A Modified Approach of Percutaneous Endoscopic Lumbar Discectomy (PELD) for Far Lateral Disc Herniation at L5-S1 with Foot Drop
The Korean Journal of Pain
; : 57-61, 2016.
Article
en En
| WPRIM
| ID: wpr-48900
Biblioteca responsable:
WPRO
ABSTRACT
Foraminal or extraforaminal Far Lateral Disc Herniations (FLDH) extending into or beyond the foraminal zone have been recognized as between 7-12% of all lumbosacral disc herniations. Conventional posterior laminectomy may not provide good access to a herniation that lies far lateral to the lateral margin of the pedicle. Use of the endoscopic technique through a percutaneous approach to treat such FLDH patients can decrease the surgical morbidity while achieving better outcomes. We made an effort to utilize the advantages of percutaneous endoscopic lumbar discectomy (PELD) and to determine the appropriate approach for FLDH at the level between the 5th Lumbar and first Sacral vertebrae(L5-S1). The authors present a case of an endoscopically resected lumbar extruded disc of the left extraforaminal zone with superior foraminal migration at the level of L5-S1, which had led to foot drop, while placing the endoscope in the anterior epidural space without facetectomy.
Palabras clave
Texto completo:
1
Base de datos:
WPRIM
Asunto principal:
Dolor de la Región Lumbar
/
Discectomía Percutánea
/
Discectomía
/
Endoscopios
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Endoscopía
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Espacio Epidural
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Pie
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Desplazamiento del Disco Intervertebral
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Anestesia Local
/
Laminectomía
Tipo de estudio:
Diagnostic_studies
Límite:
Humans
Idioma:
En
Revista:
The Korean Journal of Pain
Año:
2016
Tipo del documento:
Article