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Journal of Neurology and Neurorehabilitation Research | Volume 4

September 03-04, 2019 | London, UK

Spine and Spinal Disorders

4

th

International Conference on

J Neurol Neurorehabil Res, Volume 4

Anatomic assessment of variations in Kambin’s Triangle: A Surgical and Cadaver study

Ali Fahir Ozer

Koc University School of Medicine, Turkey

T

he relationship of exiting root and Kambin’s triangle

is discussed in this article. Transforaminal endoscopic

surgery as the gold standard of less invasive lumbar

disc surgeries is performed through Kambin’s triangle.

Existing root damage is one of the most important

complication for this type of surgery. Anatomic variations

in Kambin’s triangle may be the main reason for nerve

root damage during endoscopic lumbar disc surgery.

Kambin’s triangle was investigated with surgical views

and cadaver studies. Thirty-four patients with far lateral

disc herniation were treated with an extraforaminal

approach under the microscope. On the other hand, 48

Kambin’s triangles were dissected on 8 cadavers. Three

main types of triangle were identified, and patients

were grouped according to these 3 types of the triangle.

Only 6 of the 34 patients had type 3 triangles, which is the

wide classical triangle described by Kambin; however, 17

patients had type2,withanarrowspace in the triangle, and11

patients had type 1, with no space inside the triangle. Cadaver

results were similar; only 10 of the 48 specimens had the type

3 classical triangle, whereas 23 specimens had type 2, and 15

specimenshadtype1triangles.Ourresultsdisclosednarrowed

ornospace in82.4%ofthepatientsand79.2%ofthecadavers.

Weobservedthatawideandsaferoomofthetrianglemaynot

be exist in some patients. Therefore, more caremust be taken

duringendoscopiclumbardiscsurgerytoavoidnervedamage.

Speaker Biography

Ali Fahir Ozer is currently working as a Neurosurgeon and academic

staff at the Koc University, Department of Neurosurgery, and at the VKV

American Hospital (Istanbul, Turkey). His Clinical interest focuses on

spine surgery. Dr. Ozer’s research focuses on biomechanics Of spine, and

dynamic stabilization of spine. He has authored or co‐authored well over

70 papers. He is the member of advisory board and reviewer of many

scientific journals. Currently, he is a member of TNS, ISAS, NASS, AOSpine,

and Eurospine.

e:

alifahirozer@gmail.com