Inclusion criteria | Central, paracentral, or prolapsed L5–S1 disc herniation Symptoms of low back pain and leg pain Failure of formal conservative treatment |
Exclusion criteria | Lumbar instability, such as lumbar spondylolisthesis Intervertebral disc inflammation or tuberculosis Severe lumbar stenosis, and far lateral disc herniation Previous surgery at the lumbar spine Multiple segments of disc herniation Recurrent disc herniation Pregnant or syndrome of cauda equina Severe cardiac disease, active neoplasm, anaemia, or any other surgical contraindications |