The London Spine Unit : innovative spinal facility in London
Published article
CONCLUSION: Lumbar nerve root biopsy is feasible and safe. All non-invasive workup needs to be completed and negative before performing this procedure.
Lumbar Decompression Surgery Expert. Best Spinal Surgeon UK
Acta Neurochir (Wien). 2022 Apr 18. doi: 10.1007/s00701-022-05209-7. Online ahead of print.
ABSTRACT
BACKGROUND: Lumbosacral plexopathies with unclear etiology are a rare entity. In certain cases, if workup unrevealing and medical management is suboptimal, an open lumbar nerve root biopsy may be considered.
METHOD: A standard lumbar laminectomy is performed for access to the intradural contents. The dura is opened at midline in a standard fashion. Single nerve roots are selected and stimulated for an EMG response. A nerve fascicle is then dissected and stimulated before excision.
CONCLUSION: Lumbar nerve root biopsy is feasible and safe. All non-invasive workup needs to be completed and negative before performing this procedure.
PMID:35437671 | DOI:10.1007/s00701-022-05209-7
The London Spine Unit : innovative spinal facility in London
Read the original publication:
Lumbar nerve root biopsy with fascicle dissection and functional mapping: how I do it