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Die Wirbelsäule 2021; 5(04): 259-262
DOI: 10.1055/a-1240-9382
Der interessante Fall

Ein extrem lateraler Bandscheibenvorfall L4/5

A rare case of extreme lateral disc herniation L4/5
Thomas Lübbers
1   Klinikum Leer, Wirbelsäulenchirurgie
,
Rainer Baalmann
2   St. Anna Klinik Löningen gemeinnützige GmbH
,
Gerd Sandvoss
3   Dr. med. Gerd Sandvoss – Neurochirurg
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Zusammenfassung

Extrem laterale lumbale Bandscheibenvorfälle führen definitionsgemäß zur Kompression der neuroforaminal austretenden Nervenwurzel. Im hiesigen Fallbericht liegt der Bandscheibenvorfall L4 /5 noch ventral der asymptomatischen L4-Wurzel. Diese ungewöhnliche Lokalisation bedingt dabei eine eher uncharakteristische Beschwerdesymptomatik. Die erfolgreiche Sequesterotomie wird dabei durch eine schonende und zeitsparende, perkutane und endoskopische Exploration ermöglicht.



Publikationsverlauf

Artikel online veröffentlicht:
13. Januar 2021

© 2021. Thieme. All rights reserved.

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  • Literatur

  • 1 Abdullah AF, Ditto EW, Byrd EB. Williams R: Extreme lateral lumbar disc herniations. JNeurosurg 1974; 41: 229
    Google Scholar
  • 2 Foley KT, Smith MM, Rampersaud YR. Microendoscopic approach to far-lateral lumbar disc herniation. Neurosurg Focus 1999; 7: e5 DOI: 10.3171/foc.1999.7.6.6. , PMID: 16918212
    CrossrefPubMedGoogle Scholar
  • 3 Park HW, Park KS, Park MS. et al. The Comparisons of Surgical Outcomes and Clinical Characteristics between the Far Lateral Lumbar Disc Herniations and the Paramedian Lumbar Disc Herniations. Korean J Spine 2013; 10: 155-159
    CrossrefPubMedGoogle Scholar
  • 4 Lew SM, Mehalic TF, Fagone KL. Transforaminal percutaneous endoscopic discectomy in the treatment of far-lateral and foraminal lumbar disc herniations. J Neurosurg 2001; 94: 216-220
    CrossrefPubMedGoogle Scholar
  • 5 Darden BV, Wade JF, Alexander R. et al. Far lateral disc herniations treated by microscopic fragment excision. Techniques and results. Spine 1995; 20: 1500-1515
    CrossrefPubMedGoogle Scholar
  • 6 Epstein NE. Evaluation of varied surgical approaches used in the management of 170 far-lateral lumbar disc herniations: indications and results. J Neurosurg 1995; 83: 648-656
    CrossrefPubMedGoogle Scholar
  • 7 Madhok R, Kanter AS. Extreme-lateral, minimally invasive, transpsoas approach for the treatment of far-lateral lumbar disc herniation: report of 2 cases. J Neurosurg Spine 2010; 12: 347-350
    CrossrefPubMedGoogle Scholar
  • 8 Dezawa A, Yamane T, Mikami H. et al. Retroperitoneal laparoscopic lateral approach to the lumbar spine: a new approach technique and clinical result. J Spinal Disord 2000; 13: 138-143
    CrossrefPubMedGoogle Scholar
  • 9 Haines CM, Samtani RG, Bernatz JT. et al. Far-lateral Disc Herniation Treated by Lateral Lumbar Interbody Fusion without Complete Fragment Excision: A Case Report and Review of the Literature. Cureus 2018; 10: e3404 DOI: 10.7759/cureus.3404. , PMID: 30533338
    CrossrefPubMedGoogle Scholar
  • 10 Kuang L, Wang B, Lü G. Transforaminal Lumbar Interbody Fusion Versus Mini-open Anterior Lumbar Interbody Fusion with Oblique Self-anchored Stand-alone Cages for the Treatment of Lumbar Disc Herniation: A Retrospective Study With 2-year Follow-up. Spine (Phila Pa 1976) 2017; 42: E1259-E1265
    CrossrefPubMedGoogle Scholar
  • 11 Lübbers T, Abuamona R, Elsharkawy AE. Percutaneous endoscopic treatment of foraminal and extraforaminal disc herniation at the L5-S1 level. Acta Neurochir (Wien) 2012; 154: 1789-1795
    CrossrefPubMedGoogle Scholar
  • 12 Ruetten S, Hahn P, Oezdemir S. et al. Operation of Soft or Calcified Thoracic Disc Herniations in the Full-Endoscopic Uniportal Extraforaminal Technique. Pain Physician 2018; 21: E331-E340
    CrossrefPubMedGoogle Scholar
  • 13 Suess O, Brock M, Kombos T. Motor nerve root monitoring during percutaneous transforaminal endoscopic sequestrectomy under general anesthesia for intra- and extraforaminal lumbar disc herniation. Zentralbl Neuroch 2005; 66: 190-201
    Artikel in Thieme ConnectPubMedGoogle Scholar
  • 14 Lübbers T. Börm W, Meyer F, Bullmann V. et al. Posterolateraler und transforaminaler Zugang zur endoskopischen Bandscheibenchirurgie. Wirbelsäule interdisziplinär. Schattauer Verlag 2017; 417-419
    Google Scholar