We argue that microscopic sequestrectomy is more successful with lesser operating time, fewer intraoperative complications, and lesser reherniation rate compared with conventional microdiscectomy in which patients are selected according to well-defined criteria, which is largely dependent on the competence of the annulus/posterior longitudinal ligament.
This review of the available literature suggests that, compared with conventional microdiscectomy, microsurgical lumbar sequestrectomy can achieve comparable reherniation rates and reduction in radicular pain when a small breach in the posterior fibrous ring is found intraoperatively.
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