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Year : 1996  |  Volume : 44  |  Issue : 3  |  Page : 102--107

Microlumbar discectomy state of art treatment for prolapsed lumbar intervertebral disc.


Department of Neurosurgery, L. T. M. G. Hospital, Mumbai- 400 022, India

Correspondence Address:
PS Ramani
Department of Neurosurgery, L. T. M. G. Hospital, Mumbai- 400 022
India
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Source of Support: None, Conflict of Interest: None


PMID: 29542626

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Microlumbar discectomy is latest state of art treatment for prolapsed lumbar intervertebral disc. A series of 250 consecutive cases operated over a period of 4 and 1/2 years have been reviewed. There were no significant complications. L4/5 was the most common level followed by L5/SI. All the six cases operated bilaterally were at L4/5 level. Relief of sciatic pain was seen in 98 percent of the patients and six patients (2.4 percent) required to be re-operated over a period of three and half years. The indication for microlumbar discectomy drops sharply after the age of fifty years. Patients also have other pathologies with advancing age such as lateral recess stenosis and hypertrophy of facets requiring alternative treatment. The overall results of microlumbar discectomy are superior in comparison to standard laminectomy.






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Online since 20th March '04
Published by Wolters Kluwer - Medknow