Extraforaminal disk herniation treatment with surgical exploration by unilateral intertransversarii microsurgical approach

Aldo Spallone, Massimiliano Visocchi, A. Nardella, L. Lavorato

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Background: In this study we evaluated the role of a unilateral intertransversarii microsurgical approach for the treatment of extraforaminal lumbar disk herniations (ELDHs), with short-, medium-, and long-term follow-up. Methods: We retrospectively evaluated 96 patients who had undergone surgery for ELDH between 2001 and 2012 at our Institution. All the patients had been examined before the intervention, immediately after, and at 6 weeks, 6 months, and 18 months after the intervention. All the patients underwent surgical exploration with a unilateral intertransversarii microsurgical approach. After a midline incision was made, the paraspinal muscles were retracted laterally up to the transverse process, in order to visualize the intertransversarii ligament. Removal of this ligament allows microsurgical exposure of the extraforaminal pathology. If necessary, interlaminar microsurgical exploration is performed in the same session. Results: At 6-week postoperative follow-up we noted a significant decrease of pain both in patients who suffered from leg pain and in patients who reported back pain. Also, sensory and motor deficits had improved considerably. At 6-month postoperative follow-up we observed a further improvement in the clinical conditions of almost all patients. At the 18-month postoperative follow-up we observed a very low incidence of relapse of neurological symptoms. Conclusion: Our technique can be reasonably proposed because of its low morbidity, fast recovery, and short hospital stay.

Original languageEnglish
Title of host publicationActa Neurochirurgica, Supplementum
PublisherSpringer-Verlag Wien
Pages61-67
Number of pages7
Volume124
DOIs
Publication statusPublished - Jan 1 2017

Publication series

NameActa Neurochirurgica, Supplementum
Volume124
ISSN (Print)0065-1419
ISSN (Electronic)2197-8395

Fingerprint

Paraspinal Muscles
Ligaments
Therapeutics
Pain
Back Pain
Length of Stay
Leg
Pathology
Morbidity
Recurrence
Incidence

Keywords

  • Disk herniation
  • Extraforaminal
  • Microsurgery
  • Neurosurgical procedure
  • Paraspinal muscle

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

Cite this

Spallone, A., Visocchi, M., Nardella, A., & Lavorato, L. (2017). Extraforaminal disk herniation treatment with surgical exploration by unilateral intertransversarii microsurgical approach. In Acta Neurochirurgica, Supplementum (Vol. 124, pp. 61-67). (Acta Neurochirurgica, Supplementum; Vol. 124). Springer-Verlag Wien. https://doi.org/10.1007/978-3-319-39546-3_10

Extraforaminal disk herniation treatment with surgical exploration by unilateral intertransversarii microsurgical approach. / Spallone, Aldo; Visocchi, Massimiliano; Nardella, A.; Lavorato, L.

Acta Neurochirurgica, Supplementum. Vol. 124 Springer-Verlag Wien, 2017. p. 61-67 (Acta Neurochirurgica, Supplementum; Vol. 124).

Research output: Chapter in Book/Report/Conference proceedingChapter

Spallone, A, Visocchi, M, Nardella, A & Lavorato, L 2017, Extraforaminal disk herniation treatment with surgical exploration by unilateral intertransversarii microsurgical approach. in Acta Neurochirurgica, Supplementum. vol. 124, Acta Neurochirurgica, Supplementum, vol. 124, Springer-Verlag Wien, pp. 61-67. https://doi.org/10.1007/978-3-319-39546-3_10
Spallone A, Visocchi M, Nardella A, Lavorato L. Extraforaminal disk herniation treatment with surgical exploration by unilateral intertransversarii microsurgical approach. In Acta Neurochirurgica, Supplementum. Vol. 124. Springer-Verlag Wien. 2017. p. 61-67. (Acta Neurochirurgica, Supplementum). https://doi.org/10.1007/978-3-319-39546-3_10
Spallone, Aldo ; Visocchi, Massimiliano ; Nardella, A. ; Lavorato, L. / Extraforaminal disk herniation treatment with surgical exploration by unilateral intertransversarii microsurgical approach. Acta Neurochirurgica, Supplementum. Vol. 124 Springer-Verlag Wien, 2017. pp. 61-67 (Acta Neurochirurgica, Supplementum).
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