h-index: 7     i10-index: 6

Document Type : Original Research Article


1 Assistant Professor of Spine Surgery, Department of Neurosurgery, School of Medicine, Chamran Hospital, Namazi Teaching Hospital, Shiraz University of Medical Sciences, Shiraz, Iran

2 Assistant Professor of Spine Surgery, Department of Neurosurgery, School of Medicine, Namazi Teaching Hospital, Shiraz University of Medical Sciences, Shiraz, Iran

3 Research center for social Determinants of Health, Jahrom University of Medical Sciences, Jahrom, Iran

4 Department of Neurosurgery, Peymanieh Hospital, Trauma Research Center, Jahrom University of Medical Sciences, Jahrom, Iran


Lumbar disc herniation (LDH) is a common disease in neurospine surgery. Conservative treatment is effective in 80-90% of patients, and a small percentage (10-20%) need an operation. Lumbar discectomy is the most prevalent and easy surgery; however, it may cause serious catastrophic complications. To avoid complications and treat the LDH, some pearls constitute an important guide. These pearls include correct patient selection, the timing of the operation, correct correlation between patients signs and symptoms and level of LDH, right side of the disc, correct imaging study, underlying instability, nondiscogenic sciatica, the correct location of disc, surgical method, differentiating hip pathology, good positioning technique, anesthesia care and pearls, upper versus lower LDH, and incidental dural tear.


Main Subjects


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