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A modified approach of percutaneous endoscopic lumbar discectomy (PELD) for far Lateral Disc Herniation at L5-S1 with foot drop

Title
A modified approach of percutaneous endoscopic lumbar discectomy (PELD) for far Lateral Disc Herniation at L5-S1 with foot drop
Authors
Chun E.H.Park H.S.
Ewha Authors
박학수
SCOPUS Author ID
박학수scopus
Issue Date
2016
Journal Title
Korean Journal of Pain
ISSN
2005-9159JCR Link
Citation
vol. 29, no. 1, pp. 57 - 61
Keywords
Drop footEndoscopyHerniated discLocal anesthesiaLow back painPercutaneous discectomy
Publisher
Korean Pain Society
Indexed
SCOPUS; KCI scopus
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. © The Korean Pain Society, 2016.
DOI
10.3344/kjp.2016.29.1.57
Appears in Collections:
의학전문대학원 > 의학과 > Journal papers
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