{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T00:00:23Z","timestamp":1768262423892,"version":"3.49.0"},"reference-count":4,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\nBackground: <\/jats:title>\nLumbar disc herniation (LDH)\/radiculopathy is the most frequent cause of lost workdays in people under 50 years of age. Although there is consensus about how to assess these patients, the optimal management strategy is still debated.<\/jats:p>\n<\/jats:sec>\n\nMethods: <\/jats:title>\nAn online survey was sent to spine surgeons who are members of the Iberian-Latin American Spine Society to assess how they treat LDH with radiculopathy.<\/jats:p>\n<\/jats:sec>\n\nResults: <\/jats:title>\nThere were 718 surgeons who answered the survey; 66% reported that 76\u2013100% of their monthly clinic work was due to spine issues. The most frequently used conservative treatment modalities included non-opioid analgesics and nonsteroidal anti-inflammatory drugs (NSAIDs) (90.5%), followed by physical therapy (55.2%) and pregabalin (41.4%). Notably, 40% of surgeons in the public sector believed that conservative treatment failed if symptoms persisted beyond 6\u201312 weeks, while 39% of private surgeons deemed conservative management insufficient if it had failed to provide symptomatic relief with 3\u20136 weeks. Of interest, 78% utilized epidural steroid injections (ESI); 51.7% preferred the transforaminal, 27.2% the interlaminar, and 7.5% the caudal approaches. The most frequent indications for surgery included: cauda equina syndrome, progressive neurological deficits, and intractable pain. Traditional microdiscectomy was the most common technique (68.5%) utilized, followed by 7.5% advocating endoscopic disc resection, and just 6.4% favoring the tubular discectomy.<\/jats:p>\n<\/jats:sec>\n\nConclusion: <\/jats:title>\nThere is considerable heterogeneity among Iberian and Latin American spine surgeons in the treatment of LDH\/radiculopathy. Although most begin with the utilization of NSAIDs and non-opioid analgesics, followed by ESI (88%), surgery was recommended for persistent symptoms\/signs for those failing between 3 and 6 weeks (private sector) versus 6\u201312 weeks (public sector) of conservative therapy.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_262_2021","type":"journal-article","created":{"date-parts":[[2021,7,19]],"date-time":"2021-07-19T13:16:29Z","timestamp":1626700589000},"page":"363","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Management of lumbar disc herniation with radiculopathy: Results of an Iberian-Latin American survey"],"prefix":"10.25259","volume":"12","author":[{"given":"Guisela","family":"Quinteros","sequence":"first","affiliation":[{"name":"Department of Orthopedics, Hospital Regional de Talca, Talca, Region del Maule, Chile"},{"name":"Associate Professor, Universidad Cat\u00f3lica del Maule, Talca, Chile"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ratko","family":"Yurac","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Clinica Alemana, Santiago, Chile,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juan Jos\u00e9","family":"Zamorano","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Clinica Alemana, Santiago, Chile,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M\u00e1ximo-Alberto","family":"D\u00edez-Ulloa","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery and Traumatology, UHC Santiago de Compostela, Praza do Obradoiro, Santiago de Compostela, La Coru\u00f1a, Spain,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Edson","family":"Pudles","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Hospital Universitario Evang\u00e9lico Mackenzie de Curitiba, Curitiba, Brazil."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bartolom\u00e9 A.","family":"Marr\u00e9","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Clinica Alemana, Santiago, Chile,"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2021,7,19]]},"reference":[{"key":"10.25259\/SNI_262_2021\/ref-1","doi-asserted-by":"crossref","first-page":"1915","DOI":"10.1001\/jama.2015.4468","article-title":"Oral steroids for acute radiculopathy due to a herniated lumbar disk: A randomized clinical trial","volume":"313","author":"Goldberg","year":"2015","journal-title":"JAMA"},{"key":"10.25259\/SNI_262_2021\/ref-2","doi-asserted-by":"crossref","first-page":"180","DOI":"10.1016\/j.spinee.2013.08.003","article-title":"An evidence-based clinical guideline for the diagnosis and treatment of lumbar disc herniation with radiculopathy","volume":"14","author":"Kreiner","year":"2014","journal-title":"Spine J"},{"key":"10.25259\/SNI_262_2021\/ref-3","article-title":"Gu\u00eda Cl\u00ednica","author":"Ministerio","year":"2013","journal-title":"Hernia de N\u00facleo Pulposo Lumbar;"},{"key":"10.25259\/SNI_262_2021\/ref-4","doi-asserted-by":"crossref","first-page":"107","DOI":"10.3109\/03790799009166263","article-title":"Clinical, social, and psychological factors and outcome in a 5-year follow-up study of 276 patients hospitalized because of suspected lumbar disc herniation","volume":"12","author":"Nykvist","year":"1990","journal-title":"Int Disabil Stud"}],"container-title":["Surgical Neurology International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/surgicalneurologyint.com\/management-of-lumbar-disc-herniation-with-radiculopathy-results-of-an-iberian-latin-american-survey\/","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/management-of-lumbar-disc-herniation-with-radiculopathy-results-of-an-iberian-latin-american-survey\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,7,19]],"date-time":"2021-07-19T13:16:35Z","timestamp":1626700595000},"score":1,"resource":{"primary":{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/management-of-lumbar-disc-herniation-with-radiculopathy-results-of-an-iberian-latin-american-survey\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,7,19]]},"references-count":4,"alternative-id":["10.25259\/SNI_262_2021"],"URL":"https:\/\/doi.org\/10.25259\/sni_262_2021","relation":{},"ISSN":["2152-7806"],"issn-type":[{"value":"2152-7806","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,7,19]]},"article-number":"363"}}