Source:<\/strong>\u00a02005 March<\/p>\n\n\n\n INTRODUCTION<\/strong>\u00a0The possibility of developing failed back surgery syndrome, which may be related to the size of the access pathway to the pathology, is a major concern. When the herniation lies at the L4-L5 level (the most common level in our experience) the particular anatomical dimensions and confined space create a requirement for greater access trauma, when typical surgical approaches are used.<\/p>\n\n\n\n METHODS<\/strong>\u00a0Utilizing a small working channel endoscope through a double postero-lateral approach provides a better alternative to open surgery, by addressing the problem with minimal surgical trauma. This method substantially reduces the likelihood of developing post-surgical long-term complications. 43 patients from 2002 and 2003 were retrospectively analyzed. 11.63% (n= 5) were females and 88.37% (n= 38) were males (average age 38.55 years) (19-60). The results were tabulated utilizing the Mac Nab criteria. 70% of the herniations were contained and 30% uncontained. No limitations to access were found on wide view CT scans. All patients had two small postero-lateral approaches made to the L4\/L5 disc pathology<\/p>\n\n\n\n RESULTS<\/strong>\u00a0EXCELLENT: 25.58% (n=11), GOOD: 67.44% (n=29), FAIR: 4.65% (n=2) and POOR: 2.32% (n= 1). Overall SUCCESS RATE was 93.02%. No complications. Follow-up averaged 3 months. The success rate in uncontained herniations was better than in contained herniations: 100% vs. 90% respectively.<\/p>\n\n\n\n CONCLUSIONS<\/strong>\u00a0In L4-L5 lateral recess herniations, the traditional surgical approach increases the probability of the development of surgical failed back syndrome. Whereas, in this group, the small outpatient double-access endoscopic approach is highly successful, extremely safe and more surgical conservative.<\/p>\n","protected":false},"excerpt":{"rendered":" In L4\/5 Lateral Recess Lumbar Disc Herniations: Successful And Surgically Conservative. Source:\u00a02005 March INTRODUCTION\u00a0The possibility of developing failed back surgery syndrome, which may be related to the size of the access pathway to the pathology, is a major concern. When the herniation lies at the L4-L5 level (the most common level in our experience) the particular anatomical dimensions and confined space create a requirement for greater access trauma, when typical surgical approaches are used. METHODS\u00a0Utilizing a small working channel endoscope through a double postero-lateral approach provides a better alternative to open surgery, by addressing the problem with minimal surgical trauma…. <\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-287","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/backinstituteneurosurgery.com\/main\/wp-json\/wp\/v2\/pages\/287","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/backinstituteneurosurgery.com\/main\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/backinstituteneurosurgery.com\/main\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/backinstituteneurosurgery.com\/main\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/backinstituteneurosurgery.com\/main\/wp-json\/wp\/v2\/comments?post=287"}],"version-history":[{"count":0,"href":"https:\/\/backinstituteneurosurgery.com\/main\/wp-json\/wp\/v2\/pages\/287\/revisions"}],"wp:attachment":[{"href":"https:\/\/backinstituteneurosurgery.com\/main\/wp-json\/wp\/v2\/media?parent=287"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}