J Korean Neurosurg Soc.  1996 Feb;25(2):415-419.

Combined Interlaminar and Paraspinal Intertransverse

• Bak KH
• Shin HS
• Kim JM
• Oh SH
• Kim KM

Abstract

A technique combining usual interlaminar approach and paraspinal intertransverse approach for exposing far-lateral disc herniations without disrupting the facet is described. This approach is useful because disc fragments can be removed from both intraspinal and paraspinal route with easy retraction and under short skin incision. This approach prevents reherniation by complete removing of residual nucleus pulposus. At the end of procedure the foramen can be explored in order to verify that foramen is opened. This approach is usuful especially in operating the double herniations and extruded far lateral disc herniations.

Keyword

Far-lateral disc herniation; Operative approch; Lumbar spine; Herniated lumbar disc; Combined intertransverse approach

MeSH Terms

Skin