Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contacts Login 
  • Users Online:126
  • Home
  • Print this page
  • Email this page
CASE REPORT
Year : 2018  |  Volume : 32  |  Issue : 2  |  Page : 116-122

Percutaneous endoscopic interlaminar lumbar discectomy for high-grade inferiorly migrated L5-S1 disc: A case report with technical review

Manish Raj1, Hyeun S Kim2, Kailash Kothari3, Anurag Agarwal4, Santosh Tripathi5, Shobhit Bharadwaj6
1 Department of Interventional Spine and Pain Medicine, Yatharth Super Speciality Hospital, Noida, India
2 Department of Neurosurgery, Nanoori Hospital, Seoul, South Korea
3 Department of Interventional Spine and Pain, Pain Clinic of India, Mumbai, India
4 Department of Anaesthesiology and Pain Management, Dr. Ram Manohar Lohia Institute of Medical Sciences, Lucknow, India
5 Department of Neuroscience, Metro Neuro Hospital, Gwalior, India
6 Department of Orthopedic Surgery, Yatharth hospital, Noida, India

Correspondence Address:
Dr. Manish Raj
Department of Interventional Spine and Pain Medicine, Yatharth Super Speciality Hospital, Sector 110, Noida, Uttar Pradesh,
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijpn.ijpn_25_18

Rights and Permissions

L5-S1 disc has always been a difficult disc to target by rigid endoscope because of anatomical limitations. In this study, we have described the technique to overcome difficulty faced during endoscopic disc decompression of high-grade inferior migrated disc at L5-S1. We performed percutaneous endoscopic inter-laminar lumbar discectomy (PEILD) for removal of high grade inferiorly migrated disc and preserved the functional structures. After institutional review board approval, details of the patient with high-grade inferior migration at L5-S1 disc were reviewed. The patient was operated by a single specialist with use of the percutaneous endoscopic inter-laminar technique for high-grade inferior migrated extruded disc. Description of our technique & result is the focus of this study. The average VAS score was reduced from 9 pre-operatively to 3 post-operatively & to 1-2 within 2 weeks. Post-operative plantar flexion of foot improved from 2 to 4 immediately and up to 5 within 2 weeks. Ankle jerk reflex improved from 1+ to 2+. The pain severity score on BPI reduced from 9 to 3 postoperatively. Post-operative MRI showed that the high grade inferiorly ruptured disc had been successfully removed. We obtained excellent results in treating inferior extruded disc at L5-S1 using endoscopic inter-laminar approach. Inter-laminar endoscopic discectomy can be used as a safe yet minimally invasive technique for the treatment of lumbar radiculopathy in the setting of a high grade inferior migrated lumbar disc herniation.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed1465    
    Printed47    
    Emailed0    
    PDF Downloaded137    
    Comments [Add]    

Recommend this journal

 

Sitemap | What's New | Feedback | Disclaimer
© Indian Journal of Pain | Published by Wolters Kluwer - Medknow
Online since 31 May, 2013