Strategy for Far Lateral Lumbar Disc Herniation and Foraminal Stenosis
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- Kudo Yohei
- Department of Neurosurgery, Nishijima Hospital
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- Tachibana Shigekuni
- Department of Neurosurgery, Nishijima Hospital
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- Nishijima Yoji
- Department of Neurosurgery, Nishijima Hospital
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- Ono Hirohisa
- Department of Neurosurgery, Nishijima Hospital
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- Adachi Naoto
- Department of Neurosurgery, Nishijima Hospital
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- Chitoku Shiro
- Department of Neurosurgery, Nishijima Hospital
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- Mukaihara Shigeo
- Department of Neurosurgery, Nishijima Hospital
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- Sakamoto Masaki
- Department of Neurosurgery, Nishijima Hospital
Bibliographic Information
- Other Title
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- 腰椎外側型病変の病態に応じた治療戦略の工夫
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Abstract
<p> Lumbar radiculopathy caused by lesions outside the spinal canal, such as far lateral lumbar disc herniation (FLLDH) and lumbar foraminal stenosis (LFS), are not rare conditions. Over the past 6 years, we have treated 5 patients with FLLDH and 8 with LFS. Last year, the incidence of FLLDH and LFS among patients undergoing lumbar surgery patients was approximately 10%. A lateral intermuscular approach was selected as the operative method of choice for all patients with FLLDH and 4 patients with LFS who had no lesions inside the spinal canal. In 2 patients with LFS who had concurrent medial lumbar canal stenosis (MLCS), a paramedian combined approach and decompression of both MLCS and LFS was performed. In 2 patients who had a medical history of laminectomy for MLCS, facetectomy and posterior lumbar interbody fusion (PLIF) with a pedicle screw was performed. In all patients, symptoms completely resolved postoperatively and the post-operative course was uneventful. In conclusion, we would like to stress that accurate diagnosis and adequate surgical treatment will ensure favorable results for patients with FLLDH and LFS.</p>
Journal
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- Spinal Surgery
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Spinal Surgery 25 (2), 170-176, 2011
The Japanese Society of Spinal Surgery
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Details 詳細情報について
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- CRID
- 1390001205232077824
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- NII Article ID
- 130006896312
- 10030031355
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- NII Book ID
- AN10283463
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- ISSN
- 18809359
- 09146024
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- Text Lang
- ja
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- Data Source
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- JaLC
- Crossref
- CiNii Articles
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- Abstract License Flag
- Disallowed