The Internet Journal of Minimally Invasive Spinal Technology™ ISSN: 1937-8254

The Internet Journal of Minimally Invasive Spinal Technology is the official online journal of ISMISS/SICOT (International Society of Minimally Invasive Spinal Surgery, affiliate of SICOT) and AAMISMS (American Academy of Minimally Invasive Spine Surgery and Medicine)

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A Novel Technique Of Microsurgical Approach Through Laminofacet Articular Junction For Lumbar Disc Herniation (Hole Approach) And Video Presentation

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Figen Yagmur Aslan

Citation: F. Aslan : A Novel Technique Of Microsurgical Approach Through Laminofacet Articular Junction For Lumbar Disc Herniation (Hole Approach) And Video Presentation. The Internet Journal of Minimally Invasive Spinal Technology. 2009 Supplement II - to IJMIST Vol III No 4

Abstract

Objects: Hole approach has not been described in lumbar disc herniation, previously. We aim to give details and results of a new operation technique, used in 516 patients with different localization and types of disc herniation. Methods: Between March 2001 to 2007, 516 patients with lumbar disc herniation underwent Hole approach. In this procedure, in order to expose facets of the inferior articular edge superior and inferior facets were removed minimally by high-speed drill. The facet capsule left intact and opened a hole (as large as a thumb nail) in the junction between the facets and the lamina. After the root was found, the disc was removed, yellow ligament opened minimally. Also the residue disc may be taken out from contralateral side by using this technique. Same side and controlateral side disc may be cleaned at the one side operation in this technique. Patients data included; leg and back pain, return time to daily activity, Oswestry pain score, and final outcome. Patients were evaluated with post operative spiral CT and three dimensional reconstruction CT to show the amount of bone removing. Results: Following the operation no one had leg or back pain. All patients were able to mobilize at ½ to 4 hours, returned to daily activities at 5 to 7 days postoperatively. When compared with preoperative Oswestry pain score (46 ± 3,3), postoperative score (3,1 ± 0,9) was significantly decreased (p<,001). Conclusion: The goal of this approach were to protect to the facet articular joint, to used procedure in every type and size of disc herniation, to open the yellow ligament minimally, and return the daily activity and work early. Hole approach is a very safe and effective by means of treatment for back pain and sciatica pain caused by same side and controlateral side disc herniation.

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	The Internet Journal of Minimally Invasive Spinal Technology™ ISSN: 1937-8254 \| Home \| Editors \| Current Issue \| Archives \| Instructions for Authors \| Disclaimer \| Share with others \| The Internet Journal of Minimally Invasive Spinal Technology is the official online journal of ISMISS/SICOT (International Society of Minimally Invasive Spinal Surgery, affiliate of SICOT) and AAMISMS (American Academy of Minimally Invasive Spine Surgery and Medicine) A Novel Technique Of Microsurgical Approach Through Laminofacet Articular Junction For Lumbar Disc Herniation (Hole Approach) And Video Presentation Read printer friendly Subscribe in a reader Share with others Figen Yagmur Aslan Citation: F. Aslan : A Novel Technique Of Microsurgical Approach Through Laminofacet Articular Junction For Lumbar Disc Herniation (Hole Approach) And Video Presentation. The Internet Journal of Minimally Invasive Spinal Technology. 2009 Supplement II - to IJMIST Vol III No 4 Abstract Objects: Hole approach has not been described in lumbar disc herniation, previously. We aim to give details and results of a new operation technique, used in 516 patients with different localization and types of disc herniation. Methods: Between March 2001 to 2007, 516 patients with lumbar disc herniation underwent Hole approach. In this procedure, in order to expose facets of the inferior articular edge superior and inferior facets were removed minimally by high-speed drill. The facet capsule left intact and opened a hole (as large as a thumb nail) in the junction between the facets and the lamina. After the root was found, the disc was removed, yellow ligament opened minimally. Also the residue disc may be taken out from contralateral side by using this technique. Same side and controlateral side disc may be cleaned at the one side operation in this technique. Patients data included; leg and back pain, return time to daily activity, Oswestry pain score, and final outcome. Patients were evaluated with post operative spiral CT and three dimensional reconstruction CT to show the amount of bone removing. Results: Following the operation no one had leg or back pain. All patients were able to mobilize at ½ to 4 hours, returned to daily activities at 5 to 7 days postoperatively. When compared with preoperative Oswestry pain score (46 ± 3,3), postoperative score (3,1 ± 0,9) was significantly decreased (p<,001). Conclusion: The goal of this approach were to protect to the facet articular joint, to used procedure in every type and size of disc herniation, to open the yellow ligament minimally, and return the daily activity and work early. Hole approach is a very safe and effective by means of treatment for back pain and sciatica pain caused by same side and controlateral side disc herniation. This article was last modified on Fri, 03 Jul 09 14:16:49 -0500 This page was generated on Sat, 07 Nov 09 11:54:10 -0600, and may be cached.
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