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A 45-year-old member asked:

What is the best option to treat a herniated disc discectomy or fusion?

2 doctor answers4 doctors weighed in
Dr. Greg Khounganian
Orthopedic Spine Surgery 18 years experience
It depends: The most common surgical treatment for a disc herniation is a microdiscectomy. Which means that the surgery is done with a small incision under a microscope. And this is quite successful to treat the pain going down the legs. However, if there is severe disc degeneration or instability, then a fusion may need to be performed as well.
Dr. Thomas Dowling
Orthopedic Spine Surgery 40 years experience
First, 90% are : Treated without surgery. If this is a disc herniation causing primarily leg pain, then a disectomy. If there is more back pain than leg pain, then a fusion with the disectomy usually. In the neck, a fusion is usually done with the disectomy as the most common approach from front unless the disc herniation is very lateral or off to the side, then a disectomy can be done from the back of the neck.

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Similar questions

A 40-year-old member asked:

What is the best option for a herniated disc? Is it discectomy or fusion?

2 doctor answers5 doctors weighed in
Dr. Michael Bolesta
Orthopedic Surgery 40 years experience
Usually diskectomy: In the majority of cases of low back disk herniation needing surgery, diskectomy is the best approach. In the neck, diskectomy combined with fusion is the best approach most of the time (in select cases neck diskectomy without fusion is a good option). Review your options with your provider. If in doubt, get a second opinion.
A 44-year-old member asked:

Which is better for?A herniated disc --- ?Discectomy or fusion?

3 doctor answers6 doctors weighed in
Dr. Richard Guyer
Orthopedic Spine Surgery 46 years experience
Discectomy: If the main problem is leg pain a discectomy is indicated. If there is abnormal motion which we call instability or if there has been years of chronic back pain, a fusion may be indicated.

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Last updated Feb 6, 2019

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