Downward Laminotomy Technique for Hidden Zone Foraminal Disk Herniations: Technical Notes and Preliminary Results.

Abstract:

INTRODUCTION:Hidden zone foraminal herniations are among the more rare forms of herniations. As exploration is difficult, and there is a close relationship between the nerve root and pedicle, many surgical approaches have been proposed. The aim of this study was to describe downward laminotomy as a new approach to these herniations. MATERIALS AND METHODS:A downward laminotomy technique was used in 5 cases with hidden zone foraminal disk herniation with no extension to the intervertebral disk space. RESULTS:The herniated disk fragment was located at L4-L5 in 4 cases and at L3-L4 in 1 case. Mean visual analog scale scores reduced from preoperative 8.2 to 2.1 postoperatively. The allodynia was resolved in two months. CONCLUSIONS:It was concluded that downward laminotomy provides a safe, less risky, and minimally invasive approach to hidden zone foraminal disk herniations.

journal_name

Clin Spine Surg

journal_title

Clinical spine surgery

authors

Naderi S,Onen MR

doi

10.1097/BSD.0000000000000562

subject

Has Abstract

pub_date

2018-05-01 00:00:00

pages

152-155

issue

4

eissn

2380-0186

issn

2380-0194

journal_volume

31

pub_type

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