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Related Experiment Videos

Far lateral lumbar disc herniation.

K N Shao1, S S Chen, Y S Yen

  • 1Department of Neurosurgery, Taipei Veterans General Hospital, Taiwan, ROC.

Zhonghua Yi Xue Za Zhi = Chinese Medical Journal; Free China Ed
|June 22, 2000
PubMed
Summary
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Far lateral lumbar disc herniation, a rare condition, can be effectively treated with two surgical techniques. The paramedian muscle-splitting microtechnique is ideal for extraforaminal herniations, while the enlarged midline approach benefits foraminal herniations.

Area of Science:

  • Neurosurgery
  • Orthopedic Surgery
  • Spinal Surgery

Background:

  • Far lateral lumbar disc herniation is an uncommon spinal condition.
  • Traditional midline approaches offer limited visualization of extraforaminal nerve compression.
  • This study introduces two novel surgical techniques for treating far lateral lumbar disc herniation.

Observation:

  • Eight patients with far lateral lumbar disc herniation were identified from 160 lumbar disc surgeries.
  • Patients were categorized into extraforaminal and foraminal groups based on CT scans.
  • Clinical data, imaging, and surgical outcomes were meticulously reviewed.

Findings:

  • The paramedian muscle-splitting microtechnique was used for three extraforaminal cases.
  • The enlarged midline approach was employed for two foraminal cases.

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  • All patients achieved favorable outcomes, with no need for revision surgery.

    • Implications:

    • The incidence of far lateral lumbar disc herniation is 5% of surgically treated cases.
    • The paramedian muscle-splitting microtechnique is the preferred approach for extraforaminal herniations.
    • The enlarged midline approach offers advantages over traditional methods for foraminal herniations, preserving the facet joint and preventing instability.