Lateral Lumbar Disc Herniation: A Clinical Study.
Teruaki Ohashi, Kensei Nagata, Kazumasa Ishibashi, Teruyuki Hirohashi, Kimiaki Satoh, Akio K. Inoue
Abstract
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Teruaki Ohashi, Kensei Nagata, Kazumasa Ishibashi, Teruyuki Hirohashi, Kimiaki Satoh, Akio K. Inoue
Abstract
Open-access reader
We review our conservative or operative treatment for 9 cases of lumbar disc herniation. The patients included 7 males and 2 females, with a mean age of 51 years. The level of disc lesion was L3/4 in 1, L4/5 in 2 and L5/S1 in 6 cases. All patients complained of neurological deficits, and severe pain in the lower extremities. Surgical treatment was lateral fenestration and total facetectomy in 5, and partial laminectomy without fusion in 1. The clinical results were excellent in 3, good in 5, and reguiring repeat surgery in 1. An accurate diagnosis of lateral herniation was made using axial MRI views an CT-discography. Selective root block was effective for accurately detecting the level of the disc lesion.
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We review our conservative or operative treatment for 9 cases of lumbar disc herniation. The patients included 7 males and 2 females, with a mean age of 51 years. The level of disc lesion was L3/4 in 1, L4/5 in 2 and L5/S1 in 6 cases. All patients complained of neurological deficits, and severe pain in the lower extremities. Surgical treatment was lateral fenestration and total facetectomy in 5, and partial laminectomy without fusion in 1. The clinical results were excellent in 3, good in 5, and reguiring repeat surgery in 1. An accurate diagnosis of lateral herniation was made using axial MRI views an CT-discography. Selective root block was effective for accurately detecting the level of the disc lesion.
Key concepts: Facetectomy, Medicine, Discography, Lumbar disc herniation, Laminectomy, Fenestration, Lesion, Disc herniation