Percutaneous Endoscopic Lumbar Discectomy for L5-S1 Foraminal Disc Herniation with Superior Migration using Contralateral Interlaminar Approach: A Technical Case Report
In cases of L5-S1 foraminal disc herniation with superior migration, it is very difficult to access using rigid endoscope. We attempted a percutaneous endoscopic lumbar discectomy (PELD) via a contralateral interlaminar approach to remove the symptomatic disc and preserve the functional structures....
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| Format: | Article |
| Language: | English |
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Korean Minimally Invasive Spine Surgery Society
2016-09-01
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| Series: | Journal of Minimally Invasive Spine Surgery and Technique |
| Subjects: | |
| Online Access: | http://www.jmisst.org/upload/pdf/jmisst-2016-00059.pdf |
| _version_ | 1797951500181307392 |
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| author | Keun Lee Hyeun-Sung Kim Jee-Soo Jang Yong-Hun Pee Jin-Uk Kim Jun-Ho Lee Il-Tae Jang |
| author_facet | Keun Lee Hyeun-Sung Kim Jee-Soo Jang Yong-Hun Pee Jin-Uk Kim Jun-Ho Lee Il-Tae Jang |
| author_sort | Keun Lee |
| collection | DOAJ |
| description | In cases of L5-S1 foraminal disc herniation with superior migration, it is very difficult to access using rigid endoscope. We attempted a percutaneous endoscopic lumbar discectomy (PELD) via a contralateral interlaminar approach to remove the symptomatic disc and preserve the functional structures. Between January 2013 and January 2014, five patients who received PELD for the disc herniation via the approach were included in this study. Through the approach, we could expose the exiting nerve root without structural damage. We confirmed the appropriate decompression of the lesion with an immediate postoperative MRI, and the clinical outcome was evaluated using a visual analog scale (VAS) score. In all cases, the herniation was removed appropriately. The mean pre-operative VAS score was decreased at the post-operative state, from 7.8±0.84 to 1.4±0.55. We obtained excellent clinical outcomes in treating the migrated disc herniation at the level using PELD via a contralateral interlaminar approach. |
| first_indexed | 2024-04-10T22:32:38Z |
| format | Article |
| id | doaj.art-2d3e8cd9090449d9bbf0dc480c265140 |
| institution | Directory Open Access Journal |
| issn | 2508-2043 |
| language | English |
| last_indexed | 2024-04-10T22:32:38Z |
| publishDate | 2016-09-01 |
| publisher | Korean Minimally Invasive Spine Surgery Society |
| record_format | Article |
| series | Journal of Minimally Invasive Spine Surgery and Technique |
| spelling | doaj.art-2d3e8cd9090449d9bbf0dc480c2651402023-01-17T04:07:14ZengKorean Minimally Invasive Spine Surgery SocietyJournal of Minimally Invasive Spine Surgery and Technique2508-20432016-09-0111404310.21182/jmisst.2016.000597Percutaneous Endoscopic Lumbar Discectomy for L5-S1 Foraminal Disc Herniation with Superior Migration using Contralateral Interlaminar Approach: A Technical Case ReportKeun Lee0Hyeun-Sung Kim1Jee-Soo Jang2Yong-Hun Pee3Jin-Uk Kim4Jun-Ho Lee5Il-Tae Jang6 Department of Neurosurgery, Nanoori Jooan Hospital, Incheon, Korea Department of Neurosurgery, Nanoori Jooan Hospital, Incheon, Korea Department of Neurosurgery, Nanoori Suwon Hospital, Suwon, Korea Department of Neurosurgery, Nanoori Jooan Hospital, Incheon, Korea Department of Neurosurgery, Nanoori Incheon Hospital, Incheon, Korea Department of Neurosurgery, Nanoori Incheon Hospital, Incheon, Korea Department of Neurosurgery, Nanoori Gangnam Hospital, Seoul, KoreaIn cases of L5-S1 foraminal disc herniation with superior migration, it is very difficult to access using rigid endoscope. We attempted a percutaneous endoscopic lumbar discectomy (PELD) via a contralateral interlaminar approach to remove the symptomatic disc and preserve the functional structures. Between January 2013 and January 2014, five patients who received PELD for the disc herniation via the approach were included in this study. Through the approach, we could expose the exiting nerve root without structural damage. We confirmed the appropriate decompression of the lesion with an immediate postoperative MRI, and the clinical outcome was evaluated using a visual analog scale (VAS) score. In all cases, the herniation was removed appropriately. The mean pre-operative VAS score was decreased at the post-operative state, from 7.8±0.84 to 1.4±0.55. We obtained excellent clinical outcomes in treating the migrated disc herniation at the level using PELD via a contralateral interlaminar approach.http://www.jmisst.org/upload/pdf/jmisst-2016-00059.pdfcontralaterallumbar disc herniationforaminal |
| spellingShingle | Keun Lee Hyeun-Sung Kim Jee-Soo Jang Yong-Hun Pee Jin-Uk Kim Jun-Ho Lee Il-Tae Jang Percutaneous Endoscopic Lumbar Discectomy for L5-S1 Foraminal Disc Herniation with Superior Migration using Contralateral Interlaminar Approach: A Technical Case Report Journal of Minimally Invasive Spine Surgery and Technique contralateral lumbar disc herniation foraminal |
| title | Percutaneous Endoscopic Lumbar Discectomy for L5-S1 Foraminal Disc Herniation with Superior Migration using Contralateral Interlaminar Approach: A Technical Case Report |
| title_full | Percutaneous Endoscopic Lumbar Discectomy for L5-S1 Foraminal Disc Herniation with Superior Migration using Contralateral Interlaminar Approach: A Technical Case Report |
| title_fullStr | Percutaneous Endoscopic Lumbar Discectomy for L5-S1 Foraminal Disc Herniation with Superior Migration using Contralateral Interlaminar Approach: A Technical Case Report |
| title_full_unstemmed | Percutaneous Endoscopic Lumbar Discectomy for L5-S1 Foraminal Disc Herniation with Superior Migration using Contralateral Interlaminar Approach: A Technical Case Report |
| title_short | Percutaneous Endoscopic Lumbar Discectomy for L5-S1 Foraminal Disc Herniation with Superior Migration using Contralateral Interlaminar Approach: A Technical Case Report |
| title_sort | percutaneous endoscopic lumbar discectomy for l5 s1 foraminal disc herniation with superior migration using contralateral interlaminar approach a technical case report |
| topic | contralateral lumbar disc herniation foraminal |
| url | http://www.jmisst.org/upload/pdf/jmisst-2016-00059.pdf |
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