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- W1984156101 abstract "Background The prevention or inhibition of postoperative adhesions is a significant goal for successful lumbar discectomy, not only to reduce the probable risk of recurrent radiculopathy, but also to improve the likelihood of success of re-operation. Methods We describe a new technique for sparing the ligamentum flavum in lumbar microdiscectomy. The superficial layer of the ligament is removed by horizontal splitting. Additional horizontal splitting of the ligament yields a paper-thin deep layer. Lateral vertical splitting and retraction is then carried out to provide a sufficient operative window. The split ligament returns to its original position after releasing the retraction, thereby closing the operative window. Results This method could preserve a layer of the ligamentum flavum to act as a physical barrier, which in turn greatly restricts the peridural fibrosis. Conclusions This ligament-sparing technique enables surgeons to preserve the original anatomic plane and to reduce the extent of postoperative adhesion." @default.
- W1984156101 created "2016-06-24" @default.
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- W1984156101 date "2000-06-01" @default.
- W1984156101 modified "2023-10-18" @default.
- W1984156101 title "Ligament-sparing lumbar microdiscectomy: technical note" @default.
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- W1984156101 doi "https://doi.org/10.1016/s0090-3019(00)00231-7" @default.
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