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What is When do you operate for prolapsed disc? and explain in detail?
Indications for Surgery Absolute indications Relative indications 1. Bladder and bowel involvement 2. Increasing neurological deficit 1. Failure of conservative treatment--Up to 6 weeks of trial is usually given 2. Recurrent sciatica: 1st attack 90% recover 2nd attack 90% recover; 50% recurrent consider surgery 3rd attack 90% recover but all recurrent propose surgery 3. Significant neurological deficit with SLR reduction 4. Disc rupture in stenotic canal 5. Recurrent neurological deficit