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Journal of Orthopaedic Science

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01-05-2011 | Original article

Full endoscopic contralateral transforaminal discectomy for distally migrated lumbar disc herniation

Authors: Kyeong-seong Yeom, Yong-soo Choi

Published in: Journal of Orthopaedic Science | Issue 3/2011

Abstract

Background

Discectomy of distally, inferiorly migrated disc herniations below midpedicle level of the vertebral body in the lower lumbar spine is known to be very difficult by endoscopy. The purpose of this study was to introduce the technical possibility of percutaneous endoscopic lumbar discectomy using a contralateral transforaminal approach for distally migrated disc herniation.

Methods

We reviewed 12 patients who underwent percutaneous endoscopic lumbar discectomy using the contralateral transforaminal approach for distally migrated disc herniation. Complete removal was verified through postoperative magnetic resonance imaging (MRI) follow-up in all patients. Mean follow-up was 25 months.

Results

Clinical results according to MacNab criteria were excellent in ten patients and good in two. Average visual analogue scale for lower back pain and radicular pain improved from 6.8 and 8.2 preoperatively to 1.5 and 1.4, postoperatively (p < 0.01, respectively).

Conclusion

Percutaneous endoscopic lumbar discectomy using contralateral transforaminal approach can be a useful method in patients with distally migrated disc herniation, and endoscopic navigation of anterior epidural space from the contralateral foramen in the lower lumbar spine is technically possible.

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Title: Full endoscopic contralateral transforaminal discectomy for distally migrated lumbar disc herniation
Authors: Kyeong-seong Yeom
Yong-soo Choi
Publication date: 01-05-2011
Publisher: Springer Japan
Published in: Journal of Orthopaedic Science / Issue 3/2011
Print ISSN: 0949-2658
Electronic ISSN: 1436-2023
DOI: https://doi.org/10.1007/s00776-011-0048-0

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Full endoscopic contralateral transforaminal discectomy for distally migrated lumbar disc herniation

Abstract

Background

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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