Lateral lumbar disc herniations.
True far lateral (extraforaminal) lumbar disc herniations are not rare. Diagnosis can be strongly suspected when high or mid-lumbar radiculopathies present clinically; diagnosis can be confirmed by computerized tomography and/or magnetic resonance imaging. When operative treatment is required, the off-midline paramedian exposure with little or no bone removal is the indicated procedure, produces little morbidity, and causes practically no low back disability.
Faust
S E
SE
Anne Arundel Medical Center, Annapolis, Maryland.
Ducker
T B
TB
VanHassent
J A
JA
D000328:Adult; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007405:Intervertebral Disc Displacement / Q000150:complications / Q000000981:diagnostic imaging / Q000473:pathology*; D008159:Lumbar Vertebrae / Q000000981:diagnostic imaging / Q000473:pathology*; D008297:Male; D008875:Middle Aged; D009408:Nerve Compression Syndromes / Q000209:etiology; D013126:Spinal Nerve Roots; D014057:Tomography, X-Ray Computed