Unilateral surgical approach for lumbar disc herniation with contralateral symptoms

Clinical article

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Object

In most cases of lumbar disc herniation, the primary problem is usually limited to radicular pain due to nerve compression on the herniated side, which is generally limited to the side of operation. The aim of this study was to reevaluate the side of the surgical approach in a selected group of patients with leg pain and contralateral lumbar disc herniation.

Methods

Included in this study were a total of 5 patients with lumbar disc herniations who presented with contralateral symptoms and neurological signs. In all cases, patients underwent a microdiscectomy from the side ipsilateral to the herniated lumbar disc, the side contralateral to the motor deficits and leg pain.

Results

The symptoms and signs, to some extent, resolved during the immediate postoperative period. There were no postoperative complications.

Conclusions

The findings confirm that performing a laminotomy via the side of the herniation is sufficient for this group of patients.

Article Information

Current affiliation for Dr. Kaner: Department of Neurosurgery, Medeniyet University Faculty of Medicine, Istanbul, Turkey

Address correspondence to: Taşkan Akdeniz, M.D., Department of Neurosurgery, Küçükyalı Delta Hospital, Akgüvercin Sok. No. 4, Istanbul, Turkey. email: taskanakdeniz5924@gmail.com.

Please include this information when citing this paper: published online June 8, 2012; DOI: 10.3171/2012.4.SPINE11365.

© AANS, except where prohibited by US copyright law.

Headings

Figures

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    Case 1. Preoperative and immediate postoperative images of the herniation level obtained in a 57-year-old woman with right leg pain. Surgery was conducted via the symptomatic side only.

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    Case 2. Preoperative and immediate postoperative images of the herniation level obtained in a 30-year-old man with left leg pain and neurological deficits.

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    Case 5. Preoperative and immediate postoperative images of the herniation level obtained in a 36-year-old woman with right leg pain and neurological deficits.

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