Minimally Invasive Lumbar Discectomy Had Worse Outcome than Conventional Open Microdiscectomy

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Minimally invasive open lumbar discectomy: An alternative to microlumbar discectomy.

BACKGROUND Lumbar disc surgery has come a long way since its fi rst description by Dandy in 1929. Evolving through the transdural approach and a laminectomy for the removal of a disc, it now surpasses the primal technique with essentially a minimally invasive procedure, an extradural approach without laminectomy. OBJECTIVE The objective of this study is to ascertain the effectiveness of Minim...

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Minimally invasive discectomy versus microdiscectomy/ discectomy for symptomatic lumbar disc herniation

BACKGROUND Microdiscectomy or open discectomy (MD/OD) are the standard procedures for symptomatic lumbar disc herniation and they involve removal of the portion of the intervertebral disc compressing the nerve root or spinal cord (or both) with or without the aid of a headlight loupe or microscope magnification. Potential advantages of newer minimally invasive discectomy (MID) procedures over s...

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Minimally invasive compared to open microdiscectomy for lumbar disc herniation.

Before the advent of minimally invasive surgery for microdiscectomy, an open microdiscectomy had been the standard surgical intervention. Minimally invasive techniques have recently become more popular based upon the premise that smaller, less traumatic incisions should afford better recovery times and outcomes. From 2005 to 2008 we analyzed the outcomes of 25 patients who received an open micr...

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Lumbar microdiscectomy and microendoscopic discectomy.

Lumbar microdiscectomy, which relies on the operating microscope for visualization, was first described in the late 1970s. This operation is considered the gold standard procedure for patients who require surgery for symptomatic lumbar disc herniation causing radiculopathy that has not improved with conservative measures. A new approach to the management of symptomatic lumbar disc herniation, m...

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The learning curve of minimally-invasive lumbar microdiscectomy.

OBJECT The safe integration into practice of a new surgical technique requires an appreciation of the learning curve. The object of this study was to assess the learning curve for minimally invasive microdiscectomy (MIM) utilizing a tubular retractor system. METHODS A prospective evaluation of a single surgeon's first 52 consecutive MIM cases for radiculopathy secondary to single-level poster...

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ژورنال

عنوان ژورنال: Neurosurgery

سال: 2009

ISSN: 0148-396X,1524-4040

DOI: 10.1227/01.neu.0000359549.85838.0e