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A prospective cohort study in a high-flow spine center in Germany. This study aimed to evaluate clinical outcomes and complications of the trans-tubular translaminar microscopic-assisted percutaneous nucleotomy in cases of cranially migrated lumbar disc herniations (LDH). Between January 2013 and January 2018, 66 consecutive patients with cranio-laterally migrated LDH were operated upon. The following outcome measures were evaluated Visual Analog Scale (VAS) for leg and back pain; Oswestry Disability Index (ODI) and Macnab´s criteria. All