Micro-endoscopic-discectomy (MED) for far lateral disc herniation in the lumbar spine. Technical note.
This study describes a new experience of the authors in the treatment of extraforaminal disc herniation via the micro-endoscopic far lateral approach to establish a less traumatic approach to extraforaminal disc herniation with less stay in hospital and less cost. Seventeen patients who underwent surgery for extraforaminal disc herniation were analysed and long-term follow up was done revisiting all of them in hospital. The results of surgical decompression via the micro-endoscopic far lateral approach were good in all patients with minimal discomfort. There was complete resolution of leg pain presented. Dysesthesia subsided after 2-3 weeks. Extraforaminal disc herniation can be diagnosed with the aid of CT scan and MRI. The minimally invasive surgical treatment via the micro-endoscopic far lateral approach, in our initial experience, has a high rate of succes.
Cervellini
P
P
Department of Neurosurgery, Vicenza Hospital, Vicenza, Italy. patrizioce@hotmail.com
De Luca
G P
GP
Mazzetto
M
M
Colombo
F
F
D017586:Diskectomy / Q000379:methods*; D004724:Endoscopy / Q000379:methods*; D006801:Humans; D007405:Intervertebral Disc Displacement / Q000150:complications / Q000601:surgery*; D017116:Low Back Pain / Q000209:etiology / Q000517:prevention & control*; D008159:Lumbar Vertebrae / Q000601:surgery*; D008866:Microsurgery / Q000379:methods*; D011843:Radiculopathy / Q000209:etiology / Q000517:prevention & control*; D016896:Treatment Outcome