Extreme-lateral, minimally invasive, transpsoas approach for the treatment of far-lateral lumbar disc herniation

Report of 2 cases

Ricky Madhok M.D. and Adam S. Kanter M.D.
View More View Less
  • Department of Neurological Surgery, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania
Restricted access

Purchase Now

USD  $45.00

Spine - 1 year subscription bundle (Individuals Only)

USD  $369.00

JNS + Pediatrics + Spine - 1 year subscription bundle (Individuals Only)

USD  $600.00
Print or Print + Online

The authors present 2 cases of far-lateral lumbar disc herniations treated surgically via an extreme-lateral transpsoas approach. The procedure was performed using the MaXcess minimally invasive retractor system to access and successfully remove the disc fragments without complication. To the authors' knowledge, these are the first reported cases of using a minimally invasive retroperitoneal approach for the treatment of far-lateral disc herniations.

Abbreviation used in this paper: EMG = electromyography.

Spine - 1 year subscription bundle (Individuals Only)

USD  $369.00

JNS + Pediatrics + Spine - 1 year subscription bundle (Individuals Only)

USD  $600.00

Contributor Notes

Address correspondence to: Adam S. Kanter, M.D., Department of Neurological Surgery, University of Pittsburgh Medical Center, UPMC Presbyterian, 200 Lothrop Street, Suite B-400, Pittsburgh, Pennsylvania 15213. email: kanteras@upmc.edu.
  • 1

    Abdullah AF, , Wolber PG, , Warfield JR, & Gunadi IK: Surgical management of extreme lateral lumbar disc herniations: review of 138 cases. Neurosurgery 22:648653, 1988

    • Search Google Scholar
    • Export Citation
  • 2

    Cervellini P, , De Luca GP, , Mazzetto M, & Colombo F: Microendoscopic-discectomy (MED) for far lateral disc herniation in the lumbar spine. Technical note. Acta Neurochir Suppl 92:99101, 2005

    • Search Google Scholar
    • Export Citation
  • 3

    Epstein NE: Foraminal and far lateral lumbar disc herniations: surgical alternatives and outcome measures. Spinal Cord 40:491500, 2002

    • Search Google Scholar
    • Export Citation
  • 4

    Foley KT, , Smith MM, & Rampersaud YR: Microendoscopic approach to far-lateral lumbar disc herniation. Neurosurg Focus 7:5 e5, 1999

  • 5

    Hodges SD, , Humphreys SC, , Eck JC, & Covington LA: The surgical treatment of far lateral L3–L4 and L4–L5 disc herniations. A modified technique and outcomes analysis of 25 patients. Spine 24:12431246, 1999

    • Search Google Scholar
    • Export Citation
  • 6

    Jane JA, , Haworth CS, , Broaddus WC, , Lee JH, & Malik J: A neurosurgical approach to far-lateral disc herniation. Technical note. J Neurosurg 72:143144, 1990

    • Search Google Scholar
    • Export Citation
  • 7

    Ozgur BM, , Aryan HE, , Pimenta L, & Taylor WR: Extreme Lateral Interbody Fusion (XLIF): a novel surgical technique for anterior lumbar interbody fusion. Spine J 6:435443, 2006

    • Search Google Scholar
    • Export Citation
  • 8

    Pirris SM, , Dhall S, , Mummaneni PV, & Kanter AS: Minimally invasive approach to extraforaminal disc herniations at the lumbosacral junction using an operating microscope: case series and review of the literature. Neurosurg Focus 25:2 E10, 2008

    • Search Google Scholar
    • Export Citation
  • 9

    Porchet F, , Chollet-Bornand A, & de Tribolet N: Long-term follow up of patients surgically treated by the far-lateral approach for foraminal and extraforaminal lumbar disc herniations. J Neurosurg 90:1 Suppl 5966, 1999

    • Search Google Scholar
    • Export Citation
  • 10

    Ryang YM, , Oertel MF, , Mayfrank L, , Gilsbach JM, & Rohde V: Transmuscular trocar technique—minimal access spine surgery for far lateral lumbar disc herniations. Minim Invasive Neurosurg 50:304307, 2007

    • Search Google Scholar
    • Export Citation
  • 11

    Sasani M, , Ozer AF, , Oktenoglu T, , Canbulat N, & Sarioglu AC: Percutaneous endoscopic discectomy for far lateral lumbar disc herniations: prospective study and outcome of 66 patients. Minim Invasive Neurosurg 50:9197, 2007

    • Search Google Scholar
    • Export Citation
  • 12

    Siebner HR, & Faulhauer K: Frequency and specific surgical management of far lateral lumbar disc herniations. Acta Neurochir (Wien) 105:124131, 1990

    • Search Google Scholar
    • Export Citation

Metrics

All Time Past Year Past 30 Days
Abstract Views 654 277 3
Full Text Views 140 19 3
PDF Downloads 92 14 3
EPUB Downloads 0 0 0