Minimally invasive surgical techniques for the therapy of far lateral disc herniation in middle-aged and elderly patients

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Far 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...

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Extreme-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...

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Intraforaminal 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...

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Surgical treatment of lumbar disc herniation in elderly patients.

Between 1995 and 1999, 12 patients aged 65 years or more (mean 70.2) with lumbar disc herniation, underwent partial laminectomy and nucleotomy. The results were compared with those of 25 younger patients aged between 20 and 40 years (mean 30.1), who underwent the same surgical procedure. The Japanese Orthopedic Association (JOA) score was used to assess the clinical outcome. The minimum follow-...

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ژورنال

عنوان ژورنال: Computer Assisted Surgery

سال: 2019

ISSN: 2469-9322

DOI: 10.1080/24699322.2018.1560096