What is your approach to a reherniated lumbar disc that was initially treated with a minimally invasive hemilaminectomy and discectomy?

I am a firm believer that you can always do more for someone and you cannot undo anything you do. Barring any instability on imaging, I routinely perform a redo microdiscectomy. There are some case series to suggest a spinal fusion may provide a more definitive and sustained amount of relief in some...