Transdural Approach in Difficult Giant Disc Herniation Cases

Abstract Background: Massive central lumbar disc herniations can pose a significant operative challenge. A protruding disc can be approached either through the axilla of the cord or transdurally. Aim of Study: This study aimed to study the outcome of transdural approach in a massive disc prolapse ca...

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Published inJournal of orthopaedic diseases and traumatology Vol. 7; no. 1; pp. 108 - 110
Main Authors Haque, Mohtashemul, Patel, Dipesh Kumar, Kumar, Avinash, Ahmad, Fazal, Afsal, Mohamed
Format Journal Article
LanguageEnglish
Published Wolters Kluwer Medknow Publications 01.09.2024
Subjects
cauda equina syndrome
lumbar disc herniation
transdural approach
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Abstract Abstract Background: Massive central lumbar disc herniations can pose a significant operative challenge. A protruding disc can be approached either through the axilla of the cord or transdurally. Aim of Study: This study aimed to study the outcome of transdural approach in a massive disc prolapse causing cauda equina syndrome. Materials and Methods: Of all the cases of disc prolapse, only patients presenting with massive disc protrusion/cauda equina syndrome were selected for the transdural approach. Seven males and three females in the age group of 40–60 years were treated by this method. Results: The transdural approach in a cauda equina patient was remarkably safe, short duration, and satisfactory results. Conclusion: Paraspinal approach through the axilla was superior for disc prolapse were exiting nerve root compression was present. For a fully blown cauda equina syndrome, the trandsural approach was easy, safe, and satisfactory.
AbstractList Abstract Background: Massive central lumbar disc herniations can pose a significant operative challenge. A protruding disc can be approached either through the axilla of the cord or transdurally. Aim of Study: This study aimed to study the outcome of transdural approach in a massive disc prolapse causing cauda equina syndrome. Materials and Methods: Of all the cases of disc prolapse, only patients presenting with massive disc protrusion/cauda equina syndrome were selected for the transdural approach. Seven males and three females in the age group of 40–60 years were treated by this method. Results: The transdural approach in a cauda equina patient was remarkably safe, short duration, and satisfactory results. Conclusion: Paraspinal approach through the axilla was superior for disc prolapse were exiting nerve root compression was present. For a fully blown cauda equina syndrome, the trandsural approach was easy, safe, and satisfactory.
Background: Massive central lumbar disc herniations can pose a significant operative challenge. A protruding disc can be approached either through the axilla of the cord or transdurally. Aim of Study: This study aimed to study the outcome of transdural approach in a massive disc prolapse causing cauda equina syndrome. MATERIALS AND METHODS: Of all the cases of disc prolapse, only patients presenting with massive disc protrusion/cauda equina syndrome were selected for the transdural approach. Seven males and three females in the age group of 40–60 years were treated by this method. Results: The transdural approach in a cauda equina patient was remarkably safe, short duration, and satisfactory results. Conclusion: Paraspinal approach through the axilla was superior for disc prolapse were exiting nerve root compression was present. For a fully blown cauda equina syndrome, the trandsural approach was easy, safe, and satisfactory.
Author Haque, Mohtashemul
Patel, Dipesh Kumar
Afsal, Mohamed
Kumar, Avinash
Ahmad, Fazal
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Snippet Abstract Background: Massive central lumbar disc herniations can pose a significant operative challenge. A protruding disc can be approached either through the...
Background: Massive central lumbar disc herniations can pose a significant operative challenge. A protruding disc can be approached either through the axilla...
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SubjectTerms cauda equina syndrome
lumbar disc herniation
transdural approach
Title Transdural Approach in Difficult Giant Disc Herniation Cases
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