Minim Invasive Neurosurg 2007; 50(3): 160-162
DOI: 10.1055/s-2007-985143
Original Article

© Georg Thieme Verlag KG Stuttgart · New York

Minimally Invasive Approach for the Treatment of Lateral Lumbar Disc Herniations. Technique and Results

E. Kogias 1 , V. I. Vougioukas 1 , U. Hubbe 1 , M.-E. Halatsch 2
  • 1Department of Neurosurgery, Albert-Ludwigs University of Freiburg, Freiburg, Germany
  • 2Department of Neurosurgery, Ruprecht-Karls University of Heidelberg, Heidelberg, Germany
Further Information

Publication History

Publication Date:
19 September 2007 (online)

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Abstract

Objective: This paper aims to demonstrate the feasibility and efficacy of a minimal invasive approach by using a muscle dilator system for the treatment of lateral lumbar disc herniations.

Methods: A retrospective analysis of 38 cases with lateral lumbar disc herniations that were treated the METRx-System was performed. Patients were assessed preoperatively and postoperatively with the visual analogue scale (VAS) for leg pain. Follow up ranged from 6 to 24 months.

Results: No intraoperative complications were observed. Operation time and intraoperative blood loss were minimized. In 37 cases VAS scores were significantly lower after the procedure. A single patient had to be reoperated due to insufficient removal of the herniated disc material.

Conclusion: The reported minimal invasive technique is a safe and efficient alternative to conventional methods for the treatment of lateral lumbar disc herniations.