Weill Cornell Medicine
Citigroup Biomedical Imaging Center
Weill Cornell Medicine
Citigroup Biomedical Imaging Center

Minimally invasive tubular approach for lumbar extraforaminal disc herniation: how I do it.

Publication Type Academic Article
Authors Leroy H, Gorwood W, Härtl R, Assaker R
Journal Acta Neurochir (Wien)
Volume 165
Issue 3
Pagination 761-765
Date Published 02/11/2023
ISSN 0942-0940
Keywords Intervertebral Disc Displacement
Abstract BACKGROUND: Minimally invasive surgical resection of extraforaminal disc herniation is challenging. The anatomical landmarks are varying from common interlaminar approach. The main risk is to damage the exiting nerve root as it is not yet protected by any bony structure. METHOD: Here, we present the different steps of the minimally invasive approach to resect a lumbar extraforaminal disc herniation, using tubular retractor under microscopy. CONCLUSION: Once the key steps of tubular placements are well known, minimally invasive approach for such extraforaminal resection affords appropriate exposure, while reducing blood loss and muscle injury.
DOI 10.1007/s00701-023-05513-w
PubMed ID 36773164
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