Treatment of the isolated lumbar intervertebral disc herniation: Microdiscectomy versus chemonucleolysis

William C. Watters*, Srdjan Mirkovic, James Boss

*Corresponding author for this work

Research output: Contribution to journalArticle

19 Scopus citations

Abstract

A long-term goal of spine surgeons has been to reduce the morbidity, cost, and recuperative period of primary lumbar disc surgery. In this paper, microdiscectomy and chemonucleolysis are evaluated and compared with respect to achieving these goals. Two groups of successive, noncompensation patients numbering 50 each were studied. All patients met standard clinical and imaging criteria for an isolated lumbar vertebral disk herniation. One group was treated with chemonucleolysis and the second with mlcodiscectomy. Average follow-up exceeded 3 years. While both treatment groups achieved the stated goal when compared with traditional laminectomy, the microdiscectomy groups demonstrated statistically superior treatment results, with reduced time to return to work, and fewer required subsequent surgical procedures.

Original languageEnglish (US)
Pages (from-to)360-362
Number of pages3
JournalSpine
Volume13
Issue number3
DOIs
StatePublished - Mar 1988

Keywords

  • Chemonucleolysis
  • Lumbar disc herniation
  • Microdiscectomy
  • Treatment outcome

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Clinical Neurology

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