Biportal Endoscopic Spine Surgery for Symptomatic Postoperative Discal Pseudocyst Following Percutaneous Endoscopic Interlaminar Discectomy: A Case Report and Literature Review

Author: Tran Vu Hoang DUONG ¹ ; Pham Anh TUAN ; Huynh Van VU ; Chu Van LAM ; Le Tan LINH
Author Information

1. Department of Neurosurgery, Xuyen A General Hospital, Ho Chi Minh City, Vietnam
Publication Type:Case Report
From: Journal of Minimally Invasive Spine Surgery and Technique 2025;10(1):152-161
CountryRepublic of Korea
Language:English
Abstract: Postoperative discal pseudocyst (PDP) is a rare complication after surgery for lumbar disc herniation. The literature on this condition is sparse, with most studies being limited to case reports. Various hypotheses regarding the pathogenesis of PDP have been proposed; however, the exact mechanisms remain unclear and are not well described in the current literature. We present a case of PDP following percutaneous endoscopic interlaminar discectomy (PEID), which was revised through biportal endoscopic spinal surgery. Additionally, we conducted a systematic review of the literature, aiming to provide a more detailed description of the proposed mechanisms underlying PDP, particularly after PEID, and to summarize current trends in the treatment of this complication.