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  • 1
    Electronic Resource
    Electronic Resource
    Springer
    European spine journal 4 (1995), S. 327-334 
    ISSN: 1432-0932
    Keywords: Microdiscotomy ; Disc classification ; Fourstep interlaminar approach ; Anatomy ; Lumbar spine
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary Planning and performing lumbar microdiscotomy—with or without a microscope—requires a three-dimensional understanding of the spinal canal and its surrounding structures. A new disc-related classification is helpful. Lumbar motion segments are divided into disc, infradiscal and supradiscal levels in the craniocaudal plane and into medial, paramedial and lateral zones in the horizontal plane. Traversing roots, with or without nerve root sheath, and exiting roots have specific locations to the levels and zones. A comparative study of conservatively and surgically treated patients showed that not only the size of the disc herniation but also the direction of migration of the extruded disc material has a bearing on the form of treatment that is indicated.
    Type of Medium: Electronic Resource
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