Smooth dissection of ligamentum flavum for lumbar microdiscectomy. Preliminary report of this personal technique.
Surg Neurol
; 64(3): 232-5; discussion 235-6, 2005 Sep.
Article
em En
| MEDLINE
| ID: mdl-16099252
ABSTRACT
A newly designed technique for preservation of the ligamentum flavum (LF) during the lumbar discectomy is presented. This technique allows the evacuation of the lumbar herniated disk, without removal or laminar disinsertion of the LF. This ligament is smoothly dissected longitudinally in its more lateral portion, obtaining, after discectomy, the contact of the 2 margins with restoration of its functional integrity. Forty-five patients were operated on with this technique. We feel that this technique could offer advantages in reduction of epidural fibrosis and of decreased risk of dural injury, and is helpful to the surgeon in the case of recurrence of discal herniation.
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Base de dados:
MEDLINE
Assunto principal:
Ligamento Amarelo
/
Discotomia Percutânea
/
Deslocamento do Disco Intervertebral
/
Vértebras Lombares
/
Microcirurgia
Tipo de estudo:
Diagnostic_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Female
/
Humans
/
Male
Idioma:
En
Ano de publicação:
2005
Tipo de documento:
Article