How I do it: biportal endoscopic paraspinal approach for recurrent lumbar disc herniation following percutaneous endoscopic lumbar discectomy
- Authors
- Park, Sung Cheol; Kang, Min-Seok; Yang, Jae Hyuk; Ju, Wonjik
- Issue Date
- Nov-2022
- Publisher
- Springer Verlag
- Keywords
- Biportal endoscopic; Paraspinal approach; Revisional lumbar discectomy; Recurrent lumbar disc herniation; Annular penetration; Percutaneous endoscopic lumbar discectomy
- Citation
- Acta Neurochirurgica, v.164, no.11, pp 3057 - 3060
- Pages
- 4
- Indexed
- SCIE
SCOPUS
- Journal Title
- Acta Neurochirurgica
- Volume
- 164
- Number
- 11
- Start Page
- 3057
- End Page
- 3060
- URI
- https://scholarworks.korea.ac.kr/kumedicine/handle/2021.sw.kumedicine/61577
- DOI
- 10.1007/s00701-022-05368-7
- ISSN
- 0001-6268
0942-0940
- Abstract
- Background
Although percutaneous endoscopic lumbar discectomy (PELD) has been popularized as an alternative to microscopic lumbar discectomy, it has been reported to be associated with a re-herniation rate of 5–11%. Recurrent lumbar disc herniation (RLDH) might occur not only at the same level previously operated upon but also at the annular penetration site created during PELD procedures.
Method
Biportal endoscopic paraspinal approach (BE-Para) was used for revisional foraminal lumbar discectomy. Procedures and some discussions regarding indications, advantages, potential complications, and ways to avoid complications were described.
Conclusion
BE-Para may be an effective modality for RLDH after PELD.
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- Appears in
Collections - 2. Clinical Science > Department of Orthopedic Surgery > 1. Journal Articles
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