FAR-LATERAL
APPROACH
You can open the back-door when you are in need.
But you could easily be lost in the forest crowed with all but trees,
if you would try to keep your old memories under daily growing woods.
Ground Plans
In the cases of foraminal stenotic
lesion such as foraminal stenosis
due to collapsed disc space with
hypertrophied spur and/or extraforaminal LDH, we can relatively
easily approach the foramen within
shortcut by far lateral approach
(FLA) rather than by contralateral
app-roach. Far lateral approach is
better choice only the above cases
with the lesion on and outer the
foramen in which the exiting root is
located, but lateral recess stenosis of
the traversing root just over the
foramen inside. Far lateral approach
could make it possible for much
foraminal stenosis to be avoided to
be fused and instrumented for
removed facet structures after
conventional destructive decompression.
4
InU’rMind
1. Far lateral approach has
shorter and lighter
pathway but unfamiliar to
us for less cases than
contralateral approach.
2. It has its own indication;
extraforaminal LDH,
FS due to collapsed disc
space(esp. L5S1).
Due to its rare indications, we have
not had enough cases to be familiar
with the surrounding anatomy
rather than posterior approach. Be
familiar with them. This approach
can solve some specific problem
with ease.