3 doctors weighed in:
What is the best option to treat a herniated disc discectomy or fusion?
3 doctors weighed in

Dr. Greg Khounganian
Orthopedic Surgery - Spine
1 doctor agrees
In brief: 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.

In brief: 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. Greg Khounganian
Dr. Greg Khounganian
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Dr. Thomas Dowling
Orthopedic Surgery - Spine
In brief: 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.

In brief: 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.
Dr. Thomas Dowling
Dr. Thomas Dowling
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