الفهرس 
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Abstract
lumbar disc herniation is a common disease, which has witnessed a great development in the method of treatment since ancient times starting from the well-known open discectomy method with total or partial laminectomy then microsurgical techniques and finally the use of endoscopy. Aim of this study: To compare the results of full endoscopic lumbar discectomy technique as a method of Minimally Invasive Spine Surgery (MISS ) with those of the conventional laminotomy in the treatment of cases with symptomatic lumbar disc prolapse not responding or not amenable for conservative treatment. Patients and methods: 60 patients with herniated disc who did not respond to conservative treatment were randomly divided into two groups. On the first group, transforaminal endoscopy was used, and on the other group, the conventional open micro discectomy method was used. The patients were followed up for at least six months Results: The comparison showed a significant decrease in back pain, the amount of blood lost, the length of the wound and the time needed to return to work after the endoscopy, in contrast to the cases of traditional surgery, while there was a clear increase in the time of endoscopic surgery than the traditional open micro discectomy, and the results were similar for the leg pain By analyzing and processing the data obtained from the history and evaluation, our study declared that: from this study, we conclude that transforaminal endoscopy for lumbar disc herniation can be relied upon as an alternative to traditional surgery.