchallenged from generation to generation of spine surgeons. Perhaps it is time to abandon a procedure that further weakens an already weakened posterior wall, resulting in relatively high rates of reherniation and failed back syndrome, and replace it with a minimally invasive procedure that is safe and effective. In 1991 Williams presciently stated: “As any structural engineer could have predicted, the once accepted standard lumbar surgical concepts and techniques of the past have finally proved to be destructive to the future competence of the lumbar anatomy.”


Intervertebral Disc Disc Herniation Reoperation Rate Lumbar Spinal Stenosis Posterior Longitudinal Ligament 
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© Springer-Verlag New York, Inc. 2003

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  • Daniel S.J. Choy

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