Table of Contents Author Guidelines Submit a Manuscript
BioMed Research International
Volume 2016 (2016), Article ID 3487437, 6 pages
http://dx.doi.org/10.1155/2016/3487437
Research Article

Navigated Transtubular Extraforaminal Decompression of the L5 Nerve Root at the Lumbosacral Junction: Clinical Data, Radiographic Features, and Outcome Analysis

1Department of Neurosurgery, University Hospital of Cologne, 50937 Cologne, Germany
2Department of Neurological Surgery, Weill Cornell Medical College, New York, NY 10021, USA
3Department of Radiology and Neuroradiology, University Hospital of Cologne, 50937 Cologne, Germany

Received 26 January 2016; Revised 9 March 2016; Accepted 15 March 2016

Academic Editor: Ayhan Cömert

Copyright © 2016 P. Stavrinou et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Linked References

  1. J.-S. Jang, S.-H. An, and S.-H. Lee, “Transforaminal percutaneous endoscopic discectomy in the treatment of foraminal and extraforaminal lumbar disc herniations,” Journal of Spinal Disorders & Techniques, vol. 19, no. 5, pp. 338–343, 2006. View at Publisher · View at Google Scholar · View at Scopus
  2. J. E. O'Toole, K. M. Eichholz, and R. G. Fessler, “Minimally invasive far lateral microendoscopic discectomy for extraforaminal disc herniation at the lumbosacral junction: cadaveric dissection and technical case report,” The Spine Journal, vol. 7, no. 4, pp. 414–421, 2007. View at Publisher · View at Google Scholar · View at Scopus
  3. I. Macnab, “Negative disc exploration. An analysis of the causes of nerve-root involvement in sixty-eight patients,” The Journal of Bone & Joint Surgery—American Volume, vol. 53, no. 5, pp. 891–903, 1971. View at Google Scholar · View at Scopus
  4. A. F. Mannion, A. Junge, J. C. T. Fairbank, J. Dvorak, and D. Grob, “Development of a German version of the Oswestry Disability Index. Part 1: cross-cultural adaptation, reliability, and validity,” European Spine Journal, vol. 15, no. 1, pp. 55–65, 2006. View at Publisher · View at Google Scholar · View at Scopus
  5. J.-I. Kunogi and M. Hasue, “Diagnosis and operative treatment of intraforaminal and extraforaminal nerve root compression,” Spine, vol. 16, no. 11, pp. 1312–1320, 1991. View at Publisher · View at Google Scholar · View at Scopus
  6. N. E. Epstein, “Evaluation of varied surgical approaches used in the management of 170 far-lateral lumbar disc herniations: indications and results,” Journal of Neurosurgery, vol. 83, no. 4, pp. 648–656, 1995. View at Publisher · View at Google Scholar · View at Scopus
  7. N. E. Epstein, “Foraminal and far lateral lumbar disc herniations: surgical alternatives and outcome measures,” Spinal Cord, vol. 40, no. 10, pp. 491–500, 2002. View at Publisher · View at Google Scholar · View at Scopus
  8. E. Garrido and P. N. Connaughton, “Unilateral facetectomy approach for lateral lumbar disc herniation,” Journal of Neurosurgery, vol. 74, no. 5, pp. 754–756, 1991. View at Publisher · View at Google Scholar · View at Scopus
  9. T. R. Haher, M. O'brien, J. W. Dryer, R. Nucci, R. Zipnick, and D. J. Leone, “The role of the lumbar facet joints in spinal stability: identification of alternative paths of loading,” Spine, vol. 19, no. 23, pp. 2667–2671, 1994. View at Publisher · View at Google Scholar · View at Scopus
  10. L. L. Wiltse, “The paraspinal sacrospinalis splitting approach to the lumbar spine,” Clinical Orthopaedics and Related Research, vol. 91, pp. 48–57, 1973. View at Publisher · View at Google Scholar · View at Scopus
  11. L. L. Wiltse and C. W. Spencer, “New uses and refinements of the paraspinal approach to the lumbar spine,” Spine, vol. 13, no. 6, pp. 696–706, 1988. View at Publisher · View at Google Scholar · View at Scopus
  12. K. T. Foley, M. M. Smith, and Y. R. Rampersaud, “Microendoscopic approach to far-lateral lumbar disc herniation,” Neurosurgical Focus, vol. 7, no. 5, article e5, 1999. View at Google Scholar
  13. P. Cervellini, G. P. De Luca, M. Mazzetto, and F. Colombo, “Micro-endoscopic-discectomy (MED) for far lateral disc herniation in the lumbar spine. Technical note,” Acta Neurochirurgica Supplement, vol. 92, pp. 99–101, 2005. View at Google Scholar
  14. R. Greiner-Perth, H. Böhm, and Y. Allam, “A new technique for the treatment of lumbar far lateral disc herniation: technical note and preliminary results,” European Spine Journal, vol. 12, no. 3, pp. 320–324, 2003. View at Google Scholar · View at Scopus
  15. K. Kotil, M. Akcetin, and T. Bilge, “A minimally invasive transmuscular approach to far-lateral L5-S1 level disc herniations: a prospective study,” Journal of Spinal Disorders &d Techniques, vol. 20, no. 2, pp. 132–138, 2007. View at Publisher · View at Google Scholar · View at Scopus
  16. S. M. Pirris, S. Dhall, P. V. Mummaneni, and A. S. Kanter, “Minimally invasive approach to extraforaminal disc herniations at the lumbosacral junction using an operating microscope: case series and review of the literature,” Neurosurgical Focus, vol. 25, article E10, 2008. View at Publisher · View at Google Scholar · View at Scopus
  17. Y. Zhou, W.-J. Zheng, J. Wang et al., “The clinical features of, and microendoscopic decompression for, extraforaminal entrapment of the L5 spinal nerve,” Orthopaedic Surgery, vol. 1, no. 1, pp. 74–77, 2009. View at Publisher · View at Google Scholar · View at Scopus
  18. D. Y. Lee and S.-H. Lee, “Microdecompression for extraforaminal L5-s1 disc herniation; the significance of concominant foraminal disc herniation for postoperative leg pain,” Journal of Korean Neurosurgical Society, vol. 44, no. 1, pp. 19–25, 2008. View at Publisher · View at Google Scholar · View at Scopus
  19. S.-B. Chang, S.-H. Lee, Y. Ahn, and J.-M. Kim, “Risk factor for unsatisfactory outcome after lumbar foraminal and far lateral microdecompression,” Spine, vol. 31, no. 10, pp. 1163–1167, 2006. View at Publisher · View at Google Scholar · View at Scopus
  20. M. Matsumoto, K. Watanabe, K. Ishii et al., “Posterior decompression surgery for extraforaminal entrapment of the fifth lumbar spinal nerve at the lumbosacral junction,” Journal of Neurosurgery Spine, vol. 12, no. 1, pp. 72–81, 2010. View at Publisher · View at Google Scholar · View at Scopus