Minimally Invasive Surgical Techniques for HNP

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The evolution of minimally invasive spine surgery for the herniated nucleus pulposus in the lumbar spine has spanned years of varied focus and controversy. The focus has ranged from refining patient selection for decompressive procedures to visually targeting the pathology and anatomic structures at risk. Contemporary methods, spurred by continued refinement of techniques and instrumentation, makes minimally invasive spine surgery the mantra for the next millennium. This process has always had a sustained goal: to surgically address the herniated disc with the least amount of morbidity, limiting the paradoxical surgical effects of segmental destabilization and post-operative scarring.