[Surgical treatment of lateral extraforaminal lumbar disc herniation].
Extraforaminal lumbar disc herniations with spinal nerve compression are a well-recognised entity. The diagnosis is difficult although the clinical syndrome is quite characteristic. Myelography fails to disclose these lesions, while CT, MRI or discography are helpful. The best approach to the extreme-lateral lumbar disc herniation is microsurgical decompression of the spinal nerve via the intertransverse muscle, ligament and fascia. With this approach, there is no facet destruction and satisfactory nerve root decompression is safe and effective in relieving radicular pain.
Kloc
W
W
Katedry i Kliniki Neurochirurgii Akademii Medycznej w Gdańsku. wkloc@amedec.amg.gda.pl
Wasilewski
W
W
Imieliński
B L
BL
D000328:Adult; D019299:Decompression, Surgical; D006801:Humans; D007405:Intervertebral Disc Displacement / Q000150:complications / Q000601:surgery*; D008159:Lumbar Vertebrae / Q000601:surgery; D008279:Magnetic Resonance Imaging; D008866:Microsurgery; D008875:Middle Aged; D013117:Spinal Cord Compression / Q000175:diagnosis / Q000209:etiology; D014057:Tomography, X-Ray Computed