Comparison of Two Minimally Invasive Techniques with Endoscopy and Microscopy for Extraforaminal Disc Herniations

Aydın, Ahmet Levent; Sasani, Mehdi; Sasani, Hadi; Üçer, Melih; Hekimoğlu, Mehdi; Öktenoğlu, Tunç; Özer, Ali Fahir

doi:10.1016/j.wneu.2020.09.022

Cited by 9 publications

(5 citation statements)

References 47 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Compared to FLLDHs with median and paramedian LDH, they are seen in older patients and the mean age range of incidence is 55-56 [1,17]. The average age in the current study was 57.9 years (Table 1).…”

Section: Figure 5: Postoperative Lumbar Coronal Ct Shows Partial Rese...mentioning

confidence: 64%

“…Among MIS techniques, PED may be defined as the most minimally invasive technique [17]. But Aydın et al compared the PED and microscopic extraforaminal discectomy (MEFD) techniques applied in the same group [17]. They reported severe complications in PED, particularly root injury.…”

Section: Figure 5: Postoperative Lumbar Coronal Ct Shows Partial Rese...mentioning

confidence: 99%

“…For FLLDH, several conventional techniques have been described in the literature as extending medial exposure to medial facetectomy, total facetectomy, and the trans-pars technique and extraforaminal exposure [11][12][13][14]. However, hemilaminectomy is performed as the lateral expansion of the classical median approach, and the partial or total laminectomies added to it cause radicular pain due to segmental instability and asymmetric disc collapse [15][16][17]. More recently, the preferred method is increasingly shifting toward the minimally invasive surgery (MIS) and modified paramedian approaches, which intend to protect the lamina and the facet has been commonly used [1,4].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Surgical Treatment of Far Lateral Lumbar Disc Herniation: Outcomes of the Safe and Simple Midline Approach

Kaya¹,

Keskin²,

Ceylan³

et al. 2022

Cureus

View full text Add to dashboard Cite

Surgery for far lateral lumbar disc herniation (FLLDH) hernias is different than surgery for median and paramedian disc hernias. Our study offers a minimally invasive surgical technic for far lateral disc herniations. MethodsThe results of the midline surgical approach in 18 patients diagnosed with FLLDH were evaluated retrospectively. ResultsA total of 18 patients (7 females, 11 males), with a mean age of 57.9±9.4 years (range: 35-71 years), were included in the analyses. Three patients (16.7%) had lesions at the left L3-L4 level, six patients (33.3%) on the left L4-L5 level, five patients (27.8%) on the right L3-L4 level, and four patients (22.2%) on the right L4-L5 level. All patients had low back and leg pain. These complaints completely regressed after surgery. ConclusionThis study presents a review of a consecutive series of patients who underwent minimally invasive surgery for FLLDH using a midline approach.

show abstract

Section: Figure 5: Postoperative Lumbar Coronal Ct Shows Partial Rese...mentioning

confidence: 64%

Section: Figure 5: Postoperative Lumbar Coronal Ct Shows Partial Rese...mentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Surgical Treatment of Far Lateral Lumbar Disc Herniation: Outcomes of the Safe and Simple Midline Approach

Kaya¹,

Keskin²,

Ceylan³

et al. 2022

Cureus

View full text Add to dashboard Cite

show abstract

“…Several surgical approaches for the FLDH have been adopted and described over the last 20 years [4,10,[15][16][17]. Conventional midline approaches often utilize a large laminotomy and partial facetectomy to expose the herniated disc for surgical removal [15].…”

Section: Discussionmentioning

confidence: 99%

Minimally Invasive Far Lateral Lumbar Discectomy With Modified Technique: Symptomatic Relief and Intersegmental Stability Study

Laskay,

Jarrell,

Salehani

et al. 2024

Cureus

View full text Add to dashboard Cite

Objective: To evaluate the use of a modified minimally invasive surgery (MIS) technique for far lateral lumbar discectomy (FLDH) that minimizes the degree of bony drilling required for nerve root decompression, increasing postoperative pain reduction rate with reduced risk of iatrogenic spinal instability.Summary of background data: FLDH accounts for approximately 10% of all lumbar disc herniations and is increasingly recognized in the era of advanced imaging techniques. These disc herniations typically result in extra-foraminal nerve root compression. Minimally invasive spine techniques are increasingly performed with various degrees of foraminal and facet removal to decompress the affected nerve root.Methods: The study design involves a single institutional, retrospective cohort technical review. The review was completed of all patients undergoing MIS far lateral lumbar discectomy between 2010 and 2020. Crosssectional, summary statistics were calculated for all variables. Counts and percentages were recorded for categorical variables and mean and standard deviations were calculated for continuous variables.Results: A total of 48 patients underwent MIS far lateral lumbar discectomies (FLLD) from 2010 to 2020. The mean age was 63 ± 11.5 years (60.4% males), the mean BMI was 28.5 ± 5.5, and 20.8% smokers. The most common presenting complaint was both low back and radicular pain (79.2%) with 8.3% of patients suffering from motor weakness preoperatively. The mean follow-up time was 4.3 ± 2.7. The mean length of stay was 1.3 ± 1.4 days with 77.1% of patients discharged postoperative day one. Forty-three patients (93.5%) had improvement in their symptoms. Twenty-seven (58.7%) had complete resolution in 2.6 months on average. Six patients (13%) had immediate symptom resolution postoperatively.Conclusions: Our modified technique for FLLD allows MIS access to the extra-foraminal site of nerve root compression without the need for bony drilling. This minimizes postoperative pain and reduces the risk of iatrogenic spinal instability without sacrificing symptom resolution.

show abstract

“…2 In percutaneous endoscopic methods, it has been shown that patients are exposed to significant radiation due to intraoperative fluoroscopy. 8 In the method of Kim et al, 4 blindly advanced epidural catheter can cause unnecessary epidural bleeding, dural tears, and cerebrospinal fluid fistulas.…”

mentioning

confidence: 99%

Lumbar Microdiskectomy

Balak

2021

J Neurol Surg A Cent Eur Neurosurg

View full text Add to dashboard Cite

show abstract

Comparison of Two Minimally Invasive Techniques with Endoscopy and Microscopy for Extraforaminal Disc Herniations

Cited by 9 publications

References 47 publications

Surgical Treatment of Far Lateral Lumbar Disc Herniation: Outcomes of the Safe and Simple Midline Approach

Surgical Treatment of Far Lateral Lumbar Disc Herniation: Outcomes of the Safe and Simple Midline Approach

Minimally Invasive Far Lateral Lumbar Discectomy With Modified Technique: Symptomatic Relief and Intersegmental Stability Study

Lumbar Microdiskectomy

Contact Info

Product

Resources

About