医学
外科
椎间盘切除术
神经根
孔切开术
内窥镜
椎板切除术
腰椎
椎间盘切除术
内窥镜检查
椎间盘移位
减压
放射科
腰椎
脊髓
精神科
作者
Dorian Mambelli,Ryan Farrell,Meng Huang
出处
期刊:Operative Neurosurgery
[Oxford University Press]
日期:2024-07-02
标识
DOI:10.1227/ons.0000000000001237
摘要
The surgical management of rostral disc herniations at L5-S1 poses challenges for conventional endoscopic approaches, particularly in patients who have had previous lumbar surgery. We present a full endoscopic transpedicular discectomy (FETD), whereby a pediculotomy is created to pass an endoscope through the pedicle for intracanal access. This addresses anatomic obstacles and potential complications associated with other endoscopic and minimally invasive or open techniques. To date, this is the only article to highlight this approach with a case report and intraoperative video.
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