
When Should a Herniated Disc Be Operated On? New International Recommendations Put the Clock, Not the Scan, at the Center
Summary: An AO Spine expert panel published new clinical recommendations in Global Spine Journal on Sept. 22, 2026, concluding that muscle weakness and symptom duration, not imaging alone, should drive the timing of herniated disc surgery. The guidance arrives as long-standing national data show that spine surgery rates in the















