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Surgical Treatment of Far Lateral Lumbar Disc Herniation: a Safe and Simple Approach

Overview
Journal J Spine Surg
Date 2016 Sep 30
PMID 27683691
Citations 14
Authors
Darweesh O Al-Khawaja
Tamadur Mahasneh
Jonathan C Li
Affiliations
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Abstract

Lumbar discectomy is one of the most commonly performed neurosurgical procedure. Far lateral disc herniations (FLDH) make up a minor portion of the total discectomy workload for spine surgeons. Due to their lower incidence, as well as their different anatomical positioning compared to the more common para-median disc herniation, the surgical procedures involved in releasing the neural compression caused by FLDHs are often challenging and at times frustrating to most spine surgeons, resulting in suboptimal outcomes for the patient related to the higher risk of spinal instability from facet joint disruption and may even be associated with nerve root injury. We discuss here a safe and simple approach to tackle FLDH.

Citing Articles

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Kerr H, Wadikhaye R, Sun G, Park C Neurospine. 2025; 21(4):1160-1167.

PMID: 39765260 PMC: 11744527. DOI: 10.14245/ns.2449096.548.

Minimally invasive far lateral tubular microdiscectomy: surgical technique and case series of 176 patients.

Chau A, Lerch A, Waser B, Green L, Papacostas J, Tsahtsarlis A Eur Spine J. 2024; 33(11):4385-4391.

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New Ultrasound-Guided Approach to Access to the Posterolateral Part of Intervertebral Lumbar Discs: A Cadaveric Study.

Rodriguez-Sanz J, Borrella-Andres S, Lopez-de-Celis C, Albarova-Corral I, Perez-Bellmunt A, Bueno-Gracia E J Clin Med. 2024; 13(15).

PMID: 39124677 PMC: 11313509. DOI: 10.3390/jcm13154411.

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

Laskay N, Jarrell M, Salehani A, Atchley T, Parr M, Mooney J Cureus. 2024; 16(2):e53415.

PMID: 38435187 PMC: 10908426. DOI: 10.7759/cureus.53415.

Transforaminal Epidural Injection for Far Lateral Lumbar Disc Herniations: An Alternative to Surgery or Just a Delay?.

Serifoglu L, Etli M Cureus. 2024; 16(1):e52530.

PMID: 38371082 PMC: 10874465. DOI: 10.7759/cureus.52530.

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