{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:29:52Z","timestamp":1787754592542,"version":"build-2784847793"},"reference-count":9,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JBJS Essential Surgical Techniques"],"published-print":{"date-parts":[[2016,1,27]]},"abstract":"<jats:p>In most patients, the radiculopathy associated with lumbar disc herniation resolves nonoperatively. For patients in whom nonsurgical management has failed, microdiscectomy can be considered. Today, an operating microscope is preferred because of the collinear light and magnification offered. Alternatively, loupes and a headlight may be employed. The major steps of the procedure are (1) making a 2-cm vertical incision and then developing the corridor to the lamina subperiosteally or by using serial dilation techniques; (2) confirming the level of surgery radiographically prior to incision and once the lamina has been reached and then detaching the lateral attachments of the flavum; (3) making a small laminotomy, resecting any superior facet osteophytes, then mobilizing the compressed traversing nerve root, and, in some cases, making a small annulotomy; and (4) removing loose disc fragments and performing wound closure.<\/jats:p>\n                  <jats:p>Most outcomes reports after microdiscectomy have been favorable for radicular symptoms. Associated back pain typically decreased as well. Common complications include recurrent disc herniation or disc herniation at another level, wound infections, and durotomy with spinal headache.<\/jats:p>","DOI":"10.2106\/jbjs.st.n.00093","type":"journal-article","created":{"date-parts":[[2016,1,27]],"date-time":"2016-01-27T22:43:34Z","timestamp":1453934614000},"page":"e3","source":"Crossref","is-referenced-by-count":8,"title":["Lumbar Microdiscectomy"],"prefix":"10.2106","volume":"6","author":[{"given":"Eeric","family":"Truumees","sequence":"first","affiliation":[{"name":"Seton Spine & Scoliosis Center, A Program of the Seton Brain and Spine Institute, Brackenridge University Hospital, Seton Medical Center, 1600 West 38th Street, Suite 200, Austin, TX 78731"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew","family":"Geck","sequence":"additional","affiliation":[{"name":"Seton Spine & Scoliosis Center, A Program of the Seton Brain and Spine Institute, Brackenridge University Hospital, Seton Medical Center, 1600 West 38th Street, Suite 200, Austin, TX 78731"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John K.","family":"Stokes","sequence":"additional","affiliation":[{"name":"Seton Spine & Scoliosis Center, A Program of the Seton Brain and Spine Institute, Brackenridge University Hospital, Seton Medical Center, 1600 West 38th Street, Suite 200, Austin, TX 78731"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Devender","family":"Singh","sequence":"additional","affiliation":[{"name":"Seton Spine & Scoliosis Center, A Program of the Seton Brain and Spine Institute, Brackenridge University Hospital, Seton Medical Center, 1600 West 38th Street, Suite 200, Austin, TX 78731"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"issue":"1","key":"bib1-20230812","doi-asserted-by":"crossref","first-page":"102","DOI":"10.2106\/00004623-200301000-00016","article-title":"Clinical outcomes after lumbar discectomy for sciatica: the effects of fragment type and anular competence","volume":"85","author":"Carragee","year":"2003","journal-title":"J Bone Joint Surg Am."},{"issue":"6","key":"bib2-20230812","doi-asserted-by":"crossref","first-page":"653","DOI":"10.1097\/01.brs.0000203714.76250.68","article-title":"A prospective controlled study of limited versus subtotal posterior discectomy: short-term outcomes in patients with herniated lumbar intervertebral discs and large posterior anular defect","volume":"31","author":"Carragee","year":"2006","journal-title":"Spine (Phila Pa 1976)."},{"issue":"25","key":"bib3-20230812","doi-asserted-by":"crossref","first-page":"2789","DOI":"10.1097\/BRS.0b013e31818ed8f4","article-title":"Surgical versus nonoperative treatment for lumbar disc herniation: four-year results for the Spine Patient Outcomes Research Trial (SPORT)","volume":"33","author":"Weinstein","year":"2008","journal-title":"Spine (Phila Pa 1976)."},{"issue":"20","key":"bib4-20230812","doi-asserted-by":"crossref","first-page":"1906","DOI":"10.2106\/JBJS.J.00878","article-title":"Duration of symptoms resulting from lumbar disc herniation: effect on treatment outcomes: analysis of the Spine Patient Outcomes Research Trial (SPORT)","volume":"93","author":"Rihn","year":"2011","journal-title":"J Bone Joint Surg Am."},{"issue":"6","key":"bib5-20230812","doi-asserted-by":"crossref","first-page":"604","DOI":"10.1097\/00007632-198211000-00015","article-title":"Lumbar discectomy. 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Recent United States trends and regional variations","volume":"19","author":"Taylor","year":"1994","journal-title":"Spine (Phila Pa 1976)."}],"container-title":["JBJS Essential Surgical Techniques"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/01709766-201606010-00003","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:29:44Z","timestamp":1787750984000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/01709766-201606010-00003"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,1,27]]},"references-count":9,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2016]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.st.n.00093","relation":{},"ISSN":["2160-2204"],"issn-type":[{"value":"2160-2204","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,1,27]]}}}