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Percutaneous endoscopic lumbar discectomy via contralateral approach: a technical case report

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

Keywords : Adult,Aged,diagnosis,Diskectomy,Percutaneous,Endoscopy,Female,Humans,Intervertebral Disc Displacement,Leg,Lumbar Vertebrae,Male,methods,Neurosurgery,Pain,pathology,Patients,Spine,surgery,, Endoscopic,Lumbar,Discectomy,Via,Contralateral, how long does a suprascapular nerve block last

Date of Publication : 2011 Aug 1

Authors : Kim JS;Choi G;Lee SH;

Organisation : Department of Neurosurgery, Wooridul Spine Hospital, Seoul, Korea

Journal of Publication : Spine (Phila Pa 1976 )

Pubmed Link : https://www.ncbi.nlm.nih.gov/pubmed/21785301

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