L1-2 Disc Herniations: Clinical Characteristics and Surgical Results
Journal of Korean Neurosurgical Society
; : 196-201, 2005.
Article
ي En
| WPRIM
| ID: wpr-51481
المكتبة المسؤولة:
WPRO
ABSTRACT
OBJECTIVE: Among upper lumbar disc herniations, L1-2 disc herniations are especially rare. We present the specific clinical features of L1-2 disc herniation and compared results of different surgical options. METHODS: The authors undertook a retrospective single institution review of the patients who underwent surgery for L1-2 disc herniation. Thirty patients who underwent surgery for isolated L1-2 disc herniations were included. RESULTS: Buttock pain was more frequent than anterior or anterolateral thigh pain. Standing and/ or walking intolerance was more common than sitting intolerance. The straight leg raising test was positive only in 15 patients (50%). Iliopsoas weakness was more frequent than quadriceps weakness. Percutaneous discectomy group demonstrated worse outcome than laminectomy group or lateral retroperitoneal approach group. CONCLUSION: Standing and/or walking intolerance, positive femoral nerve stretch test, and iliopsoas weakness can be useful clues to the diagnosis of L1-2 disc herniation. Posterior approach using partial laminectomy and medial facetectomy or minimally invasive lateral retroperitoneal approach seems like a better surgical option for L1-2 disc herniation than percutaneous endoscopic discectomy.
Key words
النص الكامل:
1
الفهرس:
WPRIM
الموضوع الرئيسي:
Thigh
/
Buttocks
/
Retrospective Studies
/
Walking
/
Diskectomy, Percutaneous
/
Diskectomy
/
Diagnosis
/
Femoral Nerve
/
Laminectomy
/
Leg
نوع الدراسة:
Diagnostic_studies
/
Observational_studies
المحددات:
Humans
اللغة:
En
مجلة:
Journal of Korean Neurosurgical Society
السنة:
2005
نوع:
Article