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Transtubular Endoscopic Posterolateral Decompression for L5-S1 Lumbar Lateral Disc Herniation
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Nerve root compression by lumbar disc herniation: A french discovery?
1Centre de chirurgie du rachis, CHP Saint Grégoire, 7, boulevard de la Boutière, 35560 Saint Grégoire, France.
Orthopaedics & Traumatology, Surgery & Research : OTSR
|February 26, 2019
Summary
The 1934 study by Mixter and Barr is recognized as the first surgical treatment for lumbar disc herniation. Earlier reports of nerve root compression were not linked to intervertebral discs.
Area of Science:
- Neurosurgery
- Spinal Surgery
- History of Medicine
Background:
- Early 20th-century surgical reports described lumbar nerve root compression, initially attributed to enchondromas.
- These early studies failed to establish a connection between the intervertebral discs and the observed pathologies.
Purpose of the Study:
- To trace the historical understanding and surgical management of lumbar disc herniation.
- To highlight the seminal contributions to the diagnosis and treatment of this condition.
Main Methods:
- Review of historical medical literature focusing on spinal surgery and neurology.
- Analysis of key publications and case reports from the early 1900s.
Main Results:
- The 1934 report by Mixter and Barr is identified as the first documented surgical excision for lumbar disc herniation.
- Work by Alajouanine and Petit-Dutaillis in 1930 provided early detailed descriptions of disc herniation mechanisms but remained largely unrecognized.
Conclusions:
- The historical progression of understanding lumbar disc herniation was marked by gradual recognition of its link to intervertebral discs.
- Attribution of the first surgical treatment for lumbar disc herniation is primarily credited to Mixter and Barr's 1934 publication.
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