Surgical Treatment of Far Lateral Lumbar Disc Herniation: Outcomes of the Safe and Simple Midline Approach

ObjectiveSurgery for far lateral lumbar disc herniation (FLLDH) hernias is different than surgery for median and paramedian disc hernias. Our study offers a minimally invasive surgical technic for far lateral disc herniations.MethodsThe results of the midline surgical approach in 18 patients diagnos...

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Published in:Curēus (Palo Alto, CA) CA), 2022-08, Vol.14 (8), p.e27907-e27907
Main Authors: Kaya, Mustafa, Keskin, Emrah, Ceylan, Davut, Kacira, Tibet, Kitiki Kacira, Özlem
Format: Article
Language:English
Subjects:
Archives & records
Magnetic resonance imaging
Minimally invasive surgery
Neurosurgery
Pain
Postoperative period
Surgery
Surgical outcomes
University faculty
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Summary:ObjectiveSurgery for far lateral lumbar disc herniation (FLLDH) hernias is different than surgery for median and paramedian disc hernias. Our study offers a minimally invasive surgical technic for far lateral disc herniations.MethodsThe results of the midline surgical approach in 18 patients diagnosed with FLLDH were evaluated retrospectively.ResultsA total of 18 patients (7 females, 11 males), with a mean age of 57.9±9.4 years (range: 35-71 years), were included in the analyses. Three patients (16.7%) had lesions at the left L3-L4 level, six patients (33.3%) on the left L4-L5 level, five patients (27.8%) on the right L3-L4 level, and four patients (22.2%) on the right L4-L5 level. All patients had low back and leg pain. These complaints completely regressed after surgery.ConclusionThis study presents a review of a consecutive series of patients who underwent minimally invasive surgery for FLLDH using a midline approach.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.27907