Conversation: The conversation between human and AI assistant.
[|Human|] hiii im 28 yrs naveen mangla from haryanasir; i had pain in my back from last 10 years but i finally do MRI last week and report says that there is defect in "pivd l5 s1"and doctors whom i concerned advised me for surgery i.e. endoscopy and one suggested me open operation what is ur suggestion plz rply......
[|AI|]  Dear patient You have back pain for last ten years means chronic pain. Now your MRI is saying l5s1 disc prolapse.  But more details are required to ascertain the need for surgery 1. How much is the compression? Can be known by canal diameter at the disc level 2. The nerve compression 3. Facial changes.  If canal diameter is less than 10 mm and significant nerve compression surgery is required. Best approach for discectomy is endoscopic. It requires minimal and small sized incisions and with less damage to soft tissues.