Operations for Symptomatic Herniated Intervertebral Disk: A Study of 45,048 Patients

JOURNAL TITLE: The Journal of Spinal Surgery

Author
1. George J Dohrmann
2. Joseph C Hsieh
3. Nassir Mansour
ISSN
2349-0462
DOI
10.5005/jp-journals-10039-1153
Volume
4
Issue
4
Publishing Year
2017
Pages
2
  • Article keywords

    Abstract

    Cervical disks

    6,000 patients were operated for cervical disk herniation and the results of operating anteriorly (anterior diskectomy with/without fusion) were compared to the results of operating posteriorly (laminoforamenotomy/“keyhole” facetectomy). The anterior group (mean follow-up: 5.9 years) had 80% good/excellent results, while the posterior group (mean follow-up: 8.5 years) had 94% good/excellent results (p < 0.05). Perhaps the more complete decompression of the nerve root over time is the reason for the superior long-term outcome.

    Lumbar disks

    39,048 patients were operated on for lumbar disk herniation. They were divided into three groups: microdiskectomy, endoscopic microdiskectomy and the classical operation (laminectomy/laminotomy with diskectomy). Mean follow-ups were 4.1 years, 2.9 years, and 6.3 years. Good/excellent results were approximately 80% in all three groups. The same results in each group raises questions about the complete origins of the symptoms in 20% of patients.

    How to cite this article

    Dohrmann GJ, Hsieh JC, Mansour N. Operations for Symptomatic Herniated Intervertebral Disk: A Study of 45,048 Patients. J Spinal Surg 2017;4(4):171-172.

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