Direct Tubular Lumbar Microdiscectomy for Far Lateral Disc Herniation: A Modified Approach
نویسندگان
چکیده
منابع مشابه
Combined approach for far-lateral lumbar disc herniation.
This study evaluated the combination of the classical interlaminar approach and the intertransverse route through a midline approach for the treatment of 18 patients with far-lateral lumbar disc herniations, as identified by magnetic resonance imaging. The patients presented with acute severe sciatica, antalgic posture, positive Lasègue sign and femoral stretch test, motor and sensory deficits,...
متن کاملFar lateral microdiscectomy: a minimally-invasive surgical technique for the treatment of far lateral lumbar disc herniation.
Lumbar disc herniation arises when the annulus fibrosus of the vertebral disc fails, thus allowing displacement of the nucleus pulposus and other tissue. The term far lateral is used variably in the literature and usually refers to an extraforaminal displacement in the peridiscal zone peripheral to the sagittal plane of the most lateral part of the pedicle at the same level. Non-surgical treatm...
متن کاملIntraforaminal and extraforaminal far lateral lumbar disc herniation ( a review of 63 cases)
Abstract Background: Far lateral discal herniation is an uncommon disorder and is difficult to assess by physical examination alone. This study is designed to define clinical and epidemiological findings and to establish the indications of surgical and medical treatment for FLLDH. Methods: Between 2000 and 2005, a total of 2035 patients with lumbar disc herniation underwent surgical...
متن کاملExtreme-lateral, minimally invasive, transpsoas approach for the treatment of far-lateral lumbar disc herniation.
The authors present 2 cases of far-lateral lumbar disc herniations treated surgically via an extreme-lateral transpsoas approach. The procedure was performed using the MaXcess minimally invasive retractor system to access and successfully remove the disc fragments without complication. To the authors' knowledge, these are the first reported cases of using a minimally invasive retroperitoneal ap...
متن کاملA Modified Approach of Percutaneous Endoscopic Lumbar Discectomy (PELD) for Far Lateral Disc Herniation at L5-S1 with Foot Drop
Foraminal or extraforaminal Far Lateral Disc Herniations (FLDH) extending into or beyond the foraminal zone have been recognized as between 7-12% of all lumbosacral disc herniations. Conventional posterior laminectomy may not provide good access to a herniation that lies far lateral to the lateral margin of the pedicle. Use of the endoscopic technique through a percutaneous approach to treat su...
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ژورنال
عنوان ژورنال: Orthopaedic Surgery
سال: 2016
ISSN: 1757-7853
DOI: 10.1111/os.12263