Far Lateral Disc Herniations
• Spine Conference
• Upper Chesapeake Medical Center
• Friday 2/6/15
54 year old woman with L sciatica. HPI: 3 episodes in the past. Left lateral thigh, lateral leg, lateral malleolar pain. ER twice 9/29/14 and 10/18/14. Presented on 1/5/15. PMH hysterectomy SH: smoker Exam: 5’8” 130 lb, 4/5 motor ankle DF
ELDH: extra foramenal lumbar disc herniations
• Far lateral disc herniations
• Less than 10%, L5S1 is even more rare, usually L3L4 or L4L5
• Near DRG
• 6th decade of life
Wiltse approach
Leon Wiltse
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