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Minimally Invasive Far Lateral Discectomy

Salame and Lidar evaluated a series of 31 patients who underwent minimal invasive far-lateral discectomy using a tubular dilatator and reported that significant improvement was observed between pre- and postoperative mean VAS and SF-36 scores whereby the mean VAS score for radicular pain decreased from 86 preoperatively to 06. Microscopic tubular discectomy for.


Minimally Invasive Far Lateral Microdiscectomy Neupsy Key

Your surgeon can use different methods to do this.

Minimally invasive far lateral discectomy. The use of recently developed minimally invasive retractor systems decreases tissue dissection and blood loss and improves postoperative recovery. Far lateral microdiscectomy offers the prospect of better long-term results than other surgical techniques because of less extensive muscle dissection and preservation of the. As such they require careful oversight prior to medical personnel releasing you to return home. A minimally-invasive surgical technique for the treatment of far lateral lumbar disc herniation. With one method your surgeon inserts a small tube through the skin on your back between the vertebrae and into the space with the herniated disc. During a minimally invasive lumbar discectomy an orthopedic surgeon takes out part of the damaged disc.

Advantages Unlike the traditional open alternative the minimally invasive far lateral lumbar discectomy is performed through a small incision avoiding the extensive muscle dissection and surgical trauma associated with the. We present a series of 20 patients who underwent far lateral discectomy using a. Minimally invasive far lateral lumbar microdiscectomy with intraoperative computed tomography navigational assistance and electrophysiological monitoring. Lumbar Discectomy Surgery. Far lateral microdiscectomy. Herniations are so common in the lumbar spine because the walls of the disc are thinner and.

Even though microdiscectomy recovery times are generally much faster than more invasive spinal surgeries theyre still major procedures that involve general anesthetic. A herniated lumbar disc can push on spinal nerves and cause severe shooting leg pain numbness andor weakness. However this approach is challenging due to the unfamiliar anatomy compared with a standard paramedian approach for a minimally invasive microdiscectomy. For far lateral disc her. 95 of disc herniation in the lumbar spine occurs posterolaterally and compress the nerve in the canal. Siu TL Lin K.

A minimally-invasive surgical technique for the treatment of far lateral lumbar disc herniation. Microdiscectomy also sometimes called microdecompression or microdiskectomy is a minimally invasive surgical procedure performed on patients with a herniated lumbar disc. This helps ease the pressure on the spinal cord. A small stab incision is made in the lumbodorsal fascia and a K-wire or initial tubular retractor is docked on the facet joint at the level of the disc space. Cadaveric dissection and technical case report Author links open overlay panel John E. A percutaneous disc removal PDR can remove a portion of the herniated disc that is compressing spinal nerves through a small incision in the skin.

Hodges S Humphreys C Eck J Covington L. These results from a small group of patients suggest this is a safe approach with the potential for improved outcomes in the surgical treatment of FLDH. Phan K Dunn A Rao P Mobbs R. Minimally Invasive Lumbar Discectomy. Lumbar discectomy surgery is performed whenever a herniated disc is pinching nerves in your back. We present a prospective clinical study analysis of 14 patients with L5-S1 far-lateral disc herniations in a period between 2000 and 2004 treated with microsurgical technique.

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. Our far lateral microdiscectomy technique involves accessing the nerve root lateral to the foramen through a small paramedian incision and use of an operating microscope Figure 1. Objective The concept of minimally invasive tubular discectomy is based on precise placement of the retractor over the surgical target to minimize collateral tissue trauma. Donald Corenman MD demonstrates a surgical removal of a far lateral disc herniation in the lumbar spine using a minimally invasive surgical technique. Some doctors prefer to use an open approach when performing lumbar discectomy. To assess the efficacy of a surgical technique that is a minimally invasive intermuscular approach MIIMA for decompression of L5-S1 far-lateral level disc herniation FLLDH.

OToole MD a Kurt M. Far lateral micro discectomy. The procedure was performed using the MaXcess minimally invasive retractor system to access and successfully remove the disc fragments without complication. The far lateral approach is also most advantageous in cases where there is a true extraforaminal disc herniation. Eichholz MD b Richard G. Minimally Invasive Far Lateral Lumbar Microdiscectomy with Intraoperative Computed Tomography Navigational Assistance and Electrophysiological Monitoring.

Microsurgical procedure removing a far lateral lumbar disc herniation causing leg pain by Robert Hacker MD neurosurgeon. For a minimally invasive MIS approach a paramedian incision 2 centimeters off the midline is made. Minimally invasive far lateral microendoscopic discectomy for extraforaminal disc herniation at the lumbosacral junction. You can expect several specific things to happen. The First 24 Hours. The minimally invasive far lateral lumbar discectomy is a procedure used to treat patients suffering from far lateral intervertebral disc herniation.

Other neurosurgeons use a minimally invasive approach to lumbar discectomy. Fessler MD PhD c. This requires a large incision and dissection of your back muscles. These results from a small group of patients suggest this is. Article Google Scholar 6.


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