Open AccessPercutaneous Endoscopic Lumbar Discectomy for Far-Migrated Disc Herniation through Two Working Channels
Author(s) -
Xia Gu
Publication year - 2016
Publication title -
pain physician
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.31
H-Index - 99
eISSN - 2150-1149
pISSN - 1533-3159
DOI - 10.36076/ppj/2019.19.e675
Subject(s) - medicine , percutaneous , lumbar disc herniation , diskectomy , discectomy , disc herniation , surgery , lumbar , radiology , lumbar vertebrae
The technique of percutaneous endoscopic lumbar discetomy (PELD) in thetransforaminal approach has evolved over the years due to the advances in endoscopicphotology and instrumentation and become the most popular technique for lumbardisc herniation. Although PELD offers many advantages, the indications of PELD arelimited mostly to non-migrated or low-migrated disc herniation. It is very difficult forPELD in the transforaminal approach to remove the highly migrated disc fragmentsuccessfully due to the anatomic barrier. Nowadays, with the advances of instrumentsand technique, it might be possible for PELD in the transforaminal approach to removethese high-grade migrated disc fragments. The purpose of this study was to describea technique to effectively treat highly migrated disc herniation via 2 working channels.Key words: Percutaneous endoscopic lumbar discectomy, far-migrated discherniation, working channels