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Far lateral lumbar disc herniations

R S Hood1

  • 1Department of Neurosurgery, University of Utah School of Medicine, Salt Lake City.

Neurosurgery Clinics of North America
|January 1, 1993
PubMed
Summary
This summary is machine-generated.

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Far lateral lumbar disc herniations with upwardly migrating fragments are common and require surgical expertise. A posterior microsurgical approach offers an effective solution for spine surgeons.

Area of Science:

  • Neurosurgery
  • Orthopedic Surgery
  • Spine Surgery

Background:

  • Far lateral lumbar disc herniations with cephalad fragment migration are increasingly recognized.
  • Advanced imaging techniques facilitate the common detection of these herniations.
  • Familiarity with foraminal and extraforaminal anatomy is crucial for spine surgeons.

Purpose of the Study:

  • To highlight the increasing prevalence of far lateral lumbar disc herniations.
  • To emphasize the importance of surgeon recognition and surgical proficiency in this region.
  • To present a preferred surgical technique for addressing these herniations.

Main Methods:

  • Review of anatomical descriptions of the foraminal and extraforaminal regions.
  • Discussion of surgical techniques for far lateral disc herniations.

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  • Preference for a specific posterior, direct microsurgical approach.

    • Main Results:

    • Far lateral lumbar disc herniations with cephalad migration are not rare.
    • Contemporary imaging commonly reveals these herniations.
    • The posterior, direct microsurgical approach is presented as effective.

    Conclusions:

    • Spine surgeons must be familiar with the anatomy and recognition of far lateral disc herniations.
    • Surgical adeptness in the far lateral region is essential.
    • A posterior, direct microsurgical approach via midline incision with foraminotomy is recommended for its ease, exposure, adaptability, and efficacy.