title: Different operative possibilities for treatment of lumbar disc herniations--how to choose the best method for the individual patient.
abstract: The indications for operative treatment of lumbar disc herniations are outlined and the advantages, short-comings and temptations of discolysis, micro-operation and large approach discussed. The following indication scheme is proposed: Discolysis: Non-displaced disc herniation without other major causative pathology; Micro-operation: Displaced disc herniation; non-displaced disc herniation with monosegmental additional causative factors; Large approach: Multiple disc herniations with suspected displacement and multisegmental additional pathologies.
mesh_terms: D002917:Chymopapain / Q000627:therapeutic use; D006801:Humans; D007267:Injections; D007405:Intervertebral Disc Displacement / Q000188:drug therapy / Q000601:surgery*; D007796:Laminectomy; D008159:Lumbar Vertebrae / Q000187:drug effects / Q000601:surgery*; D008866:Microsurgery; D011183:Postoperative Complications / Q000401:mortality; D011379:Prognosis; D012585:Sciatica / Q000601:surgery; D013130:Spinal Stenosis / Q000601:surgery
chemical_list: D002917:Chymopapain