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Related Experiment Videos

Lateral lumbar disc herniations.

S E Faust1, T B Ducker, J A VanHassent

  • 1Anne Arundel Medical Center, Annapolis, Maryland.

Journal of Spinal Disorders
|March 1, 1992
PubMed
Summary
This summary is machine-generated.

True far lateral lumbar disc herniations are common and can be diagnosed with imaging. Surgical treatment using an off-midline approach offers minimal disability and low complication rates.

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Area of Science:

  • Neurosurgery
  • Orthopedic Surgery
  • Spinal Diagnostics

Background:

  • Far lateral (extraforaminal) lumbar disc herniations are a recognized clinical entity.
  • These herniations can present as high or mid-lumbar radiculopathies.

Observation:

  • Clinical suspicion of far lateral lumbar disc herniation arises from specific radiculopathy presentations.
  • Computerized tomography (CT) and magnetic resonance imaging (MRI) are key diagnostic tools.

Findings:

  • The off-midline paramedian exposure is the recommended surgical approach for these herniations.
  • This surgical technique requires minimal or no bone removal.

Implications:

  • The indicated surgical procedure results in low patient morbidity.
  • Patients undergoing this procedure experience minimal low back disability post-operatively.