Far-lateral Lumbar Disc Herniation: The Microsurgical Transmuscular Approach

Author:

Tessitore Enrico1,de Tribolet Nicolas1

Affiliation:

1. Department of Neurosurgery, University Hospital of Geneva, Geneva, Switzerland

Abstract

Abstract INTRA- AND EXTRAFORAMINAL disc herniations can be treated via a lateral approach. The far-lateral approach is a muscle-splitting approach that allows surgeons to reach the disc herniation without any facet bone removal. The target of the surgical exposure is the isthmus. Good knowledge of the anatomic features of the intervertebral foramen and intertransverse space is mandatory. The transmuscular approach is discussed. We provide illustrations and a video to emphasize some operative aspects.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Neurology (clinical),Surgery

Reference8 articles.

1. Extreme-lateral lumbar disc herniations: Clinical syndrome and special problems of diagnosis;Abdullah;J Neurosurg,1974

2. Extreme lateral lumbar disc herniation;Fankhauser;Br J Neurosurg,1987

3. Extraforaminal approach for extreme lateral lumbar disc herniation;Fankhauser;Operative Spinal Surgery,1991

4. Negative disc exploration: An analysis of the causes of nerve-root involvement in sixty-eight patients;MacNab;J Bone Joint Surg Am,1971

5. Long-term follow-up of patients surgically treated by the far lateral approach for foraminal and extraforaminal lumbar disc herniations;Porchet;J Neurosurg,1999

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