caa a22 4500 477108164 CHVBK 20180405111601.0 cr unu---uuuuu 170330e19960801xx s 000 0 eng 10.1007/BF01411277 doi (NATIONALLICENCE)springer-10.1007/BF01411277 Microsurgical management of lateral lumbar disc herniations: Combined lateral and interlaminar approach [Elektronische Daten] [W. Hassler, S. Brandner, I. Slansky] Summary: Seventy-three patients presenting either with biradicular symptoms caused by involvement of the upper and lower root or with monoradicular symptoms caused by affection of the upper root were treated between January 1993 and July 1995 in our department. An interlaminar and lateral access was used to decompress both the upper and lower root by combining the conventional interlaminar approach and a lateral partial facetectomy. With this technique, satisfactory to excellent results were obtained in 92% of the patients. The advantages of the combined approach are (i) optimized visualization of the disc and surrounding anatomical structures, (ii) improved exposure of the lateral foramen and thorough removal of disc material, (iii) minimal risk of root injury by improved visualization, (iv) preservation of a functional facet joint and thereby reduction of postoperative instability with persistent back pain. Since occasionally lateral disc herniations are poorly visualized by computed tomography or magnetic resonance imaging, the decision to use the combined approach should be guided by the patient's clinical presentation rather than by radiological findings. Springer-Verlag, 1996 Lumbar disc nationallicence lateral disc herniation nationallicence facetectomy nationallicence Hassler W. Neurosurgical Department, Klinikum Kalkweg, Duisburg, Federal Republic of Germany aut Brandner S. Neurosurgical Department, Klinikum Kalkweg, Duisburg, Federal Republic of Germany aut Slansky I. Neurosurgical Department, Klinikum Kalkweg, Duisburg, Federal Republic of Germany aut Acta Neurochirurgica Springer-Verlag 138/8(1996-08-01), 907-911 0001-6268 138:8<907 1996 138 701 https://doi.org/10.1007/BF01411277 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF01411277 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Hassler W. Neurosurgical Department, Klinikum Kalkweg, Duisburg, Federal Republic of Germany aut NATIONALLICENCE 700 1- Brandner S. Neurosurgical Department, Klinikum Kalkweg, Duisburg, Federal Republic of Germany aut NATIONALLICENCE 700 1- Slansky I. Neurosurgical Department, Klinikum Kalkweg, Duisburg, Federal Republic of Germany aut NATIONALLICENCE 773 0- Acta Neurochirurgica Springer-Verlag 138/8(1996-08-01), 907-911 0001-6268 138:8<907 1996 138 701 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer