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CASE REPORT
Year : 2017  |  Volume : 31  |  Issue : 1  |  Page : 68-72

Percutaneous endoscopic interlaminar lumbar discectomy for superiorly sequestrated disc L5–S1: A case report with technical review


1 Department of Interventional Spine and Pain, Jaypee Hospital and Yatharth Hospital, Noida, Uttar Pradesh, India
2 Department of Neurosurgery, Nanoori Suwon Hospital, Seoul, South Korea
3 Department of Interventional Spine and Pain, Pain Clinic of India, Mumbai, Maharashtra, India
4 Department of Interventional Spine and Pain, Ram Manohar Lohia Government Hospital, Lucknow, Uttar Pradesh, India
5 Department of Internal Medicine, Yatharth Hospital, Noida, Uttar Pradesh, India

Correspondence Address:
Manish Raj
Department of Interventional Spine And Pain, Yatharth Superspecialisty Hospital, Noida, Uttar Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijpn.ijpn_25_17

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L5-S1 disc has always been a difficult disc to target by rigid endoscope because of anatominal limitations .These limitation severely hampers transforaminal approach for superiorly migrated disc at L5-S1. We performed percutaneous endoscopic interlaminar lumbar decompression (PEILD) for removal of superiorly migrated sequestrated disc and preserved the functional structures. Through this approach nerve root and dural sleeve were exposed and adequate removal of migrated disc was done, which was also confirmed by immediate post operative MRI. The clinical outcome was evaluated using visual analogue scale (VAS) score and brief pain inventory (BPI) . We obtained excellent results in treating superiorly sequestrated disc at L5-S1 using endoscopic interlaminar angled approach.


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