Current Approaches, Significance and Prognostic Impact of Lumbar Ligament Flavum Preserving Surgeries

Objectives: The aim of this study is to evaluate the use of flavum-preserving surgeries in lumbar disc herniation surgery, compare their clinical outcomes with standard microdiscectomy techniques, and demonstrate the transflaval microdiscectomy technique. Material and Methods: Between 2020 and 2023, a total of 48 patients who underwent transflaval microdiscectomy and 48 patients who underwent standard microdiscectomy at a single center were included in the study. Epidemiologic characteristics of the groups were described, and preoperative and postoperative visual analoge scale scores for leg pain (LPVAS) and back pain (BPVAS) were retrospectively analyzed. Results: There is no significant difference between the groups in preoperative mean LPVAS scores (p=0,474) and there is no significant difference between the groups in postoperative mean LPVAS scores (p=0,598). There is no significant difference between the groups in preoperative mean BPVAS scores (p=0,608). However there is a significant difference between the groups in postoperative mean BPVAS scores (p