ArticleAnnals of the Royal College of Surgeons of England2018
Giant central lumbar disc herniations: a case for the transdural approach.
Article in Annals of the Royal College of Surgeons of England, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Giant calcified lumbar disc herniation in post-operative adjacent segment degeneration: a case report.Journal of spine surgery (Hong Kong) · 2025Article
- Transforaminal Endoscopic Lumbar Discectomy for Lumbosacral Junction Adolescent Lumbar Disc Herniation with High Iliac Crests.Orthopaedic surgery · 2022Article
- Preparation of Bismuth Tungstate Nanomaterials with Different Morphologies and Their Effect on Exercise Rehabilitation of Patients with Lumbar Disc Herniation.Journal of healthcare engineering · 2022Article
- Outcomes of percutaneous endoscopic trans-articular discectomy for huge central or paracentral lumbar disc herniation.International orthopaedics · 2019Article
- Transdural retrieval of retropulsed transforaminal lumbar interbody fusion cages.Journal of craniovertebral junction & spineArticle
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Giant central lumbar disc protrusions can pose a significant operative challenge. Clinically, these patients are at risk of permanent disability, due not only to preoperative neural compromise caused by the protrusion itself but also to the potential iatrogenic risks associated with the standard extradural microdiscectomy technique. This is the first report to date of a giant central L3/4 disc protrusion being successfully treated through a transdural microdiscectomy approach. Prior to this report, there have been just two cases describing its application in the lumbar spine. However, neither of these reports has described its use below the level of L2/3. We compare our surgical technique with these authors and discuss the pros and cons of this surgical approach relative to the standard extradural microdiscectomy technique. Overall, we have observed encouraging results from this approach and this report would support a role for further investigation into this rarely used technique.
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