BACKGROUND Epidural steroid injection is a low-risk alternative to surgical intervention in the treatment of lumbar disc herniation. The objective of this study was to determine the efficacy of epidural steroid injection in the treatment of patients with a large, symptomatic lumbar herniated nucleus pulposus who are surgical candidates. METHODS One hundred and sixty-nine patients with a large...

BACKGROUND The usual surgical treatment of refractory sciatica caused by lumbar disc herniation, is open discectomy. Minimally invasive procedures, including percutaneous therapies under local anesthesia, are increasingly gaining attention. One of these treatments is Percutaneous Laser Disc Decompression (PLDD). This treatment can be carried out in an outpatient setting and swift recovery and r...

Background : While microscopic lumbar disc herniation (LDH) surgery has been performed at our institution for >20 years, full-endoscopic discectomy (FELD) was introduced in 2019 to further minimize invasiveness. We aimed analyze and compare short-term results of patients who first underwent FELD with those LDH during the same period.

Full-endoscopic lumbar discectomy under local anesthesia is major trends for the treatment of disc herniation in spine minimally invasive surgery. However, sometimes not enough analgesic surgery especially interlaminar approach. This study summarizes current methods full-endoscopic discectomy. Local still most common method and comparison group other due to high safety. Compared anesthesia, Epi...

BACKGROUND Since the descriptions by Mixter and Barr of surgical treatment for rupture of the intervertebral disc in 1934, open surgical procedures have become a common practice. Disc herniations are often classified as being contained or non-contained. The results of open surgical discectomy for contained disc herniation have been poor. Consequently, several less invasive techniques have been ...

Intervertebral disc herniation is one of the most common causes of back and extremity pain. The most commonly used surgical treatment is lumbar discectomy. About 0.5-25% go on to develop recurrent disc herniation (rDH) after a successful first discectomy. Currently, there aren't any guidelines to assist surgeons in determining which approach is most appropriate to treat rDH. A recent survey sho...

Objective: The herniated lumbar disc (HLD) in young patients is increasing. The endoscopic discectomy has been used as a treatment option, but it is limited in the management of large extruded or migrated disc herniations. Recently, with an application of extreme lateral endoscopic lumbar discectomy (ELELD), it is possible to obtain access to epidural space directly and to remove herniated disc...

BACKGROUND Lumbar degenerative spondylolisthesis is a common entity and occurs mainly in elderly patients. The trend in surgery has been to offer decompression with instrumented fusion based on patient-based outcome data and the inherent instability of the condition. OBJECTIVES Transforaminal endoscopic discectomy and foraminotomy is an ultra-minimally invasive outpatient surgical option avai...

BACKGROUND No consensus exists on how rehabilitation programs for lumbar discectomy patients with persistent complaints after surgery should be composed. A better understanding of normal and abnormal postoperative trunk muscle condition might help direct the treatment goals. METHODS A three-dimensional CT scan of the lumbar spine was obtained in 18 symptomatic and 18 asymptomatic patients who...