scholarly journals Direct Tubular Lumbar Microdiscectomy for Far Lateral Disc Herniation: A Modified Approach

2016 ◽  
Vol 8 (3) ◽  
pp. 301-308 ◽  
Author(s):  
Timothy L T Siu ◽  
Kainu Lin
Keyword(s):  
Disc Herniation ◽  
Lumbar Microdiscectomy ◽  
Far Lateral ◽  
Lateral Disc Herniation

scholarly journals Atypical anatomy associated with a lumbar far lateral disc herniation

2017 ◽  
Vol 8 ◽  
pp. 40-42
Author(s):  
Michael D. Staudt ◽  
Abhishek Ray ◽  
Alia Hdeib ◽  
Jonathan P. Miller
Keyword(s):  
Disc Herniation ◽  
Far Lateral ◽  
Lateral Disc Herniation

scholarly journals Percutaneous posterolateral approach for the simulation of a far-lateral disc herniation in an ovine model

2017 ◽  
Vol 27 (1) ◽  
pp. 222-230 ◽  
Author(s):  
Stefan Schwan ◽  
Christopher Ludtka ◽  
Ingo Wiesner ◽  
Andre Baerthel ◽  
Andrea Friedmann ◽  
...  
Keyword(s):  
Disc Herniation ◽  
Posterolateral Approach ◽  
Ovine Model ◽  
Far Lateral ◽  
Lateral Disc Herniation

Mechanical Far Lateral Disc Herniation Reproduction in Ovine Model for Intervertebral Disc Repair

2014 ◽  
Vol 4 (1_suppl) ◽  
pp. s-0034-1376627-s-0034-1376627
Author(s):  
A. Friedmann ◽  
F. Goehre ◽  
S. Schwan ◽  
I. Wiesner ◽  
H. J. Meisel
Keyword(s):  
Intervertebral Disc ◽  
Disc Herniation ◽  
Ovine Model ◽  
Disc Repair ◽  
Far Lateral ◽  
Intervertebral Disc Repair ◽  
Lateral Disc Herniation

Microendoscopic approach to far-lateral lumbar disc herniation

1999 ◽  
Vol 7 (5) ◽  
pp. E7 ◽  
Author(s):  
Kevin T. Foley ◽  
Maurice M. Smith ◽  
Y. Raja Rampersaud
Keyword(s):  
Disc Herniation ◽  
Lumbar Disc ◽  
Radicular Pain ◽  
Motor Deficits ◽  
Outpatient Basis ◽  
Single Level ◽  
Disc Herniations ◽  
Far Lateral ◽  
Paramedian Incision ◽  
Lateral Disc Herniation

The purpose of this study was to determine the feasibility of performing far-lateral lumbar discectomy by using the microendoscopic discectomy (MED) technique. The authors studied 11 consecutive patients with unilateral, single-level radiculopathy secondary to far-lateral disc herniation. There were eight men and three women, with an average age of 43 years. In all patients magnetic resonance imaging and/or computerized tomography scanning documented far-lateral disc herniations. Six patients experienced motor deficits, nine patients sensory abnormalities, and five depressed reflexes. All patients complained of radicular pain, which failed to improve with conservative care. After induction of epidural anesthesia, single-level, unilateral percutaneous discectomies were performed using the MED technique. Five discectomies were performed at L3-4 and six at L4-5. There were four contained and seven sequestered disc herniations. All surgeries were performed on an outpatient basis. Follow up ranged from for 12 to 27 months. Improvement was shown in all patients postoperatively. Using modified Macnab criteria to assess results of surgery, there were 10 excellent results and one good result. None of the patients experienced residual motor deficits, four had residual decreased sensation, and one still had some degree of nonradicular pain. There were no complications. Although various open techniques exist for the treatment of far-lateral disc herniation, MED is unique in that far-lateral pathological entities can be directly visualized and removed via a 15-mm paramedian incision. The percutaneous approach avoids larger, potentially denervating and destabilizing procedures. The need for general anesthesia can be avoided, and surgery is performed on an outpatient basis, thereby reducing hospital cost and length of stay.

scholarly journals Anatomic investigation of lumbar transforaminal fenestration approach and its clinical application in far lateral disc herniation

Medicine ◽  
2017 ◽  
Vol 96 (29) ◽  
pp. e7542 ◽  
Author(s):  
Baoshan Xu ◽  
Haiwei Xu ◽  
Jean Destandau ◽  
Xinlong Ma ◽  
Jian He ◽  
...  
Keyword(s):  
Clinical Application ◽  
Disc Herniation ◽  
Far Lateral ◽  
Lateral Disc Herniation
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