Biportal Endoscopic Spinal Surgery for Recurrent Lumbar Disc Herniations.
10.4055/cios.2016.8.3.325
- Author:
Dae Jung CHOI
1
;
Je Tea JUNG
;
Sang Jin LEE
;
Young Sang KIM
;
Han Jin JANG
;
Bang YOO
Author Information
1. Spine Center, BESS Education Center, Barun Hospital, Jinju, Korea. djchoi9@hanmail.net
- Publication Type:Case Report
- Keywords:
Lumbosacral region;
Intervertebral disc displacement;
Minimally invasive surgical procedure;
Endoscopic
- MeSH:
Adult;
Diskectomy/*methods;
Endoscopy/*methods;
Humans;
Intervertebral Disc Displacement/*surgery;
Lumbar Vertebrae/surgery;
Lumbosacral Region/*surgery;
Male;
Minimally Invasive Surgical Procedures/*methods;
Patient Positioning
- From:Clinics in Orthopedic Surgery
2016;8(3):325-329
- CountryRepublic of Korea
- Language:English
-
Abstract:
The major problems of revision surgery for recurrent lumbar disc herniation (LDH) include limited visualization due to adhesion of scar tissue, restricted handling of neural structures in insufficient visual field, and consequent higher risk of a dura tear and nerve root injury. Therefore, clear differentiation of neural structures from scar tissue and adhesiolysis performed while preserving stability of the remnant facet joint would lower the risk of complications and unnecessary fusion surgery. Biportal endoscopic spine surgery has several merits including sufficient magnification with panoramic view under very high illumination and free handling of instruments normally impossible in open spine surgery. It is supposed to be a highly recommendable alternative technique that is safer and less destructive than the other surgical options for recurrent LDH.
