Conventional Lumbar Micro-discectomy Versus Microscopic Sequesterectomy

Abstract

Background: Lumbar disc herniation presents a common compliant with numerous procedure being carry out in patients with interactable pain or neurological deficits. Conventional lumbar microdiscectomy involves substantial excision of disc material form the intervertebral disc space to prevent herniation. However, in many cases recurrence disc herniation is unavoidable. Sequesterectomy in cases of herniated lumbar discs has been reported as an alternative to standard microdiscectomy.

Materials and Methods: In this study the clinical records and the main questionnaires of 107 patients were analyzed and compared with literature.

Results: Preliminary results of a prospective randomized study in patients with lumbar disc herniation indicated equal recurrence disc rates and lesser reherniation in which patients are selected according to well defined criteria, which is largely depended on the competence of the annulus or posterior longitudinal ligament.

Conclusion: There is tendency to superior clinical outcome in patients undergoing sequesterectomy. Microscopic sequesterectomy is more successful with lesser operating time with fewer intraoperative complications.