{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T09:50:09Z","timestamp":1791366609109,"version":"4.3.1"},"reference-count":39,"publisher":"Georg Thieme Verlag KG","issue":"03","license":[{"start":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T00:00:00Z","timestamp":1791244800000},"content-version":"vor","delay-in-days":127,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Bras Ortop (Sao Paulo)"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Lumbar disc herniation is one of the main causes of root pain and disability in the adult population, with a significant impact on the healthcare system and labor productivity. Initial management is predominantly conservative, but a portion of patients may evolve with refractory symptoms or progressive neurological deficit, requiring surgical intervention. Over the past few decades, minimally invasive techniques, such as endoscopic surgery, have revolutionized treatment with less tissue damage, accelerated recovery, and lower complication rates. This article reviews the evolution of surgical techniques, highlighting comparative evidence among them and the emerging role of new technologies.<\/jats:p>","DOI":"10.1055\/s-0046-1824521","type":"journal-article","created":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T08:39:45Z","timestamp":1791362385000},"page":"001-006","source":"Crossref","is-referenced-by-count":0,"title":["Lumbar Disc Herniation: What's New in Surgical Treatment"],"prefix":"10.1055","volume":"61","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8227-5440","authenticated-orcid":false,"given":"F\u00e1bio Ant\u00f4nio","family":"Vieira","sequence":"additional","affiliation":[{"name":"Departament of Orthopedics and Traumatology, Escola Paulista de Medicina, Universidade Federal de S\u00e3o Paulo, S\u00e3o Paulo, SP, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Breno Augusto Giese","family":"Ribeiro","sequence":"additional","affiliation":[{"name":"Departament of Orthopedics and Traumatology, Escola Paulista de Medicina, Universidade Federal de S\u00e3o Paulo, S\u00e3o Paulo, SP, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Renato Hiroshi Salvioni","family":"Ueta","sequence":"additional","affiliation":[{"name":"Departament of Orthopedics and Traumatology, Escola Paulista de Medicina, Universidade Federal de S\u00e3o Paulo, S\u00e3o Paulo, SP, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eduardo Barros","family":"Puertas","sequence":"additional","affiliation":[{"name":"Departament of Orthopedics and Traumatology, Escola Paulista de Medicina, Universidade Federal de S\u00e3o Paulo, S\u00e3o Paulo, SP, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,10,6]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"110839","DOI":"10.1016\/j.jocn.2024.110839","article-title":"Prevalence of lumbar disc herniation in populations with different symptoms based on magnetic resonance imaging study","volume":"129","author":"B-L Sun","year":"2024","journal-title":"J Clin Neurosci"},{"issue":"10","key":"ref2","doi-asserted-by":"publisher","first-page":"2094","DOI":"10.3390\/ijerph15102094","article-title":"Differences in the Incidence of Symptomatic Cervical and Lumbar Disc Herniation According to Age, Sex and National Health Insurance Eligibility: A Pilot Study on the Disease's Association with Work","volume":"15","author":"Y-K Kim","year":"2018","journal-title":"Int J Environ Res Public Health"},{"issue":"18","key":"ref3","doi-asserted-by":"publisher","first-page":"1763","DOI":"10.1056\/NEJMcp1512658","article-title":"CLINICAL PRACTICE. 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