A Modified Translaminar Osseous Channel-Assisted Percutaneous Endoscopic Lumbar Discectomy for Highly Migrated and Sequestrated Disc Herniations of the Upper Lumbar: Clinical Outcomes, Surgical Indications, and Technical Considerations

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A Modified Translaminar Osseous Channel-Assisted Percutaneous Endoscopic Lumbar Discectomy for Highly Migrated and Sequestrated Disc Herniations of the Upper Lumbar: Clinical Outcomes, Surgical Indications, and Technical Considerations

Objective is to describe a safe and effective percutaneous endoscopic approach for removal of highly migrated and sequestrated disc herniations of the upper lumbar spine and to report the results, surgical indications, and technical considerations of the new technique. Eleven patients who had highly migrated and sequestrated disc herniations in the upper lumbar were included in this study. A re...

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Percutaneous Endoscopic Lumbar Discectomy for Highly Migrated Lumbar Disc Herniation.

BACKGROUND Percutaneous endoscopic lumbar discectomy (PELD) has been growing in popularity for the treatment of lumbar disc herniation (LDH) due to its irreplaceable advantages over conventional open surgery. Compared with common lumbar disc herniations, discectomy of highly migrated LDH by PELD is known to be very difficult. Highly migrated lumbar disc herniation has long been a challenge for ...

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Surgical Outcome of Two-Level Transforaminal Percutaneous Endoscopic Lumbar Discectomy for Far-Migrated Disc Herniation

Objective. To describe the two-level percutaneous endoscopic lumbar discectomy (PELD) technique in transforaminal approach for highly migrated disc herniation and investigate its clinical outcomes. Methods. A total of 22 consecutive patients with highly migrated lumbar disc herniation were enrolled for the study from June 2012 to February 2014. Results. There were 12 males and 10 females, with ...

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Clinical results of XMR-assisted percutaneous transforaminal endoscopic lumbar discectomy

BACKGROUND Although percutaneous endoscopic lumbar discectomy (PELD) has shown favorable outcomes in the majority of lumbar discectomy cases, there were also some failures. The most common cause of failure is the incomplete removal of disc fragments. The skin entry point for the guide-needle trajectory and the optimal placement of the working sleeve are largely blind, which might lead to the in...

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Collagenase chemonucleolysis versus percutaneous endoscopic discectomy for extraforaminal lumbar disc herniations

Objective: To compare the advantages and disadvantages of collagenase chemonucleolysis and percutaneous endoscopic discectomy (PED) in the management of extraforaminal lumbar disc herniation. Methods: In this non-randomized controlled clinical trial, a total of 49 patients who were diagnosed with extraforaminal lumbar disc herniation were assigned to undergo either PED (n=22) or collagenase che...

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ژورنال

عنوان ژورنال: BioMed Research International

سال: 2017

ISSN: 2314-6133,2314-6141

DOI: 10.1155/2017/3069575