Revisiting Ligament-Sparing Lumbar Microdiscectomy: When to Preserve Ligamentum Flavum and How to Evaluate Radiological Results for Epidural Fibrosis

Ozay R., Ogur T., Durmaz H. A., Turkoglu E., ÇAĞLAR Y. Ş., Sekerci Z., ...Daha Fazla

WORLD NEUROSURGERY, cilt.114, 2018 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 114
  • Basım Tarihi: 2018
  • Doi Numarası: 10.1016/j.wneu.2018.02.186
  • Dergi Adı: WORLD NEUROSURGERY
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Anahtar Kelimeler: Disc herniation, Epidural fibrosis, Ligamentum flavum, Lumbar spine, Magnetic resonance imaging, Microdiscectomy, POSTLAMINECTOMY RAT MODEL, DISC HERNIATION, PERIDURAL SCAR, DISKECTOMY, PAIN, LAMINECTOMY, LAMINOTOMY, SURGERY, SCALES
  • Ankara Üniversitesi Adresli: Evet

Özet

OBJECTIVE: Preserving the ligamentum flavum (LF) during lumbar spine surgery can help to limit the extent of postoperative epidural fibrosis (EF), which is a potential cause of persistent leg pain. We present a retrospective analysis of microdiscectomy with preservation of the LF to evaluate the effects of the two LF mobilizing techniques (reflecting inferiorly or medially vs. removing completely) on EF and clinical outcomes.