Spine · 2009
Percutaneous endoscopic lumbar discectomy by transiliac approach: a case report.
Клинический случайСтатьяПоддержка исследования: вне правительства СШАНазвание и аннотация: Перевод в очереди
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Choi Gun, Kim Jin-Sung, Lokhande Pramod, Lee Sang-Ho
Аннотация
STUDY DESIGN: Case report.
OBJECTIVE: The authors report a new percutaneous endoscopic lumbar discectomy (PELD) technique for the treatment of lumbar disc herniation with a high iliac crest via a transiliac approach.
SUMMARY OF BACKGROUND DATA: When the iliac crest is high, the L4-L5 and L5-S1 disc spaces are located deep in the pelvis, so they are not easily accessible via a suprailiac route.
METHODS: A 51-year-old man manifested left gluteal and leg pain due to an up-migrated soft disc herniation at the L4-L5 level. Transforaminal PELD via a transiliac 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 impossible due to the presence of a high iliac crest, PELD via a transiliac route could be a alternative option in selected cases.
OBJECTIVE: The authors report a new percutaneous endoscopic lumbar discectomy (PELD) technique for the treatment of lumbar disc herniation with a high iliac crest via a transiliac approach.
SUMMARY OF BACKGROUND DATA: When the iliac crest is high, the L4-L5 and L5-S1 disc spaces are located deep in the pelvis, so they are not easily accessible via a suprailiac route.
METHODS: A 51-year-old man manifested left gluteal and leg pain due to an up-migrated soft disc herniation at the L4-L5 level. Transforaminal PELD via a transiliac 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 impossible due to the presence of a high iliac crest, PELD via a transiliac route could be a alternative option in selected cases.
Предметные рубрики MeSH
Decompression, SurgicalDiskectomy, PercutaneousEndoscopyFractures, BoneHumansIliumIntervertebral DiscIntervertebral Disc DisplacementLumbar VertebraeMagnetic Resonance ImagingMaleMiddle AgedPostoperative CarePostoperative ComplicationsRadiculopathySciaticaSpinal Nerve RootsTomography, X-Ray Computed