Inayat Shah Roghani, Mumtaz Ali.
Evaluation and management of herniated Lumbar Disc.
J Postgrad Med Inst Jan ;16(2):125-33.

Disc degeneration is characterized by progressive changes in the disc cellular and biochemical composition. Complex, biomedical loading may result in nuclear herniation and sciatica. A high proportion of symptomatic herniation disc resolves with conservative treatment and surgery is reserved for those cases in which symptoms persist. In addition to open discectomy procedure, percutaneous and arthroscopic procedures are adopted. Randomized trial are required to fully assess the long term results to the minimally invasive technique. This is a review article.

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