Kim, Jin-Sung; Choi, Gun; Lee, Sang-Ho
Spine
2011Aug ; 36 ( 17 ) :E1173-8.
PMID : 21785301
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Kim, Jin-Sung -
Choi, Gun -
Lee, Sang-Ho -
ABSTRACT
STUDY DESIGN: Technical case report. OBJECTIVE: The authors report a new percutaneous endoscopic lumbar discectomy (PELD) technique for the treatment of lumbar disc herniation via a contralateral approach. SUMMARY OF BACKGROUND DATA: When there are highly down-migrated lumbar disc herniation along just medial to pedicle and narrow ipsilateral intervertebral foramen, the conventional PELD is not easily accessible via ipsilateral transforaminal route.
METHODS: Five patients manifested gluteal and leg pain because of a soft disc herniation at the L4-L5 level. Transforaminal PELD via a contralateral approach was performed to remove the herniated fragment, achieving complete decompression of the nerve root.
RESULTS: The symptom was relieved and the patient was discharged the next day. CONCLUSION: When a conventional transforaminal PELD is difficult because of some anatomical reasons, PELD via a contralateral route could be a good alternative option in selected cases.
contralateral , disc herniation , lumbar , percutaneous endoscopic lumbar discectomy (PELD) , transforaminal.
MESH
Adult, Aged, Diskectomy, Percutaneous/*methods, Endoscopy/methods, Female, Humans, Intervertebral Disc Displacement/*diagnosis/*surgery, Lumbar Vertebrae/*pathology/*surgery, Male
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