Abstract
Background: Surgical options for removing high-grade down-migrated lumbar disc herniations located medial to the pedicle include an extensive laminectomy and facetectomy. A direct percutaneous endoscopic approach through the pedicle for reaching the herniated disc without risk of iatrogenic instability is feasible. Method: The transpedicular approach consists of creating a tunnel through the pedicle. Subsequently, access to the parapedicular epidural space is obtained, and downward migrated disc can be removed. Conclusion: This technique allows to reach migrated herniations medially to the pedicle safely and effectively.
| Original language | English |
|---|---|
| Pages (from-to) | 1603-1607 |
| Number of pages | 5 |
| Journal | Acta Neurochirurgica |
| Volume | 160 |
| Issue number | 8 |
| DOIs | |
| State | Published - 1 Aug 2018 |
Bibliographical note
Publisher Copyright:© 2018, Springer-Verlag GmbH Austria, part of Springer Nature.
Keywords
- Disc herniation
- Endoscopic spine surgery
- Minimally invasive
- Transpedicular