Percutaneous endoscopic intra-annular subligamentous herniotomy for large central disc herniation: a technical case report
| Autor: | Kyung-Chul Choi, Sang-Ho Lee, Ho Jin Kim, Oon Ki Baek, Seung-Hwa Yoo |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Adult
Male medicine.medical_specialty Disc herniation Percutaneous medicine.medical_treatment Pain Young Adult Discectomy Segmental instability medicine Secondary Prevention Humans Orthopedics and Sports Medicine Diskectomy Percutaneous Diskectomy Intervertebral Disc Herniated discs Pain Measurement Lumbar Vertebrae business.industry Leg pain Intervertebral disc Middle Aged Surgery medicine.anatomical_structure Treatment Outcome Female Neurology (clinical) business Intervertebral Disc Displacement |
| Zdroj: | Spine. 39(7) |
| ISSN: | 1528-1159 |
| Popis: | Study design Technical case report. Objective To describe the novel technique of percutaneous endoscopic herniotomy using a unilateral intra-annular subligamentous approach for the treatment of large centrally herniated discs. Summary of background data Open discectomy for large central disc herniations may have poor long-term prognosis due to heavy loss of intervertebral disc tissue, segmental instability, and recurrence of pain. Methods Six consecutive patients who presented with back and leg pain, and/or weakness due to a large central disc herniation were treated using percutaneous endoscopic herniotomy with a unilateral intra-annular subligamentous approach. Results The patients experienced relief of symptoms and intervertebral disc spaces were well maintained. The annular defects were noted to be in the process of healing and recovery. Conclusion Percutaneous endoscopic unilateral intra-annular subligamentous herniotomy was an effective and affordable minimally invasive procedure for patients with large central disc herniations, allowing preservation of nonpathological intradiscal tissue through a concentric outer-layer annular approach. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|