Full-endoscopic transforaminal lumbar discectomy and resection of bony fragment for adolescent posterior ring apophyseal separation

DOI
  • Tsuchida Shuntaro
    Fuji Toranomon Orthopaedic Hospital, Spine Center
  • Kitahama Yoshihiro
    Omaezaki Municipal Hospital, Spine Center Hamamatsu University School of Medicine and Shizuoka University Cooperated Major of Medical Photonics

Bibliographic Information

Other Title
  • 全内視鏡による経椎間孔到達法での隅角解離症例に対する骨病変の処理

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Abstract

<p>Between April 2017 and April 2020, five patients with lumbar disc herniation and posterior ring apophyseal separation were surgically treated using transforaminal full-endoscopic lumbar discectomy (FELD). The surgery was performed under general anaesthesia. The herniated disc, including the bony fragment, was resected in all cases. The results were good, and there were no neurological complications. Transforaminal FELD has the advantages of less soft tissue or bony structure damage. Because it is possible to approach the lesion directly using this method, we can safely resect the herniated disc including the bony fragment without excessive nerve retraction. On the other hand, dural tears should be carefully considered because of dural adhesion to bony fragments.</p>

Journal

  • Journal of Spine Research

    Journal of Spine Research 12 (7), 958-965, 2021-07-20

    The Japanese Society for Spine Surgery and Related Research

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