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2026, Number 1

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Acta Med 2026; 24 (1)

L5/S1 massive lateral disc extrusion with intra and extraforaminal root compression

Domínguez GLG, Haslacher AJF, Domínguez CLG
Full text How to cite this article 10.35366/122166

DOI

DOI: 10.35366/122166
URL: https://dx.doi.org/10.35366/122166

Language: Spanish
References: 5
Page: 71-72
PDF size: 580.83 Kb.


Key words:

lateral disc herniations, extraforaminal, radicular compression.

ABSTRACT

Lateral disc herniations represent between 1% and 12% of all lumbar herniations and are classified as intraforaminal or extraforaminal, respect to the foramen. The latter were described by Abdullah in 1974 and are more common in elderly patients, L4/L5 level is more commonly affected. Compression of the dorsal root ganglion is responsible for the intensity of pain. The surgical treatment aims to decompress the nerve root; the surgical difficulty increases even more when the affected level is L5/S1, due to the anatomical particularities of the segment, such as the high iliac crest and the frequent foraminal narrowness at that level.


REFERENCES

  1. Grenier N, Gréselle JF, Douws C, Vital JM, Sénégas J, Broussin J et al. MR imaging of foraminal and extraforaminal lumbar disk herniations. J Comput Assist Tomogr. 1990; 14 (2): 243-249.

  2. de Zavalía M, Gobbi E, Yeregui S. Hernia extraforaminal en el espacio L5-S1 tratada por abordaje transfacetario endoscópico. Presentación de un caso y nota técnica. Rev Asoc Argent Ortop Traumatol. 2024; 89 (1): 70-75. doi: 10.15417/issn.1852-7434.2024.89.1.1856.

  3. Wang B, Lü G, Patel AA, Ren P, Cheng I. An evaluation of the learning curve for a complex surgical technique: the full endoscopic interlaminar approach for lumbar disc herniations. Spine J. 2011; 11 (2): 122-130. doi: 10.1016/j.spinee.2010.12.006.

  4. Jang JS, An SH, Lee SH. Transforaminal percutaneous endoscopic discectomy in the treatment of foraminal and extraforaminal lumbar disc herniations. J Spinal Disord Tech. 2006; 19 (5): 338-343. doi: 10.1097/01.bsd.0000204500.14719.2e.

  5. Fiorenza V, Ascanio F. Percutaneous endoscopic transforaminal outside-in outside technique for foraminal and extraforaminal lumbar disc herniations-operative technique. World Neurosurg. 2019; 130: 244-253. doi: 10.1016/j.wneu.2019.07.005.




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Acta Med. 2026;24