Surgical approaches to far lateral disc herniation are challenging because of the anatomical limitations in the region. We describe an extraforaminal approach for far lateral lumbar disc herniation (FLLDH) in a group of patients and discuss the results in patients with far lateral disc protrusion or extrusion operated on by an approach to the extraforaminal region via an intertransverse route w...

Of a total of 330 patients requiring operation on a lumbar disc, 20 (6.1%) with lateral disc prolapse had a new muscle-splitting, intertransverse approach which requires minimal resection of bone. There were 16 men and 4 women with a mean age of 52 years. All had intense radicular pain, 15 had femoral radiculopathy and 19 a neurological deficit. Far lateral herniation of the disc had been confi...

Lumbar disc herniation is one of the most common medical and surgical problems all over the world. The vast majority of lumbosacral radiculopathies are caused by paracentral herniation. However, Hood reported that far lateral lumbar disc herniation (FLLDH) accounts for 2.8 – 10% of all disc herniations. Over 75% of FLLDHs occur at the L3 –L4 and L4 – L5 levels. In addition, FLLDH presents a cli...

purpose: in this study we aimed to investigate the benefits of far-lateral approach without partial condylectomy in patients with foramen magnum meningiomas over surgical approach with condylectomy. methods: from 1980 to 2011, a total of 17 patients with foramen magnum meningiomas were treated surgically via far-lateral approach without condylectomy. the follow up period of this study was 6 to ...

BACKGROUND Minimally disruptive approaches to the anterior lumbar spine continue to evolve in a quest to reduce approach-related morbidity. A lateral retroperitoneal, trans-psoas approach to the anterior disc space allows for complete discectomy, distraction, and interbody fusion without the need for an approach surgeon. PURPOSE To demonstrate the feasibility of a minimally disruptive lateral...

Objective: The herniated lumbar disc (HLD) in young patients is increasing. The endoscopic discectomy has been used as a treatment option, but it is limited in the management of large extruded or migrated disc herniations. Recently, with an application of extreme lateral endoscopic lumbar discectomy (ELELD), it is possible to obtain access to epidural space directly and to remove herniated disc...