Lumbar Disc Herniation: Microsurgical Approach
نویسندگان
چکیده
منابع مشابه
A posterolateral microsurgical approach to extreme-lateral lumbar disc herniation.
Extreme-lateral lumbar disc herniations present a surgical challenge because the conventional posterior approach requires bone resection for complete visualization of the pathology. The authors have identified constant anatomical landmarks in cadaveric dissections that facilitate access to the intervertebral foramen when combined with a posterolateral approach, as described by Watkins, for lumb...
متن کاملMicrosurgical excision of lateral lumbar disc herniation through an interlaminar approach.
We made a prospective study of 43 consecutive patients treated for intraforaminal (34) or extraforaminal (9) herniations of a lumbar disc by excision through an interlaminar approach, using an operating microscope. The intraforaminal herniations were contained or extruded in 52% and sequestrated in 47%; for extraforaminal herniation the proportions were 66% and 33%, respectively. There was addi...
متن کاملMicrosurgical muscle-splitting approach for extracanalicular lumbar disc herniation: an analysis of 28 consecutive cases.
Extracanalicular lumbar disc herniation (ELDH) is a specific clinical entity with compression of the nerve root in its extraforaminal course. The classical midline interlaminar approach is often difficult because the facet joint obviates a direct view of the nerve, and a partial facetectomy is required. Consequently, the risk of instability or continued postoperative back pain is increased. The...
متن کاملLevel-diagnosis of Lumbar Disc Herniation
Little information is at hand on the diagnostic values of the clinical symptoms and signs in the level diagnosis of patients with lower lumbar disc herniation. We examined one hundred and thirty nine consecutive candidates for lower lumbar discectomy. Monoradicular pain with signs attributed to the fifth lumbar and first sacral root dysfunctions were evaluated independently in each patient. ...
متن کاملLumbar Disc Herniation.
Lumbar disc herniation is the most common diagnosis among the degenerative abnormalities of the lumbar spine (affecting 2 to 3% of the population), and is the principal cause of spinal surgery among the adult population. The typical clinical picture includes initial lumbalgia, followed by progressive sciatica. The natural history of disc herniation is one of rapid resolution of the symptoms (fo...
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ژورنال
عنوان ژورنال: Neurosurgery
سال: 2003
ISSN: 0148-396X,1524-4040
DOI: 10.1227/01.neu.0000072308.16102.10