Microdiscectomy for Lumbar Intervertebral Disc Prolapse: Is Fixation Required?
Introduction Microdiscectomy, as of now, is considered the gold standard for the treatment of herniated lumbar disc. It preserves motion at the spinal segment and does not alter the local spinal anatomy significantly, resulting in a “functional and mobile” spine. Development of increasing...
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| Format: | Article |
| Language: | English |
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Thieme Medical Publishers, Inc.
2024-12-01
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| Series: | Indian Journal of Neurosurgery |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1759617 |
| _version_ | 1826912039131414528 |
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| author | Amey P. Patankar Shivani Chaudhary Kashyap Patel |
| author_facet | Amey P. Patankar Shivani Chaudhary Kashyap Patel |
| author_sort | Amey P. Patankar |
| collection | DOAJ |
| description |
Introduction Microdiscectomy, as of now, is considered the gold standard for the treatment of herniated lumbar disc. It preserves motion at the spinal segment and does not alter the local spinal anatomy significantly, resulting in a “functional and mobile” spine. Development of increasingly better-quality implants has seen their indiscriminate use in cases without any demonstrable instability. We see an increasing number of patients of lumbar disc prolapse being treated by fixation and fusion procedures, without any clear indication or evidence supporting such practice. This adds to the operating time, blood loss, cost of surgery and leads to loss of motion at the spinal segment resulting in a “stiff and immobile spine.” Our 10-year experience of treating lumbar disc herniation by micro-discectomy makes a strong case for preserving the spinal motion segment wherever possible and to use fixation very judiciously only in cases of proven instability. |
| first_indexed | 2024-04-11T00:35:26Z |
| format | Article |
| id | doaj.art-f472bfd6b3134829863788a3f3e815f4 |
| institution | Directory Open Access Journal |
| issn | 2277-954X 2277-9167 |
| language | English |
| last_indexed | 2025-02-17T10:23:26Z |
| publishDate | 2024-12-01 |
| publisher | Thieme Medical Publishers, Inc. |
| record_format | Article |
| series | Indian Journal of Neurosurgery |
| spelling | doaj.art-f472bfd6b3134829863788a3f3e815f42024-12-31T23:49:20ZengThieme Medical Publishers, Inc.Indian Journal of Neurosurgery2277-954X2277-91672024-12-01130324124610.1055/s-0042-1759617Microdiscectomy for Lumbar Intervertebral Disc Prolapse: Is Fixation Required?Amey P. Patankar0Shivani Chaudhary1Kashyap Patel2https://orcid.org/0000-0002-4188-1794Department of Neurosurgery, Neuron Hospital, Vadodara, Gujarat, IndiaDepartment of Surgery, Baroda Medical College and SSG Hospital, Vadodara, Gujarat, IndiaUndergraduate Medical Student, Baroda Medical College, Vadodara, Gujarat, India Introduction Microdiscectomy, as of now, is considered the gold standard for the treatment of herniated lumbar disc. It preserves motion at the spinal segment and does not alter the local spinal anatomy significantly, resulting in a “functional and mobile” spine. Development of increasingly better-quality implants has seen their indiscriminate use in cases without any demonstrable instability. We see an increasing number of patients of lumbar disc prolapse being treated by fixation and fusion procedures, without any clear indication or evidence supporting such practice. This adds to the operating time, blood loss, cost of surgery and leads to loss of motion at the spinal segment resulting in a “stiff and immobile spine.” Our 10-year experience of treating lumbar disc herniation by micro-discectomy makes a strong case for preserving the spinal motion segment wherever possible and to use fixation very judiciously only in cases of proven instability.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1759617microlumbar discectomylumbar disc prolapsefusion |
| spellingShingle | Amey P. Patankar Shivani Chaudhary Kashyap Patel Microdiscectomy for Lumbar Intervertebral Disc Prolapse: Is Fixation Required? Indian Journal of Neurosurgery microlumbar discectomy lumbar disc prolapse fusion |
| title | Microdiscectomy for Lumbar Intervertebral Disc Prolapse: Is Fixation Required? |
| title_full | Microdiscectomy for Lumbar Intervertebral Disc Prolapse: Is Fixation Required? |
| title_fullStr | Microdiscectomy for Lumbar Intervertebral Disc Prolapse: Is Fixation Required? |
| title_full_unstemmed | Microdiscectomy for Lumbar Intervertebral Disc Prolapse: Is Fixation Required? |
| title_short | Microdiscectomy for Lumbar Intervertebral Disc Prolapse: Is Fixation Required? |
| title_sort | microdiscectomy for lumbar intervertebral disc prolapse is fixation required |
| topic | microlumbar discectomy lumbar disc prolapse fusion |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1759617 |
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