BACKGROUND AND PURPOSE Conventional transforaminal epidural steroid injection (TFESI) has several problems. The purpose of this study was to compare the temporary diagnostic relief and advantages of TFESI performed using the conventional and posterolateral approaches. METHODS From August to December 2004, 187 patients received TFESI for lumbar radicular pain. A total of 108 patients (65 women...

Congenital Lumbar spinal stenosis (LSS) defined first by Dr. Sarpyener in 1940’s17, and degenerative LSS was defined by Verbiest in 1950’s.19 Degenerative LSS can be classified as simple or complex LSS, depending on the presence or absence of attendant pathologies. LSS can also be classified on axial plane as central, lateral, or foraminal. LSS may result inneurogenic claucation or radiculopath...

BACKGROUND The surgical approach in total hip arthroplasty (THA) is often based on surgeon preference and local traditions. The anterior muscle-sparing approach has recently gained popularity in Europe. We tested the hypothesis that patient satisfaction, pain, function, and health-related quality of life (HRQoL) after THA is not related to the surgical approach. PATIENTS 1,476 patients identi...

BACKGROUND The choice between transthoracic, lateral, and posterolateral approaches to excise thoracic disc herniations remains controversial. METHODS The outcome of the three approaches was compared in seven of the authors' cases and in 324 other cases reported in the literature. RESULTS Partial or total neurological recovery was found in 93% after a transthoracic procedure versus 87% afte...

Thirty cadaveric knees were dissected to obtain a detailed understanding of the anatomic structures of the posterolateral aspect of the knee, and a dependable surgical approach to evaluate injuries to these structures was developed and used on 71 consecutive patients who were operated on for posterolateral knee injuries. Three fascial incisions and one lateral midcapsular incision were used to ...