Extraforaminal Disc Herniation

Kurobane, Yoji; Takahashi, T.; Tajima, Takeshi; Yamakawa, Hiroshi; Sakamoto, Takero; Sawaumi, Akihito; Kikuchi, Ichiro

doi:10.1097/00007632-198604000-00014

Cited by 63 publications

(24 citation statements)

References 3 publications

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“…[1][2][3][5][6][7][8][9][10][11] A review of the literature, and our own findings, have shown that foraminal injection is a relatively simple technique with no reported complications of its use. 15 We now recommend foraminal injection of local anaesthetic and steroids for patients with radicular symptoms after lateral herniation of the lumbar disc which have not responded to rest and analgesia.…”

Section: Discussionmentioning

confidence: 99%

Foraminal Injection for Lateral Lumbar Disc Herniation

Weiner

Fraser

1997

The Journal of Bone and Joint Surgery. British volume

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Between 1986 and 1995, we treated with foraminal injection of local anaesthetic and steroids 30 patients with severe lumbar radiculopathy secondary to foraminal and extraforaminal disc herniation which had not resolved with rest and non-steroidal anti-inflammatory agents. They were assessed prospectively using standardised forms as well as the Low Back Outcome Score, and were reviewed at an average of 3.4 years (1 to 10) after injection by an independent observer (BKW).Relief of symptoms was obtained in 27 immediately after injection. Three subsequently relapsed, requiring operation, and two were lost to long-term follow-up. Thus 22 of the 28 patients available for long-term follow-up had considerable and sustained relief from their symptoms. Before the onset of symptoms 17 were in employment and, after injection, 13 resumed work, all but two in the same job. The average score before injection was 25 out of a possible 75 points. At follow-up, the overall average score was 54, and in those who had obtained relief of symptoms it had improved to a mean of 61.Based on these findings we recommend foraminal injection of local anaesthetic and steroids as the primary treatment for patients with severe radiculopathy secondary to foraminal or extraforaminal herniation of a lumbar disc.

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Section: Discussionmentioning

confidence: 99%

Foraminal Injection for Lateral Lumbar Disc Herniation

Weiner

Fraser

1997

The Journal of Bone and Joint Surgery. British volume

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“…These include midline incisions and subperiosteal muscle dissections with hemilaminectomy and partial or complete facetectomy or paramedian incisions with intermuscular dissections for an intertransverse approach; and combined approaches for LDHs occupying paramedian, foraminal and extraforaminal locations. Instability [15,16] and severe back pain [7] have been reported after an interlaminar approach with facetectomy and spinal fusion has been advocated in every case [17]. In addition, an extraforaminal disc prolapse is often sequestrated [1,12,15,18,19], and many migrate superiorly and laterally.…”

Section: Discussionmentioning

confidence: 99%

Extreme lateral lumbar disc herniation in a 12-year child: case report and review of the literature

Jiang

Dai

2010

Eur Spine J

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Extreme lateral lumbar disc herniations (ELLDHs) occur more frequently among elderly patients, with a peak incidence in the sixth decade, and are rarely found in children. The patient presented is a 12-year-old boy with a 3-month history of right-sided leg pain. Computerized tomography and magnetic resonance imaging demonstrated an extreme lateral disc herniation on the right at L4-L5 with compression of the L4 nerve root. He subsequently underwent removal of extreme lateral herniated disc through an intertransverse approach under general anesthesia. At 11-month follow-up, the patient maintained resolution of preoperative symptoms and a neurological examination revealed no sensory or motor deficit. Surgical intervention may be indicated for patients with ELLDHs that fail with conservative treatment.

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“…1,2,7,13,17) The association of centrolateral or foraminal disc herniations with FLLDH is responsible for the high incidence of FLLDH. 1,2) The incidence of FLLDH was 2% in this study.…”

Section: Discussionmentioning

confidence: 99%

Combined Approach for Far-Lateral Lumbar Disc Herniation

Özveren

Bılge

Barut

et al. 2004

Neurol. Med. Chir.(Tokyo)

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This study evaluated the combination of the classical interlaminar approach and the intertransverse route through a midline approach for the treatment of 18 patients with far-lateral lumbar disc herniations, as identified by magnetic resonance imaging. The patients presented with acute severe sciatica, antalgic posture, positive Las àegue sign and femoral stretch test, motor and sensory deficits, and reflex loss findings. Discectomy of all 18 patients was performed by the combined approach. Neurological outcome of all patients was excellent in the follow-up period, ranging from 5 to 8 years. This combined midline approach permits complete evacuation of the involved disc level and treatment of additional bone resection procedures. Therefore, we advocate this approach in far-lateral lumbar disc herniation cases.

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Extraforaminal Disc Herniation

Cited by 63 publications

References 3 publications

Foraminal Injection for Lateral Lumbar Disc Herniation

Foraminal Injection for Lateral Lumbar Disc Herniation

Extreme lateral lumbar disc herniation in a 12-year child: case report and review of the literature

Combined Approach for Far-Lateral Lumbar Disc Herniation

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