Far Lateral Lumbar Disc herniations

1. Far Lateral Disc Herniations
• Spine Conference
• Upper Chesapeake Medical Center
• Friday 2/6/15

2. 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

18. 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

27. Wiltse approach
Leon Wiltse