Full-endoscopic transpedicular discectomy (FETD) for lumbar herniations: Case report and review of the literature.
Discectomy
Endoscopic
Mini-invasive
Percutaneous
Transpedicular
Journal
International journal of surgery case reports
ISSN: 2210-2612
Titre abrégé: Int J Surg Case Rep
Pays: Netherlands
ID NLM: 101529872
Informations de publication
Date de publication:
2020
2020
Historique:
received:
04
03
2020
revised:
23
05
2020
accepted:
25
05
2020
pubmed:
15
6
2020
medline:
15
6
2020
entrez:
15
6
2020
Statut:
ppublish
Résumé
One of the most challenging occurrences in full-endoscopic surgery for lumbar disc protrusions are up-migrated or down-migrated herniations. Those occurrences are difficult to retrieve with transforaminal or interlaminar approaches. We describe our experience in dealing with a right paramedian down-migrated L3-L4 disc herniation. The patient underwent full endoscopic transpedicular endoscopic discectomy (FETD), by reaming the right L4 peduncle for intracanal access and fragment retrieval. We also reviewed the recent literature to summarize the advantages of transpedicular approaches, along with current indications and contraindications for this procedure. We highlighted how FETD is safe and feasible for down-migrated and up-migrated disc herniation showing excellent results in our patient and in the small cohorts of patients already published in the literature. FETD was effective in treating up-migrated and down-migrated disc herniation, as well as discal cysts, showing the feasibility and safety of the technique from any level from L1 to S1.
Identifiants
pubmed: 32535528
pii: S2210-2612(20)30387-4
doi: 10.1016/j.ijscr.2020.05.085
pmc: PMC7298322
pii:
doi:
Types de publication
Case Reports
Langues
eng
Pagination
137-141Informations de copyright
Copyright © 2020 The Authors. Published by Elsevier Ltd.. All rights reserved.
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