Microcirugía de disco lumbar en posición de decúbito lateral

a technique for surgery of the lumbar disc is reported, using the surgical microscope with the patient in lateral position. all patients where operated in the hospital regional ignacio zaragoza issste from january of 1990 to december of 2003. a total of 263 procedures for herniated disc where made. the results where classified as good in 85 %, regular in 10.2%, poor in 4.8%. the criterion for the selection of the patients is emphatized as well the use of the surgical microscope which make a better visualization of the structures for removing the disc and decrease the ablations of the vertebral lamina. the technique is presented as a good option in patients for first operation of lumbar herniated disc.