Minimally invasive direct lateral, retroperitoneal transforaminal method for big L1-2 disc herniations with intraoperative CT navigational help: technical notice and report of three circumstances.
J Neurosurg Backbone. 2017 Apr 20;:1-Eight
Authors: Oyelese AA, Fridley J, Choi DB, Telfeian A, Gokaslan ZL
Higher lumbar (L1-2, L2-Three) disc herniations are distinct of their diffuse presenting scientific symptomatology and have poorer outcomes with surgical intervention than these following mid and decrease lumbar disc herniations and disc surgical procedure. The authors current the circumstances of three sufferers with L1-2 disc herniations and vital stenosis of the spinal canal. The surgical method used right here mixed the ideas of transforaminal percutaneous endoscopic discectomy and the acute lateral lumbar interbody fusion procedures with intraoperative CT-guided navigational help. The method supplies a protected hall of direct visualization to the ventral thecal sac with minimal bony resection and will, in precept, cut back neurological harm and biomechanical instability, which possible contribute to poor outcomes at this stage.
PMID: 29676674 [PubMed – as supplied by publisher]