Hanyang Med Rev.  2008 Feb;28(1):45-49.

Indirect decompression as a minimally invasive spine surgery

  • 1Department of Neurosurgery, Hanyang University Medical Center, Seoul, Korea. osh8496@hanyang.ac.kr


The purpose of this study is to introduce the various methods of indirect decompression of minimally invasive procedures available for treatment of lumbar spine surgery. A review of the literature, as well as our personal experience with minimally invasive approaches to the lumbar discs, was performed. The minimally invasive procedures for treatment of lumbar disc disease include the following: 1) chemonucleolysis; 2) automated percutaneous lumbar discectomy (APLD); 3) nucleoplasty; 4) microdecompressor; 5) percutaneous laser discectomy; and 6) hydrodiscectomy. Although all percutaneous techniques are reported to have high success rates, to date no studies have demonstrated any of these being superior to microsurgical discectomy, which continues to be regarded as the standard with which all other techniques must be compared.


Lumbar spine; Minimally invasive surgery; Percutaneous
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