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Proposal of a new anatomical landmark to identify the disc space in endoscopic lumbar discectomy
INTRODUCTION: In endoscopic lumbar discectomy for posterolateral disc herniation, we determined some anatomical landmarks for improved disc space access. These landmarks are based on the beginning of the insertion of the ligamentum flavum (LF) to vertebral lamina. MATERIALS AND METHODS: In 978 patie...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer - Medknow
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6469320/ https://www.ncbi.nlm.nih.gov/pubmed/31000979 http://dx.doi.org/10.4103/jcvjs.JCVJS_103_18 |
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author | Mostofi, Keyvan Peyravi, Morad Moghaddam, Babak Gharaei Khouzani, Reza Karimi |
author_facet | Mostofi, Keyvan Peyravi, Morad Moghaddam, Babak Gharaei Khouzani, Reza Karimi |
author_sort | Mostofi, Keyvan |
collection | PubMed |
description | INTRODUCTION: In endoscopic lumbar discectomy for posterolateral disc herniation, we determined some anatomical landmarks for improved disc space access. These landmarks are based on the beginning of the insertion of the ligamentum flavum (LF) to vertebral lamina. MATERIALS AND METHODS: In 978 patients operated by posterolateral disc herniation, we measured prospectively the distance between the beginning of the insertion of the LF and space disc rostrally. RESULTS: The distance between the beginning of the insertion of the LF and space disc was broader at the level of L3–L4, with an average of 14 mm. At L4–L5, the average distance was 13.5. At L5–S1, the average distance was 12 mm. CONCLUSION: Knowing the accurate distance between the insertion of LF and disc space contributes to reducing the average duration of the surgical procedure to avoid empirical search of disc space by a surgeon and avoiding unnecessary and excessive LF and bone removal. |
format | Online Article Text |
id | pubmed-6469320 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Wolters Kluwer - Medknow |
record_format | MEDLINE/PubMed |
spelling | pubmed-64693202019-04-18 Proposal of a new anatomical landmark to identify the disc space in endoscopic lumbar discectomy Mostofi, Keyvan Peyravi, Morad Moghaddam, Babak Gharaei Khouzani, Reza Karimi J Craniovertebr Junction Spine Original Article INTRODUCTION: In endoscopic lumbar discectomy for posterolateral disc herniation, we determined some anatomical landmarks for improved disc space access. These landmarks are based on the beginning of the insertion of the ligamentum flavum (LF) to vertebral lamina. MATERIALS AND METHODS: In 978 patients operated by posterolateral disc herniation, we measured prospectively the distance between the beginning of the insertion of the LF and space disc rostrally. RESULTS: The distance between the beginning of the insertion of the LF and space disc was broader at the level of L3–L4, with an average of 14 mm. At L4–L5, the average distance was 13.5. At L5–S1, the average distance was 12 mm. CONCLUSION: Knowing the accurate distance between the insertion of LF and disc space contributes to reducing the average duration of the surgical procedure to avoid empirical search of disc space by a surgeon and avoiding unnecessary and excessive LF and bone removal. Wolters Kluwer - Medknow 2019 /pmc/articles/PMC6469320/ /pubmed/31000979 http://dx.doi.org/10.4103/jcvjs.JCVJS_103_18 Text en Copyright: © 2019 Journal of Craniovertebral Junction and Spine http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Original Article Mostofi, Keyvan Peyravi, Morad Moghaddam, Babak Gharaei Khouzani, Reza Karimi Proposal of a new anatomical landmark to identify the disc space in endoscopic lumbar discectomy |
title | Proposal of a new anatomical landmark to identify the disc space in endoscopic lumbar discectomy |
title_full | Proposal of a new anatomical landmark to identify the disc space in endoscopic lumbar discectomy |
title_fullStr | Proposal of a new anatomical landmark to identify the disc space in endoscopic lumbar discectomy |
title_full_unstemmed | Proposal of a new anatomical landmark to identify the disc space in endoscopic lumbar discectomy |
title_short | Proposal of a new anatomical landmark to identify the disc space in endoscopic lumbar discectomy |
title_sort | proposal of a new anatomical landmark to identify the disc space in endoscopic lumbar discectomy |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6469320/ https://www.ncbi.nlm.nih.gov/pubmed/31000979 http://dx.doi.org/10.4103/jcvjs.JCVJS_103_18 |
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