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Spine
intermediate
X-Type

Lumbar Microdiscectomy

Surgical Techniques

A 35-year-old male presents with 8 weeks of right L5 radiculopathy despite physical therapy and NSAIDs. MRI shows a right posterolateral L4-L5 disc herniation compressing the L5 nerve root. Neurological examination reveals 4/5 weakness of right EHL. Regarding indications and timing for lumbar microdiscectomy:

Mark each as TRUE or FALSE

A

Microdiscectomy is indicated for lumbar disc herniation with radiculopathy that has failed 6-12 week...

B

The SPORT trial demonstrated that at 2-4 year follow-up, surgical treatment provided faster and grea...

C

All patients with disc herniation visible on MRI should undergo immediate surgical discectomy; conse...

D

Good prognostic factors for microdiscectomy outcomes include: leg pain greater than back pain, posit...

E

Sequestered (free fragment) disc herniations have a high rate of spontaneous resorption and may be m...

Answer the questions to see explanations

Click T (True) or F (False) for each option