Combined intra-extracanal approach to lumbosacral disc herniations with bi-radicular involvement. Technical considerations from a surgical series of 15 cases

European Spine Journal

Volumn 15, Issue 5, 2006, Pages 554-558

  Paolini, Sergio ^a   Ciappetta, Pasquale ^a   Raco, Antonino ^b   Missori, Paolo ^b   Delfini, Roberto ^b  

^a UNIVERSITY OF PERUGIA   (Italy)

^b SAPIENZA UNIVERSITY OF ROME   (Italy)

Author keywords

Combined approach; Disc herniation; Foraminal; Lumbar

Indexed keywords

ARTICLE; CLINICAL ARTICLE; COMPUTER ASSISTED TOMOGRAPHY; CONTROLLED STUDY; DYSESTHESIA; FOLLOW UP; HUMAN; HYPESTHESIA; INTERVERTEBRAL DISK HERNIA; LAMINECTOMY; LUMBOSACRAL SPINE; NERVE DECOMPRESSION; NERVE ROOT COMPRESSION; NUCLEAR MAGNETIC RESONANCE IMAGING; PRIORITY JOURNAL; RADICULAR PAIN; RETROSPECTIVE STUDY; SAFETY; SURGICAL TECHNIQUE; SYMPTOM; VISUAL ANALOG SCALE;

DECOMPRESSION, SURGICAL; DISEASE PROGRESSION; DISKECTOMY; FUNCTIONAL LATERALITY; HUMANS; INTERVERTEBRAL DISK; INTERVERTEBRAL DISK DISPLACEMENT; LAMINECTOMY; LOW BACK PAIN; LUMBAR VERTEBRAE; MEDICAL ILLUSTRATION; PAIN MEASUREMENT; POSTOPERATIVE COMPLICATIONS; RADICULOPATHY; RETROSPECTIVE STUDIES; SPINAL CANAL; SPINAL NERVE ROOTS; SURGICAL INSTRUMENTS; TREATMENT OUTCOME;

EID: 33646725150     PISSN: 09406719     EISSN: None     Source Type: Journal    
DOI: 10.1007/s00586-004-0862-6     Document Type: Article

References (17)

1. Di Lorenzo N, Porta F, Onnis G, Cannas A, Arbau G, Maleci A (1998) Pars interarticularis fenestration in the treatment of foraminal lumbar disc herniation: a further surgical approach. Neurosurgery 42:87-89 (Discussion 89-90)
2. Donaldson WF 3rd, Star MJ, Thorne RP (1993) Surgical treatment for the far lateral herniated lumbar disc. Spine 18:1263-1267
3. Ebeling U, Kalbarcyk H, Reulen HJ (1989) Microsurgical reoperation following lumbar disc surgery. Timing, surgical findings, and outcome in 92 patients. J Neurosurg 70:397-404
4. Epstein NE (1995) Evaluation of varied surgical approaches used in the management of 170 far-lateral lumbar disc herniations: indications and results. J Neurosurg 83:648-656
5. Epstein NE (2002) Foraminal and far lateral lumbar disc herniations: surgical alternatives and outcome measures. Spinal Cord 40:491-500
6. Faust SE, Ducker TB, VanHassent JA (1992) Lateral lumbar disc herniations. J Spinal Disord 5:97-103
7. Garrido E, Connaughton PN (1991) Unilateral facetectomy approach for lateral lumbar disc herniation. J Neurosurg 74:754-756
8. Hassler W, Brandner S, Slansky I (1996) Microsurgical management of lateral lumbar disc herniations: combined lateral and interlaminar approach. Acta Neurochir (Wien) 138:907-910 (Discussion 910-911)
9. Hejazi N, Witzmann A, Hergan K, Hassler W (2002) Combined transarticular lateral and medial approach with partial facetectomy for lumbar foraminal stenosis. Technical note. J Neurosurg 96:118-121
10. Hood RS (1993) Far lateral lumbar disc herniations. Neurosurg Clin N Am 4:117-124
11. Macnab I (1971) Negative disc exploration. An analysis of the causes of nerve-root involvement in sixty-eight patients. J Bone Joint Surg Am 53:891-903
12. Melvill RL, Baxter BL (1994) The intertransverse approach to extraforaminal disc protrusion in the lumbar spine. Spine 19:2707-2714
13. Monteiro A, Lefevre R, Pieters G, Wilmet E (1989) Lateral decompression of a pathological disc in the treatment of lumbar pain and sciatica. Clin Orthop 238:56-63
14. O'Brien MF, Peterson D, Crockard HA (1995) A posterolateral microsurgical approach to extreme-lateral lumbar disc herniation. J Neurosurg 83:636-640
15. Reulen HJ, Pfaundler S, Ebeling U (1987) The lateral microsurgical approach to the "extracanalicular" lumbar disc herniation. I. A technical note. Acta Neurochir (Wien) 84:64-67
16. Siebner HR, Faulhauer K (1990) Frequency and specific surgical management of far lateral lumbar disc herniations. Acta Neurochir (Wien) 105:124-131
17. Weinstein PR (1998) Pars interarticularis fenestration in the treatment of foraminal lumbar disc herniation: a further surgical approach. Neurosurgery 42:89 (comment)