Far Lateral Tubular Microdiscectomy for Extraforaminal, Foraminal, and Lateral Recess Acute Disc Herniation: Surgical Technique.

IF 1.6 4区医学 Q3 CLINICAL NEUROLOGY

Clinical Spine Surgery Pub Date : 2025-03-26 DOI:10.1097/BSD.0000000000001793

Anthony Minh Tien Chau, Aaron Lerch, Amir Amiri, Jason McMillen

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引用次数: 0

Abstract

Study design: We present a 7-minute stepwise instructional video alongside a detailed technical report defining our surgical approach.

Objective: We outline our technique for tubular far lateral microdiscectomy for the treatment of a soft extraforaminal, foraminal, and lateral recess disc herniation, avoiding the need for spinal fusion.

Summary of background data: This technique relies on a suitable soft disc consistency.

Methods: We demonstrate this with a case of a 50-year-old woman presenting with 1 month of acute onset L3 radiculopathy and weakness that is refractory to a cortisone block. Our step-by-step guide, presented in both video and written format, illustrates a specific situation where this technique may be applicable.

Results: The patient presented in this case was discharged home the following day, achieved full symptom resolution, and return of normal power/mobility, with sustained clinical outcome at 6 weeks follow-up.

Conclusions: The careful preoperative consideration of patients to select a suitable disc consistency allows the effective implementation of this technique to achieve excellent outcomes and avoid spinal fusion.

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来源期刊

Clinical Spine Surgery Medicine-Surgery

CiteScore

3.00

自引率

5.30%

发文量

236

期刊介绍： Clinical Spine Surgery is the ideal journal for the busy practicing spine surgeon or trainee, as it is the only journal necessary to keep up to date with new clinical research and surgical techniques. Readers get to watch leaders in the field debate controversial topics in a new controversies section, and gain access to evidence-based reviews of important pathologies in the systematic reviews section. The journal features a surgical technique complete with a video, and a tips and tricks section that allows surgeons to review the important steps prior to a complex procedure. Clinical Spine Surgery provides readers with primary research studies, specifically level 1, 2 and 3 studies, ensuring that articles that may actually change a surgeon’s practice will be read and published. Each issue includes a brief article that will help a surgeon better understand the business of healthcare, as well as an article that will help a surgeon understand how to interpret increasingly complex research methodology. Clinical Spine Surgery is your single source for up-to-date, evidence-based recommendations for spine care.