Portal de Periódicos da CAPES

A posterolateral microsurgical approach to extreme-lateral lumbar disc herniation

1995; American Association of Neurological Surgeons; Volume: 83; Issue: 4 Linguagem: Inglês

10.3171/jns.1995.83.4.0636

1933-0693

Michael O’Brien, David Peterson, H. Alan Crockard,

Spinal Hematomas and Complications

Extreme-lateral lumbar disc herniations present a surgical challenge because the conventional posterior approach requires bone resection for complete visualization of the pathology. The authors have identified constant anatomical landmarks in cadaveric dissections that facilitate access to the intervertebral foramen when combined with a posterolateral approach, as described by Watkins, for lumbar spinal fusion. The authors describe a technique that allows rapid localization and safe excision of these extreme-lateral lumbar disc herniations without the need for bone resection.