Intertransverse Approach for Extraforaminal Herniations

Quanping, Wang; Lee, Nian-sheng; Zhang, Yi; Liu, Jian; Zhu, Jin-yu

doi:10.1097/00007632-199703150-00025

Cited by 14 publications

(4 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Far lateral or extreme lateral disc herniation primarily indicates that disc herniation is beyond the lateral intervertebral space. [15][16][17] Foraminal disc herniations occur beneath the facet, and extraforaminal herniations occur outside of the facet. An anatomic and roentgenographic study showed that the DRGs are directly inferior to the pedicle in 90% of the cases in human.…”

Section: Discussionmentioning

confidence: 99%

Distribution and Appearance of Tumor Necrosis Factor-α in the Dorsal Root Ganglion Exposed to Experimental Disc Herniation in Rats

Murata¹,

Onda²,

Rydevik³

et al. 2004

Spine

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Distribution and Appearance of Tumor Necrosis Factor-α in the Dorsal Root Ganglion Exposed to Experimental Disc Herniation in Rats

Murata¹,

Onda²,

Rydevik³

et al. 2004

Spine

View full text Add to dashboard Cite

show abstract

“…Lumbar disc herniations usually occur in the spinal canal, compressing the nerve roots, cauda equina, and/or DRG, causing lower extremity radicular pain. Far lateral or extreme lateral disc herniation primarily indicates that disc herniation is beyond the lateral intervertebral space ( Epstein et al, 1990; Wang et al, 1997; Gioia et al, 1999 ) . According to previous anatomical studies, the center of the lumbar DRG is adjacent to the lateral intervertebral disc in 32% of the patients studied ( Cohen et al, 1990 ) .…”

Section: Discussionmentioning

confidence: 99%

Macrophage appearance in the epineurium and endoneurium of dorsal root ganglion exposed to nucleus pulposus

Murata

Rydevik²,

Takahashi³

et al. 2004

J Peripheral Nervous Sys

View full text Add to dashboard Cite

Recently, it was observed that local application of nucleus pulposus may induce a characteristic reaction at the surface of the dorsal root ganglion (DRG). This change was inflammatory in nature and occurred as early as 1 day after the application of nucleus pulposus. Herniation of the nucleus pulposus was surgically induced in the L4-5 disc in rats. The L4 DRGs were resected 3, 24, and 72 h after surgery and sectioned. The sections were processed for immunohistochemistry using antisera to the macrophage marker ED1 and observed using light microscopy. The appearance of macrophages was confirmed 3, 24, and 72 h after the surgery. Macrophages were mainly distributed in the epineurial space of the DRG 3 h after disc incision and also in the endoneurial tissue 24 and 72 h after disc incision. The immunoreactivity was significantly stronger at 24 and 72 h than at 3 h in the parts of the DRG without apparent changes in the disc incision series (p < 0.01). Within the epineurium adjacent to application of nucleus pulposus, the number was significantly higher at 3 h than at 24 and 72 h (p < 0.05). We conclude that experimental disc herniation with leakage of nucleus pulposus results in macrophage recruitment to the epineurium of the DRG 3 h after disc incision and to the endoneurium 24 and 72 h after disc incision.

show abstract

“…Firstly, intertransverse ligament is not so much functionally important anatomical structure but there are many vessels beneath the ligament. The blood supply to the root has been shown to be critically dependent on the lateral radicular vessels (24,25) . Therefore, ischemic changes due to the disc fragment compression may be the cause of the acuteness of the symptoms seen in FLLDHs.…”

Section: Study Limitationsmentioning

confidence: 99%

Minimal Superior Articular Process Removal of Facet Joint in Lateral Interpedincular Approach Could Provide a Better Exposure in Far Lateral Disc Herniation Treatment: A Technical Report

Can¹,

Kircelli²

2020

jtss

View full text Add to dashboard Cite

Objective: To assess the results of 28 patients who underwent lateral interpedicular surgical approach (LISA) and to compare the outcomes with the current literature. Materials and Methods: Twenty-eight patients with far lateral lumbar disc herniation (FLLDH) undergoing LISA between 2015 and 2018 were retrospectively analyzed. Extruded or sequestered far lateral lumbar disc herniations, which cause radiculopathy, were included in this study. A visual analogue scale (VAS) and patient's subjective comment on the result of surgery with Mac Nab Classification were recorded at the pre-and post-operative follow-ups. Results: There were 15 males and 13 females. The mean age was 50.5± 9.65 years. Two patients had L2-3 herniations, 11 had L3-4, and 15 had L4-5. The mean duration of operation was 48.8±8.7 minutes. Preoperative VAS scores (9.32±0.61) were found to decline to 0.78±0.57. The Mac Nab Classification of the postoperative 6 th month results yielded 78.5% to be excellent, 14.2% to be good and 7.1% to be fair. There were no complications, including CSF leak, nerve injury or hematomas. Conclusion: The LISA is a minimally invasive, safe and simple procedure for FLLDH surgery with short hospital stay and duration of operation and with low complication rates.

show abstract

Intertransverse Approach for Extraforaminal Herniations

Cited by 14 publications

References 11 publications

Distribution and Appearance of Tumor Necrosis Factor-α in the Dorsal Root Ganglion Exposed to Experimental Disc Herniation in Rats

Distribution and Appearance of Tumor Necrosis Factor-α in the Dorsal Root Ganglion Exposed to Experimental Disc Herniation in Rats

Macrophage appearance in the epineurium and endoneurium of dorsal root ganglion exposed to nucleus pulposus

Minimal Superior Articular Process Removal of Facet Joint in Lateral Interpedincular Approach Could Provide a Better Exposure in Far Lateral Disc Herniation Treatment: A Technical Report

Contact Info

Product

Resources

About