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Clinical Study of Lateral Lumbar Disc Herniation.

Meguru Inoue, Hiroo Fujiwara, Yuhiko Takahashi, Yoshiki Kajiki, Mitsugu Tsubouchi, Takeshi Imai

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Abstract

During the past 5 years, we have operated on 10 patients with lateral lumbar disc herniation. Of these, 5 were male and 5 were female ranging in age from 42-62 years (mean; 52 years). The level of hernition was L3/4 in 1, L4/5 in 3, L5/S in 6 cases. All patients complained of severe pain in the lower extremities. Axial views of MRI, CT and selective root block were useful for accurate diagnosis of place of lateral herniation.Facetectomy and removal of disc herniation were performed in all cases, but posterolateral fusion was not added. Problems of instability in the lumbar spine did not occur.Excellent results were achieved in all cases.

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What this paper is about

During the past 5 years, we have operated on 10 patients with lateral lumbar disc herniation. Of these, 5 were male and 5 were female ranging in age from 42-62 years (mean; 52 years). The level of hernition was L3/4 in 1, L4/5 in 3, L5/S in 6 cases. All patients complained of severe pain in the lower extremities. Axial views of MRI, CT and selective root block were useful for accurate diagnosis of place of lateral herniation.Facetectomy and removal of disc herniation were performed in all cases, but posterolateral fusion was not added. Problems of instability in the lumbar spine did not occur.Excellent results were achieved in all cases.

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Available abstract

During the past 5 years, we have operated on 10 patients with lateral lumbar disc herniation. Of these, 5 were male and 5 were female ranging in age from 42-62 years (mean; 52 years). The level of hernition was L3/4 in 1, L4/5 in 3, L5/S in 6 cases. All patients complained of severe pain in the lower extremities. Axial views of MRI, CT and selective root block were useful for accurate diagnosis of place of lateral herniation.Facetectomy and removal of disc herniation were performed in all cases, but posterolateral fusion was not added. Problems of instability in the lumbar spine did not occur.Excellent results were achieved in all cases.

Key concepts: Facetectomy, Lumbar disc herniation, Medicine, Disc herniation, Back pain, Lumbar spine, Surgery, Lumbar

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