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Principles of Microsurgical Discectomy in Lumbar Disc Herniations

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Minimally Invasive Spine Surgery

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Abstract

The term “microsurgical discectomy” describes the removal of herniated parts of lumbar intervertebral discs through a posterior approach with the help of a surgical microscope and microsurgical instruments. It implies the application of general principles of microsurgery as well as the approach to the anatomical target area through a limited skin incision.

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References

  1. Adson AW, Ott WO (1922) Results of the removal of tumors of the spinal cord. Arch Neurol Psychiatry (Chicago) 8: 520–538

    Article  Google Scholar 

  2. Andrews DW, Lavyne MH (1990) Retrospective analysis of microsurgical and standard lumbar discectomy. Spine 15: 329–335

    Article  PubMed  CAS  Google Scholar 

  3. Berger A (1979) Operative Behandlung des lumbalen Bandscheibenvorfalles–Ergebnisse der Operation 1–20 Jahre danach. Inauguraldissertation, Univ. Tübingen

    Google Scholar 

  4. Biehl G (1974) Subjektive Ergebnisbeurteilung bei 64o Bandscheibenoperationen aufgrund einer Fragebogenaktion. Z Orthop 112: 825–827

    PubMed  CAS  Google Scholar 

  5. Biehl G, Peters G (1971) Behandlungsergebnisse bei 45o Bandscheibenoperationen. Z Orthop Ihre Grenzgeb 109: 836–847

    PubMed  CAS  Google Scholar 

  6. Bushe KA, DeftereosT, Schäfer E (1968) Lumbago und Wurzelischialgie. Dtsch Med Wochenschr 93: 1171–1176

    Article  CAS  Google Scholar 

  7. Caspar W (1977) A new surgical procedure for lumbar disc herniation causing less tissue damage through a microsurgical approach. In: Wüllenweber R, Brock M (eds) Advances in Neurosurgery, vol 4. z pp 74–77

    Google Scholar 

  8. Caspar W (1986) Die mikrochirurgische OP-Technik des lumbalen Bandscheibenvorfalls. Empfehlungen zum Operationsablauf. Aesculap G, Tuttlingen

    Google Scholar 

  9. Caspar W, Campbell B, Barbier DD, Kretschmer R, Gotfried Y (1991) The Caspar microsurgical discectomy and comparison with a conventional standard lumbar disc procedure. Neurosurgery 28: 78–87

    Article  PubMed  CAS  Google Scholar 

  10. Chafetz NI, Genant HK, Moon KL, Helms CA (1983) Recognition of lumbar disc herniation with NMR. Am J Radiol 141: 1153–1156

    CAS  Google Scholar 

  11. Dandy WE (1929) Loose cartilage from intervertebral disk simulating tumor of the spinal cord. Arch Surg (Chicago) 19: 660–672

    Article  Google Scholar 

  12. Dauch WA (1986) Infection of the intervertebral space following conventional and microsurgical operations on the herniated lumbar intervertebral disc. A controlled clinical trial. Acta Neurochir (Wien) 82: 43–49

    Article  CAS  Google Scholar 

  13. De Deviti R, Spazinate R, Stella L, et al. (1984) Surgery of the lumbar intervertebral disc: results of a personal minimal technique. Neurochirurgia 27: 16–19

    Google Scholar 

  14. Ebeling U, Reulen HJ (1983) Ergebnisse der mikrochirurgischen lumbalen Bandscheibenoperation–Vorläufige Mitteilung. Neurochirurgia 26: 12–17

    PubMed  CAS  Google Scholar 

  15. Ebeling U, Reulen HJ (1988) Mikrochirurgische Technik bei lumbalen Bandscheibenoperationen: Ist sie der konventionellen Methode überlegen? In: Jahrbuch der Neurochirurgie. Regensberg and Biermann, Münster, pp 143–160

    Google Scholar 

  16. Ebeling U, Reichenberg W, Reulen HJ (1986) Results of microsurgical lumbar discectomy. Review of 485 patients. Acta Neurochir (Wien) 81:45–52

    Google Scholar 

  17. Ferrer E, Garcia-Bach M, Lopez L, Isamat F (1988) Lumbar microdiscectomy: analysis of ioo consecutive cases. Its pitfalls and final results. Acta Neurochir Suppl (Wien) 43:39–43

    Google Scholar 

  18. Finneson BE (1978) A lumbar disc surgery predictive score card. Spine 3 /2: 186–188

    Article  PubMed  CAS  Google Scholar 

  19. Frenkel H, Angehoefer I (1978) Frühergebnisse nach lumbalen Bandscheibenoperationen. Beitr Orthop Traumatol 25/9:523–528

    Google Scholar 

  20. Goald HI (1978) Microlumbar discectomy–Follow-up of 147 patients. Spine 3 /2: 183–185

    Article  PubMed  CAS  Google Scholar 

  21. Goald HI (1979) Microsurgical removal of lumbar herniated nucleus pulposus. Surg Gynecol Obstet 149: 247–248

    PubMed  CAS  Google Scholar 

  22. Goald HJ (1981) Microlumbar discectomy: follow-up of 477 patients. J Microsurg 2: 95–100

    Article  Google Scholar 

  23. Grubb SA, Libscomb HJ, Guilford WB (1987) The relative value of lumbar roentgenograms, metrizamide myelography and discography in the assessment of patients with low back syndrome. Spine 12: 282–286

    Article  PubMed  CAS  Google Scholar 

  24. Hudgins WR (1983) The role of microdiscectomy. Orthop Clin North Am 14: 589–603

    PubMed  CAS  Google Scholar 

  25. Jochheim KA, Loew F, Rütt A (eds) (1961) Lumbaler Bandscheibenvorfall. Springer, Berlin Göttingen Heidelberg

    Google Scholar 

  26. Kahanovitz N, Viola K, McCulloch JA (1989) Limited surgical discectomy and microdiscectomy–A clinical comparison. Spine 14: 79–81

    Article  PubMed  CAS  Google Scholar 

  27. Keyl W, Kossyk W, Kuzmann J, Weigert M, Muzzulini B (1974) Ergebnisse lumbaler Nukleotomien aus den Berliner und Münchner Orthopädischen Kliniken. Z Orthop Ihre Grenzgeb 112: 798–801

    PubMed  CAS  Google Scholar 

  28. Kho HC, Steudel D (1986) Vergleich der mikrochirurgischen lumbalen Bandscheibenoperationen mit der konventionellen Technik beim frei sequestrierten Bandscheibenvorfall. Eine retrospektive Studie anhand von 267 Fällen. Neurochirurgie 29: 181–185

    CAS  Google Scholar 

  29. Kotilainen E, Valtonen S, Carlson CA (1993) Microsurgical treatment of lumbar disc herniation: follow-up of 237 patients. Acta Neurochir (Wien) 120: 143–149

    Article  CAS  Google Scholar 

  30. Krämer J (1987) Das Postdiskotomiesyndrom-PDS. Z Orthop Ihre Grenzgeb125: 622–625

    Google Scholar 

  31. Love JG, Walsh MN (1938) Protruded intervertebral discs: report of ioo cases in which operation was performed. JAMA 111: 396–400

    Article  Google Scholar 

  32. Mayer G, Reiche P (1982) Ergebnisse der lumbalen Bandscheibenoperationen. Z Ärztliche Fortb (Jena) 76: 190–194

    CAS  Google Scholar 

  33. McCulloch JA (1989) Principles of microsurgery for lumbar disc disease. Raven Press, New York

    Google Scholar 

  34. McCulloch JA, Young PH (eds) (1998) Essentials of spinal microsurgery. Lippincott Raven, Philadelphia

    Google Scholar 

  35. Mixter WS, Barr IS (1934) Rupture of intervertebral disc with involvement of the spinal canal. New Engl J Med 211: 210–215

    Article  Google Scholar 

  36. Oldenkott P (1971) Zur medizinischen und medizinisch-sozialen Problematik beim lumbalen Bandscheibenvorfall. Habilitationsschrift, Tübingen

    Google Scholar 

  37. Oldenkott P (1979) Mikrochirurgische Behandlung lumbaler Wurzelkompressionssyndrome. Med Welt 30: 1687–1691

    PubMed  CAS  Google Scholar 

  38. Oppel F, Schramm J, Schirmer M (1977) Results and complicated courses after surgery for lumbar disc herniations. In: Wüllenweber R, Brock M, Hamer J, et al, (eds) Advances in Neurosurgery, vol 4. Springer, New York, pp 36–51

    Google Scholar 

  39. Oppenheim H, Krause F (1909) Über Einklemmung bzw. Strangulation der cauda equina. Dtsch Med Wochenschr 35: 697–700

    Google Scholar 

  40. Probst C (1989) Lumbale Diskushernien: Mikrochirurgie–Ja oder Nein? Neurochirurgie 32: 172–176

    CAS  Google Scholar 

  41. Sachs BL, Vanharanta H, Spivey MA, Guyer RD (1987) Dallas discogram description–a new classification of CT/discography in low-back disorders. Spine 12: 287–293

    Article  PubMed  CAS  Google Scholar 

  42. Salenius P, Laurent LE (1977) Results of operative treatment of lumbar disc herniation. A survey of 886 patients. Acta Orthop Scand 48: 630–634

    Article  PubMed  CAS  Google Scholar 

  43. Schepelmann F, Greiner L, Pia HW (1977) Complications following operation of herniated lumbar discs. Adv Neurosurg 4: 52–54

    Article  Google Scholar 

  44. Nyström B (1987) Experience of microsurgical compared with conventional technique in lumbar disc operations. Acta Neurol Scand 76: 129–141

    Article  PubMed  Google Scholar 

  45. Schmorl G, Junghanns H (1932) Die gesunde und kranke Wirbelsäule im Röntgenbild. Pathologisch-anatomische Untersuchungen. Thieme, Leipzig, pp 89–122

    Google Scholar 

  46. Schneiderman G, Flannigan B, Kingston S, Thomas J (1987) Magnetic resonance imaging in the diagnosis of disc degeneration. Spine 12: 277–281

    Article  Google Scholar 

  47. Schramm J, Oppel F, Umbach W, Wüllenweber R (1978) Komplizierte Verläufe nach lumbalen Bandscheibenoperationen. Nervenarzt 49:26–33

    Google Scholar 

  48. Silvers HR (1988) Microsurgical versus standard lumbar discectomy. Neurosurgery 22: 837–841

    Article  PubMed  CAS  Google Scholar 

  49. Spangfort EV (1972) The lumbar disc herniation. A computer-aided analysis of 2504 operations. Acta Orthop Scand Suppl 142: 1–95

    PubMed  CAS  Google Scholar 

  50. Steinke CR (1918) Spinal tumors: Statistics on a series of 330 collected cases. J Nerv Ment Dis 47: 418–426

    Article  Google Scholar 

  51. Stolke D, Sollmann WP, Seifert V (1989) Intra-and postoperative complications in lumbar disc surgery. Spine 14: 56–59

    Article  PubMed  CAS  Google Scholar 

  52. Stookey B (1928) Compression of spinal cord due to ventral extradural chondromas; diagnosis and surgical treatment. Arch Neurol Psychiatry (Chicago) 20: 275–291

    Article  Google Scholar 

  53. Thomalske G, Galow W, Ploke G (1977) Critical comments on a comparison of two series (l000 patients each) of lumbar disc surgery. In: Wüllenweber R, Brock M, Hamer J, et al, (eds) Advances in Neurosurgery, vol 4. Springer, Berlin Heidelberg New York, pp 22–27

    Google Scholar 

  54. Thomas AMC, Afshar F (1987) The microsurgical treatment of lumbar disc protrusion. J Bone Joint Surg Br 69: 696–698

    PubMed  CAS  Google Scholar 

  55. Tullberg T, Isacson J, Weidenhielm L (1993) Does microscopic removal of lumbar disc herniation lead to better results than the standard procedure? Spine 18: 24–27

    Article  PubMed  CAS  Google Scholar 

  56. Vogt KH (1974) Ergebnisse nach lumbaler Bandscheibenoperation. Z Orthop Ihre Grenzgeb 112: 821–822

    PubMed  CAS  Google Scholar 

  57. Weber H (1978) Lumbar disc herniation. J Oslo City Hosp 28:33–64

    Google Scholar 

  58. Weber H (1983) Lumbar disc herniation. A controlled, prospective study with ten years of observation. Spine 8: 131–140

    Article  PubMed  CAS  Google Scholar 

  59. Weber U, Sparmann M, Greulich A (eds)(1992) Orthopädische Mikrochirurgie. Thieme, Stuttgart

    Google Scholar 

  60. Weir BKA (1979) Prospective study of loo lumbosacral discectomies. J Neurosurg 50: 283–289

    Article  PubMed  CAS  Google Scholar 

  61. Wildförster U (1991) Intraoperative Komplikationen während lumbaler Bandscheibenoperationen. Neurochirurgie 34: 53–56

    Google Scholar 

  62. Wilkinson HA (ed) (1992) The failed back syndrome, 2nd edn. Harper and Rowe, New York

    Google Scholar 

  63. Williams RW (1978) Microlumbar discectomy. A conservative surgical approach to the virgin herniated lumbar disc. Spine 3: 175–182

    Article  PubMed  CAS  Google Scholar 

  64. Williams RW (1986) Microlumbar discectomy. A 12-year statistical review. Spine 11: 851–852

    Article  PubMed  CAS  Google Scholar 

  65. Wilson DH, Kenning J (1979) Microsurgical lumbar discectomy: preliminary report of 83 consecutive cases. Neurosurgery 42: 137–140

    Article  Google Scholar 

  66. Wilson DH, Harbaugh R (1981) Microsurgical and standard removal of the protruded lumbar disc: a comparative study. Neurosurgery 8: 422–427

    Article  PubMed  CAS  Google Scholar 

  67. Wilson DH, Harbaugh R (1982) Lumbar discectomy: a comparative study of microsurgical and standard technique. In Hardy RW (ed) Lumbar disc disease. Raven Press, New York, pp 147–156

    Google Scholar 

  68. Wiltse LL, Fonseca AS, Amster J, Dimartino P, Ravessoud A (1993) Relationship of the dura, Hofmann’s ligaments, Bat-son’s plexus and a fibrovascular membrane lying on the posterior surface of the vertebral bodies and attaching to the deep layer of the posterior longitudinal ligament. Spine 18a030-1043

    Google Scholar 

  69. Yasargil MG (1977) Microsurgical operation of herniated lumbar disc. In: Wüllenweber R, Brock M, Hamer J, et al, (eds) Advances in Neurosurgery, vol 4. Springer, Berlin Heidelberg New York, pp 81–82

    Google Scholar 

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Authors
  1. H. M. Mayer
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Editors and Affiliations

  1. München-Harlaching, Spine Center Munich, Orthopädische Klinik, Harlachinger Strasse 51, D-81547, München, Germany

    H. Michael Mayer M.D., Ph.D. (Assistant Professor, Medical Director) (Assistant Professor, Medical Director)

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Mayer, H.M. (2000). Principles of Microsurgical Discectomy in Lumbar Disc Herniations. In: Mayer, H.M. (eds) Minimally Invasive Spine Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-08780-0_8

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  • DOI: https://doi.org/10.1007/978-3-662-08780-0_8

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-08782-4

  • Online ISBN: 978-3-662-08780-0

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