Far lateral disc herniations treated by microscopic fragment excision. Techniques and results.


STUDY DESIGN:This was a retrospective review of a consecutive series of patients who underwent excision of far lateral disc herniations by a paraspinal, muscle-splitting incision that spares the facet. OBJECTIVE:The authors describe the surgical technique in detail and review the results of surgical treatment. SUMMARY OF BACKGROUND DATA:As the lumbar nerve roots exit the intervertebral foramen, they once again lie in juxtaposition to an intervertebral disc and are susceptible to compression with subsequent radiculopathy. Radiculopathy caused by disc herniations in this area is less common, and the anatomy is less familiar to spinal surgeons than that of paramedian disc herniations. The involved root can be approached by a transfacetal approach or by a muscle-splitting approach that spares the facet. METHODS:Thirty-one consecutive patients had undergone the muscle-splitting approach to far-lateral disc herniations. Twenty-five (80.6%) of these patients were available for evaluation at a minimum of 2 years after surgery. Evaluation consisted of history, pain questionnaires, visual analogue scales, physical examination, and plain radiographs. RESULTS:Twelve patients (48%) had excellent results, eight (32%) had good, and five (20%) had either fair or poor results. Low back pain and dysesthesias were causes of unsatisfactory results. No radiographic sign of instability developed postoperatively. CONCLUSION:The anatomy of the nerve root lateral to the pedicle and our technique for microscopic excision of herniated disc fragments lateral to the facet are described. Our overall results were encouraging. The described microscopic technique will hopefully minimize dysesthetic pain that appears to be the result of the manipulation of the dorsal root ganglion.


Spine (Phila Pa 1976)




Darden BV 2nd,Wade JF,Alexander R,Wood KE,Rhyne AL 3rd,Hicks JR




Has Abstract


1995-07-01 00:00:00














  • Functional importance of degenerative spondylolisthesis in cervical spondylotic myelopathy in the elderly.

    abstract:STUDY DESIGN:A correlation was studied between degenerative spondylolisthesis (DSL) of the cervical spine and spinal-evoked potentials intraoperatively recorded in elderly patients who had surgical treatment for cervical spondylotic myelopathy. OBJECTIVE:To investigate the functional importance of cervical DSL in elde...


    pub_type: 临床试验,杂志文章


    authors: Tani T,Kawasaki M,Taniguchi S,Ushida T

    更新日期:2003-06-01 00:00:00

  • Perioperative Neurologic Complications in Adult Spinal Deformity Surgery: Incidence and Risk Factors in 564 Patients.

    abstract:STUDY DESIGN:Prognostic study-case controlled. OBJECTIVE:Describe the rate of neurologic complications in adult spinal deformity surgery and describe the effect of these complications on clinical outcomes. SUMMARY OF BACKGROUND DATA:The incidence of neurologic complications and the risk factors for neurologic complic...


    pub_type: 杂志文章


    authors: Kim HJ,Iyer S,Zebala LP,Kelly MP,Sciubba D,Protopsaltis TS,Gupta M,Neuman BJ,Mundis GM,Ames CP,Smith JS,Hart R,Burton D,Klineberg EO,International Spine Study Group (ISSG).

    更新日期:2017-03-15 00:00:00

  • Results of the prospective, randomized, multicenter Food and Drug Administration investigational device exemption study of the ProDisc-L total disc replacement versus circumferential fusion for the treatment of 1-level degenerative disc disease.

    abstract:STUDY DESIGN:A prospective, randomized, multicenter, Food and Drug Administration-regulated Investigational Device Exemption clinical trial. OBJECTIVE:To evaluate the safety and effectiveness of the ProDisc-L (Synthes Spine, West Chester, PA) lumbar total disc replacement compared to circumferential spinal fusion for ...


    pub_type: 杂志文章,多中心研究,随机对照试验


    authors: Zigler J,Delamarter R,Spivak JM,Linovitz RJ,Danielson GO 3rd,Haider TT,Cammisa F,Zuchermann J,Balderston R,Kitchel S,Foley K,Watkins R,Bradford D,Yue J,Yuan H,Herkowitz H,Geiger D,Bendo J,Peppers T,Sachs B,Girardi

    更新日期:2007-05-15 00:00:00

  • The effects of removal of bullet fragments retained in the spinal canal. A collaborative study by the National Spinal Cord Injury Model Systems.

    abstract::Serial motor and sensory examinations were conducted on 90 patients with bullet fragments lodged in the spinal canal. Annual follow-up examinations were completed on 66 patients. Despite the fact that approximately 20% of the bullets had perforated the alimentary canal, no cases of infection were noted. Statistical an...


    pub_type: 杂志文章


    authors: Waters RL,Adkins RH

    更新日期:1991-08-01 00:00:00

  • Using segmental renal artery as recipient artery for spinal reconstructive surgery.

    abstract:STUDY DESIGN:Report of the use of one segmental artery from the left renal artery as inflow source for reconstructing a spine with recalcitrant osteomyelitis. OBJECTIVE:To describe one difficult case of spinal osteomyelitis and our reconstruction procedure. SUMMARY OF BACKGROUND DATA:The use of a vascularized fibular...


    pub_type: 杂志文章


    authors: Yen YH,Hsieh TS,Hou SM,Wu SJ,Chen SC,Pu CM

    更新日期:2010-12-01 00:00:00

  • Variability of somatosensory-evoked potentials in different stages of scoliosis surgery.

    abstract:STUDY DESIGN:A comparison of the latencies and amplitudes of the somatosensory-evoked potential in different stages of scoliosis surgery. OBJECTIVES:To investigate the normal variability of the somatosensory-evoked potential at different stages of scoliosis surgery and to improve the reliability of spinal cord monitor...


    pub_type: 杂志文章


    authors: Luk KD,Hu Y,Wong YW,Leong JC

    更新日期:1999-09-01 00:00:00

  • Functional outcome of surgically and conservatively managed dens fractures.

    abstract:STUDY DESIGN:Fifty-seven patients with dens fractures were identified from 1986 to 1996 at the authors' institution. Forty-six were available for reevaluation by two independent observers with a mean follow-up period of 26 months. OBJECTIVE:To determine by age and fracture type which treatment regimen provided the bes...


    pub_type: 杂志文章


    authors: Seybold EA,Bayley JC

    更新日期:1998-09-01 00:00:00

  • Denosumab Treatment for Giant Cell Tumor of the Spine Including the Sacrum.

    abstract:STUDY DESIGN:This was a subanalysis of an international, multicenter, open-label study. OBJECTIVE:The aim of this study was to assess the efficacy and safety of denosumab in a subset of patients with giant cell tumors of bone (GCTB) of the spine including the sacrum from an international, open-label, single-arm, phase...


    pub_type: 杂志文章


    authors: Bukata SV,Blay JY,Rutkowski P,Skubitz K,Henshaw R,Seeger L,Dai T,Jandial D,Chawla S

    更新日期:2020-10-08 00:00:00

  • The use of mathematical models for studies of scoliosis biomechanics.

    abstract::The use of mathematical and other types of models for the study of the biomechanics of scoliosis is reviewed in this article. The article is based on a talk presented at the 1987 Meeting of the Scoliosis Research Society. ...


    pub_type: 杂志文章


    authors: Schultz AB

    更新日期:1991-10-01 00:00:00

  • Randomized clinical study to compare the accuracy of navigated and non-navigated thoracic pedicle screws in deformity correction surgeries.

    abstract:STUDY DESIGN:Randomized clinical trial (level I evidence). OBJECTIVE:To compare the accuracy of non-navigation and Iso-C based navigation in pedicle screw fixation in thoracic spine deformities. SUMMARY OF BACKGROUND DATA:Thoracic pedicle screw insertion for spinal deformity correction can be associated with increase...


    pub_type: 杂志文章,随机对照试验


    authors: Rajasekaran S,Vidyadhara S,Ramesh P,Shetty AP

    更新日期:2007-01-15 00:00:00

  • Functional morphology of the thoracolumbar transversospinal muscles.

    abstract::STUDY DESIGN. A qualitative and semiquantitative study of the morphology of the human thoracolumbar transversospinal (TSP) muscles. OBJECTIVE. To further define the functional morphology of the thoracolumbar TSP muscles. SUMMARY OF BACKGROUND DATA. The TSP muscle group plays an important role in vertebral function but...


    pub_type: 杂志文章


    authors: Cornwall J,Stringer MD,Duxson M

    更新日期:2011-07-15 00:00:00

  • Spinal pain mechanisms.

    abstract::Pain is an extremely complex process that involves the interaction of an array of neurotransmitters and neuromodulators at all levels of the neuraxis. Identification of the receptors and processes that are involved in the transmission of pain at a spinal level has led to the use of new agents and new techniques in pai...


    pub_type: 杂志文章,评审


    authors: Siddall PJ,Cousins MJ

    更新日期:1997-01-01 00:00:00

  • What occupant kinematics and neuromuscular responses tell us about whiplash injury.

    abstract:STUDY DESIGN:Literature-based review. OBJECTIVE:To review the published data on occupant kinematic and neuromuscular responses during low-speed impacts and analyze how these data inform our understanding of whiplash injury. SUMMARY OF BACKGROUND DATA:A stereotypical kinematic and neuromuscular response has been obser...


    pub_type: 杂志文章,评审


    authors: Siegmund GP

    更新日期:2011-12-01 00:00:00

  • Thoracic and lumbar fractures associated with femoral shaft fractures in the multiple trauma patient. Occult presentations and implications for femoral fracture stabilization.

    abstract::Two-hundred-and-one patients with femoral shaft fractures were identified in a 5 year period at three institutions. Seven patients (3.5%) were found to have associated thoracic or lumbar fractures of various types. All resulted from high-velocity trauma. Four (57%) of these patients had thoracic or lumbar fractures th...


    pub_type: 杂志文章


    authors: Rupp RE,Ebraheim NA,Chrissos MG,Jackson WT

    更新日期:1994-03-01 00:00:00

  • Anatomic consideration in the anterior approach to the sacro-iliac joint.

    abstract::Anatomical study of L4 nerve branch, L5 nerve root, and bony stock in the sacroiliac region was performed in cadaveric specimens to provide anatomical references for anterior fixation of the sacroiliac joint. At 1 cm intervals along the sacro-iliac joint, the distance to the lateral border of the L4 nerve branch (to t...


    pub_type: 杂志文章


    authors: Ebraheim NA,Padanilam TG,Waldrop JT,Yeasting RA

    更新日期:1994-03-15 00:00:00

  • The Effect of Axial Torsion on the Mechanical Properties of the Annulus Fibrosus.

    abstract:STUDY DESIGN:In-vitro study of the tissue mechanics of annulus fibrosus. OBJECTIVE:To determine the effect of axial torsion on the mechanical properties of the inter- and intralamellar matrices. SUMMARY OF BACKGROUND DATA:Axial torsion, when combined with repetitive flexion, has been associated with an increased risk...


    pub_type: 杂志文章


    authors: Harvey-Burgess M,Gregory DE

    更新日期:2019-02-15 00:00:00

  • Cartilage oligomeric matrix protein in canine spinal cord appears in the cerebrospinal fluid associated with intervertebral disc herniation.

    abstract:STUDY DESIGN:Cerebrospinal fluid (CSF) from dogs with intervertebral disc herniation (IVDH) were analyzed using a specific antibody against cartilage oligomeric matrix protein (COMP). Immunolocalization and genetic expression of COMP were also examined in the spinal cords of mouse, rat, and dog. OBJECTIVE:To investiga...


    pub_type: 杂志文章


    authors: Tokunaga S,Yamanokuchi K,Yabuki A,Fujiki M,Misumi K

    更新日期:2010-01-01 00:00:00

  • Administration of sodium ibandronate in the treatment of complicated giant cell tumor of the spine.

    abstract:STUDY DESIGN:Case study. OBJECTIVE:To present three complicated cases of giant cell tumor of the spine treated with sodium ibandronate. SUMMARY OF BACKGROUND DATA:Spinal giant cell tumors are a rare clinical entity with a high recurrence rate after operation. Furthermore, complete resection of such lesions remains a ...


    pub_type: 杂志文章


    authors: Zhang W,Zhang Y,Li P,Rhodesm SD,Wang Y,Xue X,Dong Y,Ding W,Shen Y,Zhang B

    更新日期:2011-08-01 00:00:00

  • The association between pain drawings and computed tomographic/discographic pain responses.

    abstract:STUDY DESIGN:Pain drawings were scored and their relationship to discographic pain responses was investigated. OBJECTIVES:The purpose of this study was to determine if there was a relationship between patients indicating pain in nonanatomic patterns on pain drawings (possibly suggestive of a tendency to overreport pai...


    pub_type: 杂志文章


    authors: Ohnmeiss DD,Vanharanta H,Guyer RD

    更新日期:1995-03-15 00:00:00

  • The Optimal Timing of Hydrogel Injection for Treatment of Intervertebral Disc Degeneration: Quantitative Analysis Based on T1ρ MR Imaging.

    abstract:STUDY DESIGN:Animal experimental study. OBJECTIVE:The aim of this study was to investigate the optimal time of hydrogel injection for regenerating intervertebral disc degeneration (IDD) based on T1ρ magnetic resonance imaging (MRI). SUMMARY OF BACKGROUND DATA:Currently, different approaches are being pursued to regen...


    pub_type: 杂志文章


    authors: Liu Z,Li J,Hu M,Wang X,Chen N,Cui S,Li S,Liu H,Chen G,Pan X,Sun H,Liu S,Wei F

    更新日期:2020-11-15 00:00:00

  • Fine Configuration of Thoracic Type II Meningeal Cysts: Macro- and Microscopic Cadaveric Study Using Epoxy Sheet Plastination.

    abstract:STUDY DESIGN:A cadaveric study OBJECTIVE.: The aim of this study was to analyze the in situ macro- and microscopic configuration of the type II cyst and its anatomic relationship with surrounding structures. SUMMARY OF BACKGROUND DATA:The lack of consensus of surgical strategy to manage symptomatic type II meningeal c...


    pub_type: 杂志文章


    authors: Thorpe Lowis CG,Zhang M,Amin NF

    更新日期:2016-10-15 00:00:00

  • The Impact of Metastatic Spinal Tumor Location on 30-Day Perioperative Mortality and Morbidity After Surgical Decompression.

    abstract:STUDY DESIGN:A retrospective cohort study from 2011 to 2014 was performed using the American College of Surgeons National Surgical Quality Improvement Program database. OBJECTIVE:The purpose of this study was to assess the impact of tumor location in the cervical, thoracic, or lumbosacral spine on 30-day perioperative...


    pub_type: 杂志文章


    authors: Hussain AK,Vig KS,Cheung ZB,Phan K,Lima MC,Kim JS,Kaji DA,Arvind V,Cho SK

    更新日期:2018-06-01 00:00:00

  • Development of the Italian version of the Neck Pain and Disability Scale, NPDS-I: cross-cultural adaptation, reliability, and validity.

    abstract:STUDY DESIGN:Evaluation of the psychometric properties of the Neck Pain and Disability Scale (NPDS). OBJECTIVE:Translating, culturally adapting, and validating the Italian version of the NPDS-I. SUMMARY OF BACKGROUND DATA:Great importance is devoted to validated and comprehensive outcome measures to improve intervent...


    pub_type: 杂志文章


    authors: Monticone M,Baiardi P,Nido N,Righini C,Tomba A,Giovanazzi E

    更新日期:2008-06-01 00:00:00

  • Mechanical destabilization induced by controlled annular incision of the intervertebral disc dysregulates metalloproteinase expression and induces disc degeneration.

    abstract:STUDY DESIGN:An investigation of mechanical destabilization of the lumbar ovine intervertebral disc (IVD) inducing IVD degeneration (IVDD) as determined by multiparameter outcome measures (magnetic resonance imaging [MRI], IVD composition, biomechanical testing, gene profiling, immunohistochemistry, and immunoblotting)...


    pub_type: 杂志文章


    authors: Melrose J,Shu C,Young C,Ho R,Smith MM,Young AA,Smith SS,Gooden B,Dart A,Podadera J,Appleyard RC,Little CB

    更新日期:2012-01-01 00:00:00

  • Psychometric characteristics of the Brazilian-Portuguese versions of the Functional Rating Index and the Roland Morris Disability Questionnaire.

    abstract:STUDY DESIGN:Translation, cross-cultural adaptation and psychometric testing of self-report outcome measurements. OBJECTIVES:The aims of this study were to adapt the Functional Rating Index (FRI) to Brazilian-Portuguese and to test the psychometric properties of this new questionnaire and the Brazilian-Roland Morris D...


    pub_type: 杂志文章


    authors: Costa LO,Maher CG,Latimer J,Ferreira PH,Pozzi GC,Ribeiro RN

    更新日期:2007-08-01 00:00:00

  • The applied anatomy of the thoracolumbar fascia.

    abstract::The thoracolumbar fascia was studied by dissection in ten adult human cadavers. The posterior layer of this fascia was found to consist of two laminae. The superficial lamina is formed by the aponeurosis of latissimus dorsi. The deep lamina consists of bands of fibers passing caudolaterally from the midline. Both lami...


    pub_type: 杂志文章


    authors: Bogduk N,Macintosh JE

    更新日期:1984-03-01 00:00:00

  • Osteopathic manipulative treatment for chronic low back pain: a randomized controlled trial.

    abstract:STUDY DESIGN:A randomized controlled trial was conducted. OBJECTIVE:To determine the efficacy of osteopathic manipulative treatment as a complementary treatment for chronic nonspecific low back pain. SUMMARY OF BACKGROUND DATA:Osteopathic manipulative treatment may be useful for acute or subacute low back pain. Howev...


    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Licciardone JC,Stoll ST,Fulda KG,Russo DP,Siu J,Winn W,Swift J Jr

    更新日期:2003-07-01 00:00:00

  • Functional limitations due to stiffness as a collateral impact of instrumented arthrodesis of the lumbar spine.

    abstract:STUDY DESIGN:Prospective cohort study. OBJECTIVE:To understand whether patients actually perceive increased limitations as compared with their preoperative state due to stiffness after lumbar arthrodesis. SUMMARY OF BACKGROUND DATA:Lumbar arthrodesis by intention eliminates spinal motion in an attempt to decrease pai...


    pub_type: 杂志文章


    authors: Hart RA,Marshall LM,Hiratzka SL,Kane MS,Volpi J,Hiratzka JR

    更新日期:2014-11-15 00:00:00

  • Comparison of thoracic pedicle screw to hook instrumentation for the treatment of adult spinal deformity.

    abstract:STUDY DESIGN:Retrospective, case-control, matched cohort. OBJECTIVE:Compare the radiographic and clinical outcomes of adult spinal deformity patients treated with thoracic pedicle screw (TPS) or thoracic hook constructs. SUMMARY OF BACKGROUND DATA:The efficacy of TPS instrumentation for pediatric spinal deformity cor...


    pub_type: 杂志文章


    authors: Bess RS,Lenke LG,Bridwell KH,Cheh G,Mandel S,Sides B

    更新日期:2007-03-01 00:00:00

  • American Society of Anesthesiologists' Status Association With Cost and Length of Stay in Lumbar Laminectomy and Fusion: Results From an Institutional Database.

    abstract:STUDY DESIGN:Retrospective cohort study. OBJECTIVE:The objective of this study was to characterize the costs associated with American Society of Anesthesiologists (ASA) class, and to determine the extent to which ASA status is a predictor of increased cost and LOS following lumbar laminectomy and fusion (LLF). SUMMAR...


    pub_type: 杂志文章


    authors: Bronheim RS,Caridi JM,Steinberger J,Hunter S,Neifert SN,Deutsch BC,DeMaria S Jr,Hermann L,Gal JS

    更新日期:2020-03-01 00:00:00