Surgical treatment of far lateral lumbar disc herniation: a safe and simple approach.
Lumbar discectomy is one of the most commonly performed neurosurgical procedure. Far lateral disc herniations (FLDH) make up a minor portion of the total discectomy workload for spine surgeons. Due to their lower incidence, as well as their different anatomical positioning compared to the more common para-median disc herniation, the surgical procedures involved in releasing the neural compression caused by FLDHs are often challenging and at times frustrating to most spine surgeons, resulting in suboptimal outcomes for the patient related to the higher risk of spinal instability from facet joint disruption and may even be associated with nerve root injury. We discuss here a safe and simple approach to tackle FLDH.
Department of Neurosurgery, Nepean Hospital, Nepean, School of Medicine, University of Sydney, Australia ;
Darweesh O
DO
Al-Khawaja
Brain and Mind Research Institute, Royal Prince Alfred Hospital, University of Sydney, Australia ;
Tamadur
T
Mahasneh
Australian School of Advanced Medicine, Macquarie University, Sydney, Australia.
Jonathan C
JC
Li
Lumbar spine; discectomy; far lateral disc herniation (FLDH); surgical approach
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