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Journal of Korean Neurosurgical Society 2001;30(1): 114-117. |
| High Lumbar Disc Herniation Treated with A Modified Posterolateral Approach: Case Report. |
| Hyung Sik Hwang |
| Department of Neurosurgery, College of Medicine, Hallym University, Anyang, Korea. |
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| ABSTRACT |
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Generally, the posterolateral approach had been recommended in case of extraforaminal disc herniation or lateral stenosis but it has been speculated that this procedure may be feasible to posterolateral disc herniation at the high lumbar levels of the L1-L2 interspace. Topographically, a posterolateral approach should be able to access anteromedial side of the spinal canal without the risk of the bony instability and damage to the neural structures.
During the past one year period, three patients with high lumbar discs at the L1-L2 level were treated by the modified posterolateral approach. This article describeds the details of this approach with pertinent literature review. |
| Key Words:
High lumbar disc herniation; Modified Posterolateral approach; Spinal instability |
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