The Contralateral Approach to intra- and Extraforaminal Lumbar Disk Herniations: Surgical Technique and Review of Surgical Procedures.

Jesse, Christopher Marvin; Raabe, Andreas; Ulrich, Christian T. (2022). The Contralateral Approach to intra- and Extraforaminal Lumbar Disk Herniations: Surgical Technique and Review of Surgical Procedures. Journal of neurological surgery. Part A, Central European neurosurgery, 83(6), pp. 511-515. Thieme 10.1055/s-0041-1739221

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BACKGROUND

Surgery for intra-/extraforaminal disk herniations (IEDH) is technically demanding due to the hidden location of the compressed nerve root section. Ipsilateral approaches (medial and lateral) are accompanied by extended resection of the facet joint and inadequate visualization of the pathology, especially at the L5-S1 level.

METHODS

We describe a microsurgical interlaminar contralateral approach (MICA) suitable for IEDH at the lumbosacral junction that can also be used at L4-L5 and L3-L4.

CONCLUSION

The MICA provides access and sufficient intraforaminal visualization for IEDH in the lumbosacral region without resection of stability-relevant structures or manipulation of the nerve root ganglion.

Item Type:

Journal Article (Review Article)

Division/Institute:

04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Neurosurgery

UniBE Contributor:

Jesse, Christopher Marvin, Raabe, Andreas, Ulrich, Christian Thomas (A)

Subjects:

600 Technology > 610 Medicine & health

ISSN:

2193-6315

Publisher:

Thieme

Language:

English

Submitter:

Nicole Söll

Date Deposited:

13 Jan 2022 09:08

Last Modified:

29 Mar 2023 23:38

Publisher DOI:

10.1055/s-0041-1739221

PubMed ID:

34897627

URI:

https://boris.unibe.ch/id/eprint/162707

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