Extreme lateral lumbar disc herniation treatment.docVIP

 PAGE \* MERGEFORMAT 12 Extreme lateral lumbar disc herniation treatment 【Abstract】 The extreme lateral lumbar disc herniation treatment, especially prominent foramen L5/S1 gap treatment. [Methods] just outside the intervertebral foramen highlighted by the lateral lamina posterior midline incision into the side road, accompanied by lesions within the spinal canal through the posterior midline incision line of approach between lamina. L5/S1 space underwent sacral wing, L5 transverse process, lamina outer edge of the resection. [Results] After 2 to 5 years follow-up were excellent in 19 cases; good in 3 cases; in 3 cases; poor 0 cases, excellent and good rate 88  9%. [Conclusion] The extreme lateral lumbar disc herniation, surgical treatment and reliable, L5/S1 space must be removed part of the sacral wing, L5 transverse process, lamina rim (outer edge of the sacral superior facet) to well-exposed. Keywords: lateral lumbar disc herniation surgery Extreme lateral lumbar disc herniation refers to the type and foraminal foraminal lumbar disc herniation than the general term, clinical rare, accounting for lumbar disc herniation in a ~ 11%. From January 2000 to January 2005, the authors treated 25 cases, the report is as follows: A clinical data 1  1 General information The group of 25 cases, 9 cases were male and female 16 cases; aged 35 to 60 years, mean 42 years. History of 6 months to 3 years, an average of 1 year and 3 months, 5 patients had history of trauma waist, highlighting gaps: L3, 43 Li, L4, 512 Li, L5S110 cases, left in 11 cases, right in 14 cases, 8 cases associated with lateral recess stenosis, yellow ligament hypertrophy, 4 cases with side rear prominent, three cases of disc herniation combined with the neighboring. 25 cases in this group all have a more severe lower limb pain, back pain and discomfort in 12 cases, lower limb numbness in 11 cases, beside the deep call-in lumbar pain in 25 cases, positive straight