In this article postoperative results are reported in 170 patients with far-lateral disc herniations located primarily beyond the pedicle, although some presented with additional lesser elements in the foramen and spinal canal. The location of all far-lateral disc herniations was confirmed by preoperative magnetic resonance (MR) imaging and computerized tomography (CT) examinations, which also identified associated structural abnormalities contributing to stenosis of varying degrees and characteristics.
Three surgical techniques were used: laminotomy with medial facetectomy, full facetectomy, and the intertransverse approach. Based on the preoperative studies, it was important to determine which procedure provided the best results with the least morbidity.
The author would like to thank Dr. Joseph Epstein for his editorial comments, illustrations, and unlimited patience.
Privat JM: Les techniques de nucléotomie-discectomie percutanée. Technique automatisée et technique manuelle. Indications et résultats. Neurochirurgie 39:116–1241993Privat JM: Les techniques de nucléotomie-discectomie percutanée. Technique automatisée et technique manuelle. Indications et résultats. Neurochirurgie 39: