Surgical Treatment

  • F. Postacchini
  • G. Cinotti


Many operations for lumbar disc herniation could probably be avoided if energetic conservative management were continued for longer periods before considering surgery. However, it is clearly a mistake and potentially dangerous to obstinately carry out conservative treatment in all patients with a herniated disc. Several studies (31, 67, 81) have indicated that the results of conservative care can be as effective as those of surgery, at least a few months after the completion of treatment. However, this is more likely to occur in patients with a disc protrusion, a small extruded herniation or a small migrated fragment of disc, in the absence of spinal stenosis.


Spinal Canal Nucleus Pulposus Disc Herniation Lumbar Disc Herniation Ligamentum Flavum 
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© Springer-Verlag Wien 1999

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  • F. Postacchini
  • G. Cinotti

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