Unilateral surgical approach for lumbar disc herniation with contralateral symptoms: Two case reports

Year 2019, , 542 - 544, 29.07.2019

Zahir Kızılay , Arsal Acarbaş , Ayşe Merve Dumlu

https://doi.org/10.28982/josam.531555

Abstract

Lumbar disc herniation is the most common cause of the lumbar radicular pain and it is usually encountered on the same side with its symptoms. However, lumbar disc herniation with contralateral symptoms is sometimes observed too. This situation may cause a dilemma for spine surgeons. There are no consensus about cause of the pathophysiology of contralateral radiculopathy, and which surgical approach may suitable for these patients. In here, we present two case reports lumbar disc herniation with contralateral symptoms and discuss this phenomenon in the light of the literature.

Keywords

Lumbar disc herniation, Contralateral symptoms, Unilateral surgical approach

Karşı taraf semptomları olan lomber disk hernileri için tek taraflı yaklaşım: İki olgu sunumu

Abstract

Lomber disk hernileri, lomber radiküler ağrının en yaygın nedenlerindendir ve sıklıkla lomber disk hernisi ile semptomları aynı tarafta karşılaşılır. Fakat bazen lomber disk hernisi karşı taraf semptomları ile de gözlemlenebilir. Bu durum, omurga cerrahları için bir ikileme neden olabilir. Çünkü, karşı taraf radikülopatinin patofizyolojisinin nedenleri ve hangi cerrahi yaklaşımın bu hastalar için uygun olduğu ile ilgili bir konsensus yoktur. Burada karşı taraf semptomu olan 2 lomber disk olgusu sunulacak ve bu fenomen literatür eşliğinde tartışılacaktır.

Keywords

Lomber disk hernisi, Karşı taraf semptom, Tek taraflı yaklaşım

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