SURGICAL TECHNIQUEMinimally Invasive/Less Invasive MicrodiscectomyBadlani, Neil MD; Yu, Elizabeth MD; Ahn, Junyoung MD; Kurd, Mark F. MD; Khan, Safdar N. MD Author Information Rush University Medical Center, Chicago, IL Supplemental Digital Content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal's Website, www.clinicalspinesurgery.com. The authors declare no conflict of interest. Reprints: Mark F. Kurd, MD, 925 Chestnut St, 5th Floor, Philadelphia, PA 19107 (e-mail: [email protected]). Received January 26, 2016 Accepted January 29, 2016 Clinical Spine Surgery: April 2016 - Volume 29 - Issue 3 - p 108-110 doi: 10.1097/BSD.0000000000000369 Buy SDC Metrics Abstract Herniated disks in the lumbar spine typically present with the sudden onset of back and leg pain in a myodermatomal distribution. Symptoms may include radicular pain, paresthesias, and in extreme cases weakness or foot drop. Typically patients are treated conservatively for 6–8 weeks with a combination of steroids, nonsteroidal anti-inflammatory drugs, physical therapy, epidural steroid injections, and rest. In the absence of symptom improvement, surgical intervention typically with a microdisectomy is recommended to patients who are refractory to at least 6 weeks of nonoperative treatment. Earlier intervention may be considered in patients with severe or progressive neurological deficits. This paper reviews the preoperative and postoperative considerations, as well as the surgical technique, for a minimally invasive/less invasive microdisectomy. © 2016 by Lippincott Williams & Wilkins, Inc.