Lecture far lateral disc herniations

Post on 16-Jul-2015

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Transcript of Lecture far lateral disc herniations

Far Lateral Disc Herniations

• Spine Conference

• Upper Chesapeake Medical Center

• Friday 2/6/15

54 year old woman with L sciatica. HPI: 3 episodes in the past. Left lateral thigh, lateral leg, lateral malleolar pain. ER twice 9/29/14 and 10/18/14. Presented on 1/5/15. PMH hysterectomy SH: smoker Exam: 5’8” 130 lb, 4/5 motor ankle DF

ELDH: extra foramenal lumbar disc herniations

• Far lateral disc herniations

• Less than 10%, L5S1 is even more rare, usually L3L4 or L4L5

• Near DRG

• 6th decade of life

Wiltse approach

Leon Wiltse