Transpedicular Endoscopic Surgery for Highly Downmigrated L5-S1 Disc Herniation
Endoscopic surgery for highly downmigrated disc herniation at level L5-S1 is a challenging technique. Most surgeons prefer the interlaminar access because of the special anatomy of the L5-S1 disc level, i.e., narrow neuroforamen and large interlaminar window. Transforaminal access to the neuroforame...
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| Format: | Article |
| Language: | English |
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Wiley
2019-01-01
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| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2019/5724342 |
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| author | Guntram Krzok |
| author_facet | Guntram Krzok |
| author_sort | Guntram Krzok |
| collection | DOAJ |
| description | Endoscopic surgery for highly downmigrated disc herniation at level L5-S1 is a challenging technique. Most surgeons prefer the interlaminar access because of the special anatomy of the L5-S1 disc level, i.e., narrow neuroforamen and large interlaminar window. Transforaminal access to the neuroforamen L5-S1 is difficult in cases with high iliac crest. Here, the access to the highly downmigrated disc herniation with the recently reported technique of transpedicular endoscopic surgery by Krzok et al. was described. In 3 cases with highly downmigrated disc herniation of L5-S1, the sequester was removed successfully through the bone hole of S1 pedicle. This technique is demanding for experienced endoscopic surgeons. |
| format | Article |
| id | doaj-art-a6ff0fa0fe214631822fa2e7bd29b33b |
| institution | OA Journals |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-a6ff0fa0fe214631822fa2e7bd29b33b2025-08-20T02:20:10ZengWileyCase Reports in Medicine1687-96271687-96352019-01-01201910.1155/2019/57243425724342Transpedicular Endoscopic Surgery for Highly Downmigrated L5-S1 Disc HerniationGuntram Krzok0Department of Orthopedic Surgery, SRH Hospital Waltershausen-Friedrichroda, Friedrichroda, GermanyEndoscopic surgery for highly downmigrated disc herniation at level L5-S1 is a challenging technique. Most surgeons prefer the interlaminar access because of the special anatomy of the L5-S1 disc level, i.e., narrow neuroforamen and large interlaminar window. Transforaminal access to the neuroforamen L5-S1 is difficult in cases with high iliac crest. Here, the access to the highly downmigrated disc herniation with the recently reported technique of transpedicular endoscopic surgery by Krzok et al. was described. In 3 cases with highly downmigrated disc herniation of L5-S1, the sequester was removed successfully through the bone hole of S1 pedicle. This technique is demanding for experienced endoscopic surgeons.http://dx.doi.org/10.1155/2019/5724342 |
| spellingShingle | Guntram Krzok Transpedicular Endoscopic Surgery for Highly Downmigrated L5-S1 Disc Herniation Case Reports in Medicine |
| title | Transpedicular Endoscopic Surgery for Highly Downmigrated L5-S1 Disc Herniation |
| title_full | Transpedicular Endoscopic Surgery for Highly Downmigrated L5-S1 Disc Herniation |
| title_fullStr | Transpedicular Endoscopic Surgery for Highly Downmigrated L5-S1 Disc Herniation |
| title_full_unstemmed | Transpedicular Endoscopic Surgery for Highly Downmigrated L5-S1 Disc Herniation |
| title_short | Transpedicular Endoscopic Surgery for Highly Downmigrated L5-S1 Disc Herniation |
| title_sort | transpedicular endoscopic surgery for highly downmigrated l5 s1 disc herniation |
| url | http://dx.doi.org/10.1155/2019/5724342 |
| work_keys_str_mv | AT guntramkrzok transpedicularendoscopicsurgeryforhighlydownmigratedl5s1discherniation |