Microscopic Lumbar Discectomy

  • Robert G. Watkins

Abstract

Microscopic lumbar discectomy is an ideal way to remove a disc fragmcnt. Indications include the following:
  1. 1.

    Morbidity of sufficient severity and duration to warrant operative intervention.

     
  2. 2.

    Presence of radicular leg pain, intensity of leg pain greater than 50% over back pain, with the pain distribution preferably over the course of a radicular nerve.

     
  3. 3.

    Neurologic deficit and motor sensory reflex loss, enabling the surgeon to establish which nerve is involved.

     
  4. 4.

    Studies should indicate an anatomical lesion that corresponds to the patient’s symptoms. That anatomical lesion should be in a location that corresponds to the symptoms and is usually a herniated disc, extruded disc fragment, sequestered disc fragment, or a segmental localized lateral recess stenosis.

     

Keywords

Excavation Dura Prep Verse Radiculopathy 

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Copyright information

© Springer Science+Business Media New York 2003

Authors and Affiliations

  • Robert G. Watkins
    • 1
    • 2
  1. 1.Clinical Orthopedic SurgeryUniversity of Southern CaliforniaLos AngelesUSA
  2. 2.St. Vincent’s HospitalLos Angeles Spine Surgery InstituteLos AngelesUSA

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