Downward laminotomy technique for hidden zone foraminal disk herniations
Clinical Spine Surgery, cilt.31, sa.4, ss.152-155, 2018 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 31 Sayı: 4
- Basım Tarihi: 2018
- Doi Numarası: 10.1097/bsd.0000000000000562
- Dergi Adı: Clinical Spine Surgery
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
- Sayfa Sayıları: ss.152-155
- Anahtar Kelimeler: foraminal disk herniations, hidden zone, downward foraminotomy technique
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Introduction: Hidden zone foraminal herniations are among the more rare forms of herniations. As exploration is difficult, and there is a close relationship between the nerve root and pedicle, many surgical approaches have been proposed. The aim of this study was to describe downward laminotomy as a new approach to these herniations. Materials and Methods: A downward laminotomy technique was used in 5 cases with hidden zone foraminal disk herniation with no extension to the intervertebral disk space. Results: The herniated disk fragment was located at L4-L5 in 4 cases and at L3-L4 in 1 case. Mean visual analog scale scores reduced from preoperative 8.2 to 2.1 postoperatively. The allodynia was resolved in two months. Conclusions: It was concluded that downward laminotomy provides a safe, less risky, and minimally invasive approach to hidden zone foraminal disk herniations.