Journal articles: 'Far-lateral lumbar disc herniation'

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Kim, Samuel, and Simcha Weller. "FAR LATERAL LUMBAR DISC HERNIATION." Seminars in Neurosurgery 11, no. 02 (December 31, 2000): 141–48. http://dx.doi.org/10.1055/s-2000-13228.

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Eichholz, Kurt M., and Patrick W. Hitchon. "Far Lateral Lumbar Disc Herniation." Contemporary Neurosurgery 25, no. 16 (August 2003): 1–5. http://dx.doi.org/10.1097/00029679-200308150-00001.

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O’Hara, L. J., and R. W. Marshall. "FAR LATERAL LUMBAR DISC HERNIATION." Journal of Bone and Joint Surgery. British volume 79-B, no. 6 (November 1997): 943–47. http://dx.doi.org/10.1302/0301-620x.79b6.0790943.

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Foley, Kevin T., Maurice M. Smith, and Y. Raja Rampersaud. "Microendoscopic approach to far-lateral lumbar disc herniation." Neurosurgical Focus 7, no. 5 (November 1999): E7. http://dx.doi.org/10.3171/foc.1999.7.5.8.

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The purpose of this study was to determine the feasibility of performing far-lateral lumbar discectomy by using the microendoscopic discectomy (MED) technique. The authors studied 11 consecutive patients with unilateral, single-level radiculopathy secondary to far-lateral disc herniation. There were eight men and three women, with an average age of 43 years. In all patients magnetic resonance imaging and/or computerized tomography scanning documented far-lateral disc herniations. Six patients experienced motor deficits, nine patients sensory abnormalities, and five depressed reflexes. All patients complained of radicular pain, which failed to improve with conservative care. After induction of epidural anesthesia, single-level, unilateral percutaneous discectomies were performed using the MED technique. Five discectomies were performed at L3-4 and six at L4-5. There were four contained and seven sequestered disc herniations. All surgeries were performed on an outpatient basis. Follow up ranged from for 12 to 27 months. Improvement was shown in all patients postoperatively. Using modified Macnab criteria to assess results of surgery, there were 10 excellent results and one good result. None of the patients experienced residual motor deficits, four had residual decreased sensation, and one still had some degree of nonradicular pain. There were no complications. Although various open techniques exist for the treatment of far-lateral disc herniation, MED is unique in that far-lateral pathological entities can be directly visualized and removed via a 15-mm paramedian incision. The percutaneous approach avoids larger, potentially denervating and destabilizing procedures. The need for general anesthesia can be avoided, and surgery is performed on an outpatient basis, thereby reducing hospital cost and length of stay.

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Tessitore, Enrico, and Nicolas de Tribolet. "Far-lateral Lumbar Disc Herniation: The Microsurgical Transmuscular Approach." Neurosurgery 54, no. 4 (April 1, 2004): 939–42. http://dx.doi.org/10.1227/01.neu.0000115154.62636.77.

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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.

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OZVEREN, Mehmet Faik, Turgay BILGE, Seref BARUT, and Mustafa ERAS. "Combined Approach for Far-Lateral Lumbar Disc Herniation." Neurologia medico-chirurgica 44, no. 3 (2004): 118–23. http://dx.doi.org/10.2176/nmc.44.118.

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Kim, Hong Tae, Bong Hoon Park, Young Soo Byun, Doh Won Kang, and Chan Hoon Yoo. "The Far lateral Herniation of the Lumbar Disc." Journal of the Korean Orthopaedic Association 26, no. 5 (1991): 1498. http://dx.doi.org/10.4055/jkoa.1991.26.5.1498.

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Gioia, Giuseppe, Davide Mandelli, Bruno Capaccioni, Filippo Randelli, and Luigi Tessari. "Surgical Treatment of Far Lateral Lumbar Disc Herniation." Spine 24, no. 18 (September 1999): 1952. http://dx.doi.org/10.1097/00007632-199909150-00015.

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Hood, Robert S. "Far Lateral Lumbar Disc Herniations." Neurosurgery Clinics of North America 4, no. 1 (January 1993): 117–24. http://dx.doi.org/10.1016/s1042-3680(18)30613-2.

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Maroon, Joseph C., and Rick McKenzie. "Far Lateral Lumbar Disc Herniations." Contemporary Neurosurgery 15, no. 6 (1993): 1. http://dx.doi.org/10.1097/00029679-199315060-00001.

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Siu, Timothy L. T., and Kainu Lin. "Microscopic tubular discectomy for far lateral lumbar disc herniation." Journal of Clinical Neuroscience 33 (November 2016): 129–33. http://dx.doi.org/10.1016/j.jocn.2016.02.040.

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Madhok, Ricky, and Adam S. Kanter. "Extreme-lateral, minimally invasive, transpsoas approach for the treatment of far-lateral lumbar disc herniation." Journal of Neurosurgery: Spine 12, no. 4 (April 2010): 347–50. http://dx.doi.org/10.3171/2009.10.spine08932.

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The authors present 2 cases of far-lateral lumbar disc herniations treated surgically via an extreme-lateral transpsoas approach. The procedure was performed using the MaXcess minimally invasive retractor system to access and successfully remove the disc fragments without complication. To the authors' knowledge, these are the first reported cases of using a minimally invasive retroperitoneal approach for the treatment of far-lateral disc herniations.

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Lang, J., F. Forterre, and A. Fadda. "Far lateral lumbar disc extrusion: MRI findings and surgical treatment." Veterinary and Comparative Orthopaedics and Traumatology 26, no. 04 (2013): 318–22. http://dx.doi.org/10.3415/vcot-12-08-0106.

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SummaryThis case report describes the magnetic resonance imaging (MRI) findings and the treatment of a far lateral extrusion of disc material at the sixth and seventh lumbar vertebrae (L6-L7) in a five-year-old male Alpine Dachsbracke dog referred to our hospital for investigation of the complaint of a one week progressive lameness in the left pelvic limb and poorly localized back pain. An extra-foraminal left lateral disc herniation impinging on the sixth lumbar nerve root was diagnosed by MRI examinations. Due to the far lateral position of the extruded disc material on MRI, surgical opening of the spinal canal was not necessary. Removal of the herniated soft disc material impinging on the L6 nerve root, and fenestration of the L6-L7 disc was performed laterally. To the author’s knowledge ‘far-lateral’ disc herniation beyond the neuroforamen without any spinal canal contact has not been described in dogs until now. A complete recovery with no evidence of pain was achieved only after a couple of weeks after surgery. We acknowledge that it is possible that other pathological mechanisms may have contributed to clinical signs and to a delayed recovery.

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Maroon, Joseph C., Thomas A. Kopitnik, Larry A. Schulhof, Adnan Abla, and James E. Wilberger. "Diagnosis and microsurgical approach to far-lateral disc herniation in the lumbar spine." Journal of Neurosurgery 72, no. 3 (March 1990): 378–82. http://dx.doi.org/10.3171/jns.1990.72.3.0378.

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✓ Lumbar-disc herniations that occur beneath or far lateral to the intervertebral facet joint are increasingly recognized as a cause of spinal nerve root compression syndromes at the upper lumbar levels. Failure to diagnose and precisely localize these herniations can lead to unsuccessful surgical exploration or exploration of the incorrect interspace. If these herniations are diagnosed, they often cannot be adequately exposed through the typical midline hemilaminectomy approach. Many authors have advocated a partial or complete unilateral facetectomy to expose these herniations, which can lead to vertebral instability or contribute to continued postoperative back pain. The authors present a series of 25 patients who were diagnosed as having far lateral lumbar disc herniations and underwent paramedian microsurgical lumbar-disc excision. Twelve of these were at the L4–5 level, six at the L5–S1 level, and seven at the L3–4 level. In these cases, myelography is uniformly normal and high-quality magnetic resonance images may not be helpful. High-resolution computerized tomography (CT) appears to be the best study, but even this may be negative unless enhanced by performing CT-discography. Discography with enhanced CT is ideally suited to precisely diagnose and localize these far-lateral herniations. The paramedian muscle splitting microsurgical approach was found to be the most direct and favorable anatomical route to herniations lateral to the neural foramen. With this approach, there is no facet destruction and postoperative pain is minimal. Patients were typically discharged on the 3rd or 4th postoperative day. The clinical and radiographic characteristics of far-lateral lumbar-disc herniations are reviewed and the paramedian microsurgical approach is discussed.

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Cheng, Theresa M., Michael J. Link, and Burton M. Onofrio. "Pneumatic nerve root compression: epidural gas in association with lateral disc herniation." Journal of Neurosurgery 81, no. 3 (September 1994): 453–58. http://dx.doi.org/10.3171/jns.1994.81.3.0453.

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✓ Extreme lateral disc herniations are increasingly recognized as a cause of lumbar nerve root compression syndromes. This disorder often presents major diagnostic and therapeutic challenges, especially in the presence of multiple degenerative changes and chronic back pain in elderly patients. The authors describe two patients with presentations and findings that have not been previously described in the literature. Both patients had histories of upper lumbar back and leg pain. Degenerative spine disease, gaseous degeneration of the intervertebral discs, and epidural gas in the lateral recesses were noted on imaging studies. However, because both patients had undergone prior epidural diagnostic and therapeutic procedures, the epidural gas in the lateral recesses could be attributed either to gaseous disc degeneration or to the previous intraspinal procedures. One patient was found to have a large, far lateral extruded disc fragment that contained air. The nerve root in the second patient was impaled by an unusual combination of a small extruded disc fragment as well as an air-filled sac that was surrounded by the walled-off fragment's capsule and which freely communicated with the gaseous degenerated disc space. The suspected mechanism of root compression is illustrated and discussed. The possibility of disc herniation should be seriously considered in cases of nerve root compression in which epidural gas is present, especially those associated with gaseous degenerated discs.

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Fankhauser, Heinz, and Nicolas De Tribolet. "Extreme Lateral Lumbar Disc Herniation." British Journal of Neurosurgery 1, no. 1 (January 1987): 111–29. http://dx.doi.org/10.3109/02688698709034347.

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Ducker, Thomas B. "Extreme Lateral Lumbar Disc Herniation." Journal of Spinal Disorders 2, no. 2 (June 1989): 131???132. http://dx.doi.org/10.1097/00002517-198906000-00012.

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Léo, Jefferson Coelho de, Álvaro Coelho de Léo, Igor Machado Cardoso, Charbel Jacob Júnior, and José Lucas Batista Júnior. "ASSOCIATION OF SPINOPELVIC PARAMETERS WITH THE LOCATION OF LUMBAR DISC HERNIATION." Coluna/Columna 14, no. 3 (September 2015): 205–9. http://dx.doi.org/10.1590/s1808-185120151403145172.

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Objective:To associate spinopelvic parameters, pelvic incidence, sacral slope, pelvic tilt and lumbar lordosis with the axial location of lumbar disc herniation.Methods:Retrospective study, which evaluated imaging and medical records of 61 patients with lumbar disc herniation, who underwent surgery with decompression and instrumented lumbar fusion in only one level. Pelvic incidence, sacral slope, pelvic tilt and lumbar lordosis with simple lumbopelvic lateral radiographs, which included the lumbar spine, the sacrum and the proximal femur. The affected segment was identified as the level and location of lumbar disc herniation in the axial plane with MRI scans.Results:Of 61 patients, 29 (47.5%) had low lumbar lordosis; in this group 24 (82.8%) had central disc herniation, 4 (13.8%) had lateral recess disc herniation and 1 (3.4%) had extraforaminal disc herniation (p<0.05). Of the 61 patients, 18 (29.5%) had low sacral slope; of this group 15 (83.3%) had central disc herniation and 3 (16.7%) had disc herniation in lateral recess (p<0.05).Conclusions:There is a trend towards greater load distribution in the anterior region of the spine when the spine has hypolordotic curve. This study found an association between low lordosis and central disc herniation, as well as low sacral slope and central disc herniation.

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Khan, Jannat M., Dennis McKinney, Bryce A. Basques, Philip K. Louie, Deven Carroll, Justin Paul, Arya Varthi, Sravisht Iyer, and Howard S. An. "Clinical Presentation and Outcomes of Patients With a Lumbar Far Lateral Herniated Nucleus Pulposus as Compared to Those With a Central or Paracentral Herniation." Global Spine Journal 9, no. 5 (November 18, 2018): 480–86. http://dx.doi.org/10.1177/2192568218800055.

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Study Design: Retrospective cohort study. Objectives: Examine pre- and postoperative outcomes between patients presenting with a central/paracentral versus a far lateral herniated nucleus pulposus (HNP) and assess whether significantly worse postoperative outcomes, assessed via patient self-reported survey, are associated with far lateral disc herniations. Methods: We performed a retrospective cohort analysis of patients who underwent primary lumbar decompression between January 2008 and December 2015. Groups were divided based on herniation type, central/paracentral or far lateral. Patients with 3 months, or longer, of follow-up were included. Variables analyzed included demographics, American Society of Anesthesiologists (ASA) Score, Charleston Comorbidity Index (CCI), Oswestry Disability Index (ODI) scores, Visual Analog Scales (VAS) scores for the back and leg, 12-Item Short Form Mental and Physical Survey (SF-12) scores, and Veterans RAND 12-Item Mental and Physical Survey (VR-12) scores. Results: A total of 100 patients met the inclusion criteria. Postoperative ODI scores for central/paracentral HNP were significantly lower compared to far lateral HNP. Patients with a far lateral disc herniation presented with significantly lower preoperative SF-12 and VR-12 scores. The improvement in ODI score from preoperative to final was significantly lower in the patients presenting with a far lateral HNP. Conclusions: Although patients with far lateral HNP present with worse preoperative outcome scores, they can expect similar symptom improvement to central or paracentral herniations following discectomy. This information can be used for future surgeons when weighing conservative versus surgical treatment of far lateral herniations.

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Kim, Hong Tae, Bong Hoon Park, Young Soo Byun, Dong Wook Chun, Chun Pyo Chung, and Won Ho Cho. "Clinical characteristics of the far lateral herniation of lumbar disc." Journal of the Korean Orthopaedic Association 28, no. 6 (1993): 2009. http://dx.doi.org/10.4055/jkoa.1993.28.6.2009.

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Kudo, Yohei, Shigekuni Tachibana, Yoji Nishijima, Hirohisa Ono, Naoto Adachi, Shiro Chitoku, Shigeo Mukaihara, and Masaki Sakamoto. "Strategy for Far Lateral Lumbar Disc Herniation and Foraminal Stenosis." Spinal Surgery 25, no. 2 (2011): 170–76. http://dx.doi.org/10.2531/spinalsurg.25.170.

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Staudt, Michael D., Abhishek Ray, Alia Hdeib, and Jonathan P. Miller. "Atypical anatomy associated with a lumbar far lateral disc herniation." Interdisciplinary Neurosurgery 8 (June 2017): 40–42. http://dx.doi.org/10.1016/j.inat.2017.01.007.

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Evran, Sevket, and Salim Katar. "Evaluation of the effectiveness of transforaminal epidural steroid injection in far lateral lumbar disc herniations." Ideggyógyászati szemle 74, no. 1-2 (2021): 27–32. http://dx.doi.org/10.18071/isz.74.0027.

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Far lateral lumbar disc herniations (FLDH) consist approximately 0.7-12% of all lumbar disc herniations. Compared to the more common central and paramedian lumbar disc herniations, they cause more severe and persistent radicular pain due to direct compression of the nerve root and dorsal root ganglion. In patients who do not respond to conservative treatments such as medical treatment and physical therapy, and have not developed neurological deficits, it is difficult to decide on surgical treatment because of the nerve root damage and spinal instability risk due to disruption of facet joint integrity. In this study, we aimed to evaluate the effect of transforaminal epidural steroid injection (TFESI) on the improvement of both pain control and functional capacity in patients with FLDH. A total of 37 patients who had radicular pain caused by far lateral disc herniation which is visible in their lumbar magnetic resonance imaging (MRI) scan, had no neurological deficit and did not respond to conservative treatment, were included the study. TFESI was applied to patients by preganglionic approach. Pre-treatment Visual Analogue Scale (VAS) and Oswestry Disability Index (ODI) scores of the patients were compared with the 3rd week, 3rd month and 6th month scores after the procedure. The mean initial VAS score was 8.63 ± 0.55, while it was 3.84 ± 1.66, 5.09 ± 0.85, 4.56 ± 1.66 at the 3rd week, 3rd month and 6th month controls, respectively. This decrease in the VAS score was found statistically significant (p = 0.001). ODI score with baseline mean value of 52.38 ± 6.84 was found to be 18.56 ± 4.95 at the 3rd week, 37.41 ± 14.1 at the 3rd month and 34.88 ± 14.33 at the 6th month. This downtrend of patient’s ODI scores was found statistically significant (p = 0.001). This study has demonstrated that TFESI is an effective method for gaining increased functional capacity and pain control in the treatment of patients who are not suitable for surgical treatment with radicular complaints due to far lateral lumbar disc hernia.

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Viswanathan, Rajaraman, Narayana K. Swamy, William D. Tobler, Alson L. Greiner, Jeffrey T. Keller, and Stewart B. Dunsker. "Extraforaminal lumbar disc herniations: microsurgical anatomy and surgical approach." Journal of Neurosurgery: Spine 96, no. 2 (March 2002): 206–11. http://dx.doi.org/10.3171/spi.2002.96.2.0206.

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Object. Familiarity with the microsurgical anatomy of the far-lateral compartment is essential for operating in patients with far-lateral discs. In this report the authors address the microsurgical anatomy studied in 24 extraforaminal lumbar disc spaces in three cadavers. Methods. Cadaveric dissections confirmed the authors' operative experience in which they found an arterial arcade to be associated with the nerve trunk. The main trunk of the lumbar artery was located lateral to the exiting nerve root in the region of intervertebral foramen. The trunk of the lumbar spinal nerve descending from the level above was 7 mm (± 3 mm [standard deviation]) lateral to the lumbar artery. Conclusions. Clarification of the microsurgical anatomy of the far-lateral compartment confirmed the authors' clinical impression that the optimum approach to far-lateral discs is via the inferomedial quadrant of the extraforaminal compartment. In this quadrant, exposure of the main nerve root can be facilitated by dividing the posterior primary ramus and a newly described arterial arcade that envelops the nerve trunk. Once this arcade is divided, the nerve can be retracted with relative ease and safety, and the disc can be removed more easily.

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STURM, PETER F., GORDON W. D. ARMSTRONG, D. JOSEPH OʼNEIL, and J. M. E. GARRY BELANGER. "Far Lateral Lumbar Disc Herniation Treated with an Anterolateral Retroperitoneal Approach." Spine 17, no. 3 (March 1992): 363–65. http://dx.doi.org/10.1097/00007632-199203000-00022.

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ZHOU, Yue, Chao ZHANG, Jian WANG, Tong-wei CHU, Chang-qing LI, Zheng-feng ZHANG, and Wen-jie ZHENG. "Minimally invasive strategies and options for far-lateral lumbar disc herniation." Chinese Journal of Traumatology (English Edition) 11, no. 5 (October 2008): 259–66. http://dx.doi.org/10.1016/s1008-1275(08)60053-x.

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Lee, Chul-Woo, and Kang-Jun Yoon. "The Usefulness of Percutaneous Endoscopic Technique in Multifocal Lumbar Pathology." BioMed Research International 2019 (January 3, 2019): 1–8. http://dx.doi.org/10.1155/2019/9528102.

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Introduction. The multifocal lumbar pathology including disc herniation and stenosis in the spinal canal or foramen has been considered the most difficult to approach surgically. It often requires mandatory dual approaches and/or fusion techniques. Traditional percutaneous endoscopic lumbar transforaminal and interlaminar approach has been focused on unifocal disc herniation. However, the development of endoscopic spinal instruments and surgical technique has broadened surgical indication and therapeutic boundary in endoscopic spine surgery. Cases Presentation. The authors present outcomes of four patients with multilumbar pathology including highly inferior migrated disc combined with lateral recess stenosis, multifocal disc herniation, bilateral disc herniations in spinal canal and foraminal disc herniation combined with central canal stenosis. They were successfully treated by percutaneous uniportal full endoscopic approach with single incision. Conclusion. Percutaneous endoscopic spine surgery is a safe and effective tool to figure out multilumbar pathology in a minimal invasive way.

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Garrido, Eddy, and P. Noel Connaughton. "Unilateral facetectomy approach for lateral lumbar disc herniation." Journal of Neurosurgery 74, no. 5 (May 1991): 754–56. http://dx.doi.org/10.3171/jns.1991.74.5.0754.

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✓ Forty-one patients with herniated lumbar discs in a lateral location underwent unilateral complete facetectomy for removal of their disc herniation. The diagnosis was made by computerized tomography in all patients. The follow-up period varied between 4 and 60 months, with an average of 22.4 months. All patients underwent dynamic lumbar spine x-ray films with flexion and extension exposures at various times during their follow-up period. The results were excellent in 35 patients, good in three, and poor in three. One patient suffered spinal instability postoperatively and required lumbar fusion because of back pain. Unilateral facetectomy gives an excellent view of the affected nerve root and the herniated disc, and the risk of spinal instability is very low.

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Park, Joon-Hee. "The Efficacy of Transforaminal Epidural Steroid Injection by the Conventional Technique in FarLateral Herniation of Lumbar Disc." Pain Physician 5;15, no. 5;9 (September 14, 2012): 415–20. http://dx.doi.org/10.36076/ppj.2012/15/415.

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Background: Owing to the anatomical difference between the far lateral herniation of the lumbar disc (FHLD) and the intraspinal herniation of lumbar disc (iHLD), the outcome of transforaminal epidural steroid injections (TFESI) in patients with FHLD seems to be different from that in patients with iHLD. However, few studies have evaluated the efficacy of TFESI in FHLD. Objective: To evaluate and compare the efficacy of TFESI in FHLD and iHLD patients. Study Design: A retrospective design. Methods: There were 15 and 70 patients in the FHLD and iHLD groups, respectively. Patients received a fluoroscopically guided TFESI. Failure rates of TFESI were recorded, and questionnaires, including a visual analog scale (VAS) for leg pain and Oswestry Disability Index (ODI) were administered before the initial injection, at 2 weeks, 6 weeks, and 12 weeks after the injections. Results: There was no failure for TFESI in the iHLD group, while 9 patients had to undergo alternative blocks in the FHLD group due to lancinating leg pain when the needle was advanced for TFESI. In the iHLD group, there was a statistically significant improvement in the VAS and ODI score 12 weeks after injection. Considering only successful cases of the FHLD group, significant improvement in the VAS and ODI score was also demonstrated in the FHLD group 12 weeks after injection. Moreover, there was no statistically significant difference of the VAS and ODI between the both groups. Limitations: A relatively small numbers of cases were included in the FHLD group. Conclusion: The current study suggests that an alternative needle placement technique for TFESI appears to be necessary for FHLD patients. Key words: Far lateral herniation of lumbar disc, intraspinal herniation of lumbar disc, transforaminal epidural steroid injection, safe triangle, herniated lumbar disc, visual analog pain scale, Oswestry disability index, radiculopathy

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Yoshimoto, Mitsunori, Takehito Iwase, Tsuneo Takebayashi, Kazunori Ida, and Toshihiko Yamashita. "Microendoscopic Discectomy for Far Lateral Lumbar Disk Herniation." Journal of Spinal Disorders and Techniques 27, no. 1 (February 2014): E1—E7. http://dx.doi.org/10.1097/bsd.0b013e3182886fa0.

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Faraj, Moneer K., Ammar S. Al-adhami, Mohammed Q. Abdulrazzaq , and Ahmed Aman. "Laminectomy versus interlaminar approach for Lumbar disc herniation." Journal of the Faculty of Medicine Baghdad 60, no. 3 (December 31, 2018): 126–30. http://dx.doi.org/10.32007/jfacmedbagdad.603594.

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Background: Low back pain is the most common health problem in men and women between the ages of 20 and 50 years. The lumbar disc prolapse has a major role in this condition. Treatment is either conservative or surgical. The most common surgical interventions are either laminectomy or interlaminar approach. Objective: To determine which is the best surgical approach for the patient according to his/her type of disc herniation. Patients and methods: A comparative clinical study conducted in the Neurosciences Hospital, Baghdad, Iraq from January 2016 to January 2018. In this paper we evaluated the clinical outcome following both approaches Results: We studied sixty cases; thirty-four patients had interlaminar approach for lumbar discectomy while twenty-six patients had laminectomy with discectomy. Conclusion: Both methods can manage different types of lumbar disc prolapse, apart from far-lateral disc which favors laminectomy approach.

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Foley, Kevin T., and Maurice M. Smith. "Microendoscopic Discectomy for Far Lateral Lumbar Disc Herniations." Neurosurgery 43, no. 3 (September 1998): 716. http://dx.doi.org/10.1097/00006123-199809000-00366.

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Berra, Luigi Valentino, Domenico Foti, Antonella Ampollini, Giovanna Faraca, Nicola Zullo, and Corrado Musso. "Contralateral Approach for Far Lateral Lumbar Disc Herniations." Spine 35, no. 6 (March 2010): 709–13. http://dx.doi.org/10.1097/brs.0b013e3181bac710.

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Gu, Xin. "Percutaneous Endoscopic Lumbar Discectomy for Far-Migrated Disc Herniation through Two Working Channels." Pain Physician 4;19, no. 4;5 (May 14, 2016): E675—E680. http://dx.doi.org/10.36076/ppj/2019.19.e675.

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The technique of percutaneous endoscopic lumbar discetomy (PELD) in the transforaminal approach has evolved over the years due to the advances in endoscopic photology and instrumentation and become the most popular technique for lumbar disc herniation. Although PELD offers many advantages, the indications of PELD are limited mostly to non-migrated or low-migrated disc herniation. It is very difficult for PELD in the transforaminal approach to remove the highly migrated disc fragment successfully due to the anatomic barrier. Nowadays, with the advances of instruments and technique, it might be possible for PELD in the transforaminal approach to remove these high-grade migrated disc fragments. The purpose of this study was to describe a technique to effectively treat highly migrated disc herniation via 2 working channels. Key words: Percutaneous endoscopic lumbar discectomy, far-migrated disc herniation, working channels

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Zheng, Kangxing, Zihuan Wen, and Dehuai Li. "The Clinical Diagnostic Value of Lumbar Intervertebral Disc Herniation Based on MRI Images." Journal of Healthcare Engineering 2021 (April 5, 2021): 1–9. http://dx.doi.org/10.1155/2021/5594920.

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MRI was used to measure the changes in the angle of the facet joints of the lumbar spine and analyze the relationship between it and the herniated lumbar intervertebral disc. Analysis of the causes of lumbar disc herniation from the anatomy and morphology of the spine provides a basis for the early diagnosis and prevention of lumbar disc herniation. There is a certain correlation between the changes shown in MRI imaging of lumbar disc herniation and the TCM syndromes of lumbar intervertebral disc herniation. There is a correlation between the syndromes of lumbar disc herniation and the direct signs of MRI: pathological type, herniated position, and degree of herniation. Indirect signs with MR, nerve root compression and dural sac compression, are related. The MRI examination results can help syndrome differentiation to improve its accuracy to a certain extent. MRI has high sensitivity for the measurement of the angle of the facet joints of the lumbar spine and can be used to study the correlation between the changes of the facet joint angles and the herniated disc. Facet joint asymmetry is closely related to lateral lumbar disc herniation, which may be one of its pathogenesis factors. The herniated intervertebral disc is mostly on the sagittal side of the facet joint, and the facet joint angle on the side of the herniated disc is more sagittal. The asymmetry of the facet joints is not related to the central lumbar disc herniation, and the angle of the facet joints on both sides of the central lumbar disc herniation is partial sagittal.

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Berra, Luigi Valentino, Andrea Di Rita, Federico Longhitano, Enrico Mailland, Paolo Reganati, Alessandro Frati, and Antonio Santoro. "Far lateral lumbar disc herniation part 1: Imaging, neurophysiology and clinical features." World Journal of Orthopedics 12, no. 12 (December 18, 2021): 961–69. http://dx.doi.org/10.5312/wjo.v12.i12.961.

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Allam, Yasser, and Tarek El-Fiky. "Treatment of Far Lateral Lumbar disc Herniation Via a Minimally invasive Approach." Egyptian Spine Journal 2, no. 1 (April 1, 2012): 1–6. http://dx.doi.org/10.21608/esj.2012.3785.

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El-Sabrout, Al Moataz, Mohammad El-Sharkawi, Mohamed El-Meshtawy, and Romany Zaki. "The Extraforaminal Approach for the Management of Far Lateral Lumbar Disc Herniation." Egyptian Spine Journal 22, no. 1 (April 1, 2017): 15–22. http://dx.doi.org/10.21608/esj.2017.5633.

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Siu, Timothy L. T., and Kainu Lin. "Direct Tubular Lumbar Microdiscectomy for Far Lateral Disc Herniation: A Modified Approach." Orthopaedic Surgery 8, no. 3 (August 2016): 301–8. http://dx.doi.org/10.1111/os.12263.

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Ha, Dae Ho, Dae Moo Shim, Tae Kyun Kim, Sung Kyun Oh, and Jin Kim. "Relative Risk of Operation between Lumbar Far Lateral Disc Herniation and Posterolateral Disc Herniation: A Retrospective Cohort Study." Journal of the Korean Orthopaedic Association 52, no. 5 (2017): 442. http://dx.doi.org/10.4055/jkoa.2017.52.5.442.

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Elshani, Besnik, Salih Krasniqi, and Rexhep Gjyliqi. "Herniated Lumbar Disc and Nursing Care." Winter 2018 6, no. 2 (January 1, 2018): 1–8. http://dx.doi.org/10.33107/ijbte.2018.6.2.01.

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Abstract:

Spinal disc herniation, also known as a slipped disc, is a medical condition affecting the spine in which a tear in the outer, fibrous ring of an intervertebral disc allows the soft, central portion to bulge out beyond the damaged outer rings. Disc herniation is usually due to age-related degeneration of the outer ring, known as the anulus fibrosus, although trauma, lifting injuries, or straining have been implicated as well. Tears are almost always postero-lateral (on the back of the sides) owing to the presence of the posterior longitudinal ligament in the spinal canal. Disc herniations are normally a further development of a previously existing disc protrusion, a condition in which the outermost layers of the anulus fibrosus are still intact, but can bulge when the disc is under pressure. In contrast to a herniation, none of the central portion escapes beyond the outer layers. Most minor herniations heal within several weeks. Anti-inflammatory treatments for pain associated with disc herniation, protrusion, bulge, or disc tear are generally effective. Severe herniations may not heal of their own accord and may require surgery. The condition is widely referred to as a slipped disc, but this term is not medically accurate as the spinal discs are firmly attached between the vertebrae and cannot "slip" out of place. Lumbar disc herniations occur in the lower back, most often between the fourth and fifth lumbar vertebral bodies or between the fifth and the sacrum. Symptoms can affect the lower back, buttocks, thigh, anal/genital region (via the perineal nerve), and may radiate into the foot and/or toe. The sciatic nerve is the most commonly affected nerve, causing symptoms of sciatica. The femoral nerve can also be affected[25]and cause the patient to experience a numb, tingling feeling throughout one or both legs and even feet or even a burning feeling in the hips and legs. A hernia in the lumbar region often compresses the nerve root exiting at the level below the disk. Thus, a herniation of the L4/5 disc will compress the L5 nerve root. With the patient and doctor, plan a pain control regimen. Encourage the patient to express his concerns about the disorder. Urge the patient to perform as much self-care as his immobility and pain allow. Use antiembolism stockings, as prescribed, and encourage the patient to move his legs, as allowed. Assess the patient’s pain status and his response to the pain-control regimen. Perform neurovascular checks of the patient’s legs such as color, motion, temperature, and sensation. Monitor vital signs, and check for bowel sounds and abdominal distention. Teach the patient about treatments, which include bed rest and pelvic traction. Urge the patient to maintain an ideal body weight to prevent lordosis caused by obesity. Discuss all prescribed medications with the patient. If surgery is required, explain all preoperative and postoperative procedures and treatments to the patient and his family.

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Inoue, Meguru, Hiroo Fujiwara, Yuhiko Takahashi, Yoshiki Kajiki, Mitsugu Tsubouchi, and Takeshi Imai. "Clinical Study of Lateral Lumbar Disc Herniation." Orthopedics & Traumatology 43, no. 4 (1994): 1345–48. http://dx.doi.org/10.5035/nishiseisai.43.1345.

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Nagashima, Hideki, Yasuo Morio, and Kichizo Yamamoto. "Clinical Features of Lateral Lumbar Disc Herniation." Orthopedics & Traumatology 45, no. 3 (1996): 963–66. http://dx.doi.org/10.5035/nishiseisai.45.963.

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Ohashi, Teruaki, Kensei Nagata, Kazumasa Ishibashi, Teruyuki Hirohashi, Kimiaki Satoh, and Akio Inoue. "Lateral Lumbar Disc Herniation: A Clinical Study." Orthopedics & Traumatology 45, no. 3 (1996): 971–73. http://dx.doi.org/10.5035/nishiseisai.45.971.

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Sasaki, Kazushi, Kou Ikuta, Masayoshi Oga, Takuya Tamaru, Junichi Arima, Tatsuo Motoyama, Kiyoyuki Torigoe, and Mamoru Tomishige. "Clinical Study of Lateral Lumbar Disc Herniation." Orthopedics & Traumatology 48, no. 2 (1999): 404–8. http://dx.doi.org/10.5035/nishiseisai.48.404.

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Kuroshima, Satoshi, Satoru Matsumoto, Tsuguo Sakumoto, Takayoshi Rokkaku, Tetsuya Yara, Katsuo Arakaki, and Fuminori Kanaya. "Surgical Results of Lateral Lumbar Disc Herniation." Orthopedics & Traumatology 51, no. 1 (2002): 37–41. http://dx.doi.org/10.5035/nishiseisai.51.37.

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Matsui, H., M. Aoki, and M. Kanamori. "Lateral disc herniation following percutaneous lumbar discectomy." International Orthopaedics 21, no. 3 (July 21, 1997): 169–71. http://dx.doi.org/10.1007/s002640050143.

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Weiner, B. K., and R. D. Fraser. "FORAMINAL INJECTION FOR LATERAL LUMBAR DISC HERNIATION." Journal of Bone and Joint Surgery. British volume 79-B, no. 5 (September 1997): 804–7. http://dx.doi.org/10.1302/0301-620x.79b5.0790804.

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&NA;. "Discussion on Extreme Lateral Lumbar Disc Herniation." Journal of Spinal Disorders 2, no. 2 (June 1989): 133???141. http://dx.doi.org/10.1097/00002517-198906000-00013.

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Phan, Kevin, Alexander E. Dunn, Prashanth J. Rao, and Ralph J. Mobbs. "Far lateral microdiscectomy: a minimally-invasive surgical technique for the treatment of far lateral lumbar disc herniation." Journal of Spine Surgery 2, no. 1 (March 2016): 59–63. http://dx.doi.org/10.21037/jss.2016.03.02.

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Journal articles on the topic 'Far-lateral lumbar disc herniation'

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