Autor: |
Edvin Zekaj, Christian Saleh, Guglielmo Iess, Andrea Ciuffi, Phillip Jaszczuk, Tommaso Francesco Galbiati, Domenico Servello |
Rok vydání: |
2022 |
Předmět: |
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Zdroj: |
Surgical neurology international. 13 |
ISSN: |
2229-5097 |
Popis: |
Background: Minimally invasive approaches to intra/extraforaminal lumbar disc herniations offer the benefit of less bone removal and reduced nerve root manipulation at the L5-S1 level. Moreover, the potential to better preserve stability. Methods: Here, we summarized the efficacy of the contralateral approach to intraforaminal/extraforaminal lumbar disc herniations particularly focusing on the L5-S1 level. Variables studied included the level of these disc herniations, their locations within the foramina, and the anatomy of the facet joints. Results: A major “pro” for the contralateral interlaminar procedure at the L5-S1 level is that it does not require facet joint removal, or with a spondylotic facet, Conclusion: The contralateral interlaminar approach is more suitable for all types of intra/extraforaminal disc herniations at the L5/S1 level. The most specific benefit of this approach is its avoidance of disruption/significant removal (i.e. |
Databáze: |
OpenAIRE |
Externí odkaz: |
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