Intersomatic Screw Experimental Study to Treat Lumbar Disc Herniations

2021 ◽  
pp. 219-228
Author(s):  
A. Oropeza-Osornio ◽  
C. R. Torres-San Miguel ◽  
G. M. Urriolagoitia-Calderón
2013 ◽  
Vol 155 (12) ◽  
pp. 2333-2338 ◽  
Author(s):  
J. Gempt ◽  
M. Jonek ◽  
F. Ringel ◽  
A. Preuß ◽  
P. Wolf ◽  
...  

2017 ◽  
Vol 159 (7) ◽  
pp. 1273-1281 ◽  
Author(s):  
Giorgio Lofrese ◽  
Lorenzo Mongardi ◽  
Francesco Cultrera ◽  
Giorgio Trapella ◽  
Pasquale De Bonis

2018 ◽  
Vol 18 (4) ◽  
pp. 620-625 ◽  
Author(s):  
Ahmed Shawky Abdelgawaad ◽  
Dusko Babic ◽  
Ahmed Ezzat Siam ◽  
Ali Ezzati
Keyword(s):  

1990 ◽  
Vol 72 (3) ◽  
pp. 378-382 ◽  
Author(s):  
Joseph C. Maroon ◽  
Thomas A. Kopitnik ◽  
Larry A. Schulhof ◽  
Adnan Abla ◽  
James E. Wilberger

✓ Lumbar-disc herniations that occur beneath or far lateral to the intervertebral facet joint are increasingly recognized as a cause of spinal nerve root compression syndromes at the upper lumbar levels. Failure to diagnose and precisely localize these herniations can lead to unsuccessful surgical exploration or exploration of the incorrect interspace. If these herniations are diagnosed, they often cannot be adequately exposed through the typical midline hemilaminectomy approach. Many authors have advocated a partial or complete unilateral facetectomy to expose these herniations, which can lead to vertebral instability or contribute to continued postoperative back pain. The authors present a series of 25 patients who were diagnosed as having far lateral lumbar disc herniations and underwent paramedian microsurgical lumbar-disc excision. Twelve of these were at the L4–5 level, six at the L5–S1 level, and seven at the L3–4 level. In these cases, myelography is uniformly normal and high-quality magnetic resonance images may not be helpful. High-resolution computerized tomography (CT) appears to be the best study, but even this may be negative unless enhanced by performing CT-discography. Discography with enhanced CT is ideally suited to precisely diagnose and localize these far-lateral herniations. The paramedian muscle splitting microsurgical approach was found to be the most direct and favorable anatomical route to herniations lateral to the neural foramen. With this approach, there is no facet destruction and postoperative pain is minimal. Patients were typically discharged on the 3rd or 4th postoperative day. The clinical and radiographic characteristics of far-lateral lumbar-disc herniations are reviewed and the paramedian microsurgical approach is discussed.


Spine ◽  
2017 ◽  
Vol 42 (15) ◽  
pp. 1179-1183 ◽  
Author(s):  
Nidharshan S. Anandasivam ◽  
Daniel H. Wiznia ◽  
Chang-Yeon Kim ◽  
Ameya V. Save ◽  
Jonathan N. Grauer ◽  
...  
Keyword(s):  

Neurosurgery ◽  
1998 ◽  
Vol 43 (3) ◽  
pp. 716-716
Author(s):  
Kevin T. Foley ◽  
Maurice M. Smith

2015 ◽  
Vol 5 (1_suppl) ◽  
pp. s-0035-1554548-s-0035-1554548
Author(s):  
Asdrubal Falavigna ◽  
Orlando Righesso ◽  
Alisson Roberto Teles ◽  
Pedro Guarise da Silva ◽  
Fernanda Chalá

1998 ◽  
Vol 7 (11) ◽  
pp. 671-677
Author(s):  
Hiroshi Suzui ◽  
Junya Hanakita ◽  
Hideyuki Suwa

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