Fifteen Pearls in treating lumbar disk herniation: A Narrative study

Lumbar disc herniation (LDH) is a common disease in neurospine surgery. Conservative treatment is effective in ۸۰-۹۰% of patients, and a small percentage (۱۰-۲۰%) need an operation. Lumbar discectomy is the most prevalent and easy surgery; however, it may cause serious catastrophic complications. To avoid complications and treat the LDH, some pearls constitute an important guide. These pearls include correct patient selection, the timing of the operation, correct correlation between patients signs and symptoms and level of LDH, right side of the disc, correct imaging study, underlying instability, nondiscogenic sciatica, the correct location of disc, surgical method, differentiating hip pathology, good positioning technique, anesthesia care and pearls, upper versus lower LDH, and incidental dural tear.

کلیدواژه ها:

lumbar disc herniation ، surgical method ، positioning technique ، Sciatica ، Prone position ، Anterior versus posterior approach ، Contralateral radiculopathy ، Incidental dural tearing