Minimally invasive far lateral microendoscopic discectomy for extraforaminal disc herniation at the lumbosacral junction: cadaveric dissection and technical case report

2007 ◽  
Vol 7 (4) ◽  
pp. 414-421 ◽  
Author(s):  
John E. O'Toole ◽  
Kurt M. Eichholz ◽  
Richard G. Fessler
Keyword(s):  
Case Report ◽  
Minimally Invasive ◽  
Disc Herniation ◽  
Lumbosacral Junction ◽  
Cadaveric Dissection ◽  
Extraforaminal Disc Herniation ◽  
Microendoscopic Discectomy ◽  
Far Lateral

scholarly journals Case report: Intradiscal oxygen ozone therapy in uncontained lumbar disc herniation

F1000Research ◽  
2012 ◽  
Vol 1 ◽  
pp. 13
Author(s):  
Arockia Doss
Keyword(s):  
Case Report ◽  
Minimally Invasive ◽  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Lumbar Disc ◽  
Patient Treatment ◽  
Ozone Therapy ◽  
Intradiscal Injection

Percutaneous intradiscal oxygen ozone (O2O3) for contained lumbar disc herniation (LDH) is used as a minimally invasive alternative to surgery. This article reports excellent benefit in two patients with uncontained LDH following treatment with minimally invasive percutaneous intradiscal injection of O2O3. There is an urgent need for more research and awareness into this less expensive non-surgical out-patient treatment.

Thoracic microendoscopic discectomy

2004 ◽  
Vol 1 (1) ◽  
pp. 58-63 ◽  
Author(s):  
Mick J. Perez-Cruet ◽  
Bong-Soo Kim ◽  
Faheem Sandhu ◽  
Dino Samartzis ◽  
Richard G. Fessler
Keyword(s):  
Minimally Invasive ◽  
Disc Herniation ◽  
Thoracic Disc Herniation ◽  
Tubular Retractor ◽  
Content Type ◽  
Estimated Blood Loss ◽  
Disc Herniations ◽  
Microendoscopic Discectomy ◽  
Thoracic Disc ◽  
Fine Print

Object. Various approaches exist for the treatment of thoracic disc herniation. Anterior approaches facilitate ventral exposure but place the intrathoracic contents at risk. Posterolateral approaches require extensive muscle dissection that adds to the risk of postoperative morbidity. The authors have developed a novel posterolateral, minimally invasive thoracic microendoscopic discectomy (TMED) technique that provides an approach to the thoracic spine which is associated with less morbidity. Methods. Seven patients 23 to 54 years old with nine disc herniations underwent TMED. All lesions were soft lateral or midline thoracic disc herniations. Under fluoroscopic guidance with the patient positioned prone, the authors used a muscle dilation approach and the procedure was performed with endoscopic visualization through a tubular retractor. Based on a modified Prolo Scale, five patients experienced excellent results, one good, and one fair. No case required conversion to an open procedure. The mean operative time was 1.7 hours per level, and estimated blood loss was 111 ml per level. Hospital stays were short, and no complications occurred. Conclusions. The TMED is safe, effective, and provides a minimally invasive posterolateral alternative for treatment of thoracic disc herniation without the morbidity associated with traditional approaches.

scholarly journals Minimally invasive strategies and options for far-lateral lumbar disc herniation

2008 ◽  
Vol 11 (5) ◽  
pp. 259-266 ◽  
Author(s):  
Yue ZHOU ◽  
Chao ZHANG ◽  
Jian WANG ◽  
Tong-wei CHU ◽  
Chang-qing LI ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Lumbar Disc ◽  
Far Lateral

Extreme-lateral, minimally invasive, transpsoas approach for the treatment of far-lateral lumbar disc herniation

2010 ◽  
Vol 12 (4) ◽  
pp. 347-350 ◽  
Author(s):  
Ricky Madhok ◽  
Adam S. Kanter
Keyword(s):  
Minimally Invasive ◽  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Lumbar Disc ◽  
Retroperitoneal Approach ◽  
Transpsoas Approach ◽  
Disc Herniations ◽  
Far Lateral

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 approach for the treatment of far-lateral disc herniations.

Sign in / Sign up

Export Citation Format

Share Document