A minimally invasive technique for L5-S1 intraforaminal disc herniations: Microdiscectomy with a tubular retractor via a contralateral approach - Technical note

Jin S. Yeom, Hwan Kim Kyeong, Woo Hong Soon, Kun Woo Park, Bong Soon Chang, Choon Ki Lee, Jacob M. Buchowski

Research output: Contribution to journalArticlepeer-review

22 Scopus citations

Abstract

Surgical treatment of intraforaminal disc herniations at the L5-S1 level is technically demanding. The 2 most commonly used procedures involve either a medial or lateral ipsilateral approach and often require a partial or even complete facet resection, which may in turn result in vertebral instability and/or back pain, as well as, in some cases, a fusion or stabilization procedure. In this report, the authors present a new minimally invasive technique for the treatment of L5-S1 intraforaminal disc herniations. Using this technique, which involves tubular retractors and an operative microscope to approach the neural foramen from the contralateral side, the authors could easily visualize and remove the herniated disc material and perform a thorough microdiscectomy with minimal resection of osseous and ligamentous structures. To illustrate this new minimally invasive technique for the treatment of intraforaminal disc herniations at L5-S1, they describe the cases of 2 patients who underwent the procedure and in whom successful results were achieved.

Original languageEnglish
Pages (from-to)193-198
Number of pages6
JournalJournal of Neurosurgery: Spine
Volume8
Issue number2
DOIs
StatePublished - Feb 1 2008

Keywords

  • Intraforaminal disc herniation
  • Lumbosacral spine
  • Microdiscectomy
  • Minimally invasive technique

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