ÃÖ´ëÁ¤(Choi Dae-Jung) - Barun Hospital BESS Education Center Spine Center
Á¤Á¦ÅÂ(Jung Je-Tea) - Barun Hospital BESS Education Center Spine Center
ÀÌ»óÁø(Lee Sang-Jin) - Barun Hospital Department of Orthopaedics
±è¿ë»ó(Kim Young-Sang) - Barun Hospital BESS Education Center Spine Center
ÀåÇÑÁø(Jang Han-Jin) - Barun Hospital BESS Education Center Spine Center
(Yoo Bang) - Barun Hospital BESS Education Center Spine Center
Abstract
The major problems of revision surgery for recurrent lumbar disc herniation (LDH) include limited visualization due to adhesion of scar tissue, restricted handling of neural structures in insufficient visual field, and consequent higher risk of a dura tear and nerve root injury. Therefore, clear differentiation of neural structures from scar tissue and adhesiolysis performed while preserving stability of the remnant facet joint would lower the risk of complications and unnecessary fusion surgery. Biportal endoscopic spine surgery has several merits including sufficient magnification with panoramic view under very high illumination and free handling of instruments normally impossible in open spine surgery. It is supposed to be a highly recommendable alternative technique that is safer and less destructive than the other surgical options for recurrent LDH.
Å°¿öµå
Lumbosacral region, Intervertebral disc displacement, Minimally invasive surgical procedure, Endoscopic
KMID :
1207720160080030325
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À¯È¿¼º°á°ú(Recomendation)
BESS has fewer limitations and is safer in terms of approaches than the conventional percutaneous endoscopic lumbar discectomy (PELD) due to free handling of instruments by another hand and less irritation of the roots.