Operative Therapiemöglichkeiten beim Postnukleotomiesyndrom

Background: Post-nucleotomy syndrome includes all existing sequelae after surgical nucleotomy for the resection of a lumbar disc herniation, such as axial lumbar back pain and persisting radiculopathy. Objectives: To describe underlying pathologies and to determine operative treatment options. Materials and methods: Extensive literature research was carried out on Medline. Results: Various devices and approaches have been developed in the last decades. Nonetheless, surgical and non-surgical therapy of post-nucleotomy syndrome remains complex and frequently fails. Conclusions: Better studies providing a better level of evidence for each sub-entity of post-nucleotomy syndrome are required.