Journal of Minimally Invasive Spine Surgery and Technique (May 2018)

Percutaneous Endoscopic Transforaminal Lumbar Discectomy For Massive Disc Herniation Causing Cauda Equina Syndrome: A Case Report

  • Hyeun Sung Kim,
  • Nitin Adsul,
  • Yoon Seok Ju,
  • Ki Joon Kim,
  • Sung Ho Choi,
  • Jeong Hoon Kim,
  • Sung Kyun Chung,
  • Jeong-Hoon Choi,
  • Jee-Soo Jang,
  • Il-Tae Jang,
  • Seong-Hoon Oh,
  • Jae Eun Park,
  • Sol Lee

DOI
https://doi.org/10.21182/jmisst.2017.00248
Journal volume & issue
Vol. 3, no. 1
pp. 27 – 29

Abstract

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Traditional open and microscopic approaches for lumbar discectomy in cauda equina syndrome are associated with retraction of thecal sac and nerve root which was already compromised. Our study looks upon a case of cauda equina syndrome due to massive disc herniation which was operated by percutaneous endoscopic transforaminal lumbar discectomy (PETLD) using outside in technique. The procedure is done under local anesthesia with minimal soft tissue damage and allows early rehabilitation with the better aesthetic outcome. PETLD is a safe and effective alternative to emergently decompress the lumbar spine with prompt recovery.

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