Tubular Far Lateral Discectomy Tips and Tricks
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vumedi.com
Case study 138 - Far Lateral Disc Herniation Far lateral disc herniations account for 0.7%–12% of lumbar disc herniations and most commonly occur at the L4–5 and L3–4 levels. Far lateral and extreme lateral disc herniations are defined by extrusion of disc material lateral to the intervertebral foramen that migrate superolaterally from the disc space of origin. This can result in compression of the adjacent exiting nerve root from the level above. They can be difficult to deal with surgically. #
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Your MRI says far lateral disc herniation? Here’s what that actually means. Most disc herniations press on the nerve inside the spinal canal. Far lateral means the disc is bulging way out to the side—where the nerve exits like an off-ramp. It hits the nerve before it ever gets inside the tunnel. And that spot? It’s one of the hardest places to reach with traditional spine surgery. Bigger incisions, more muscle dissection, and more pain. That’s why endoscopic surgery shines. A tiny camera slides
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