Microdiskectomy and Translaminar Approach: Minimal Invasiveness and Flavum Ligament Preservation

Conclusion The translaminar approach is the only tissue-sparing technique viable in case of cranially migrated LDH encroaching on the exiting nerve root in the preforaminal zones, for the levels above L2–L3, and in the preforaminal and foraminal zones, for the levels below L3–L4 (L5–S1 included, if a total microdiskectomy is not necessary). The possibility to spare the flavum ligament is one of the main advantages of this technique. According to our experience, the translaminar approach is an effective and safe alternative minimally invasive surgical option.[...]Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals:Table of contents  |  Abstract  |  Full text

Source: Global Spine Journal - November 10, 2014 Category: Orthopaedics Authors: Vanni, DanieleSirabella, Francesco S.Guelfi, MatteoPantalone, AndreaGalzio, RenatoSalini, VincenzoMagliani, Vincenzo Tags: Original Article Source Type: research