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Percutaneous Endoscopic Interlaminar Discectomy for L5-S1 Disc Herniation: Axillary Approach and Preliminary Results

Lee, Seung-Cheol    (Department of Neurosurgery, Wooridul Spine Hospital   ); Lee, Sang-Ho    (Department of Neurosurgery, Wooridul Spine Hospital   ); Choi, Won-Chul    (Department of Neurosurgery, Wooridul Spine Hospital   ); Choi, Gun    (Department of Neurosurgery, Wooridul Spine Hospital   ); Shin, Song-Woo    (Department of Neurosurgery, Wooridul Spine Hospital   ); Kaul, Richard    (Department of Neurosurgery, Pompton Plains Surgical Center  );
  • 초록

    Objective : The purpose of this study was to describe a surgical technique of axillary approach of percutaneous endoscopic interlaminar discectomy for L5-S1 disc herniation and its preliminary results. Methods : From July 2002 to September 2003, 101 patients with lumbar radiculopathy due to L5-S1 disc herniation, who were treated by percutaneous interlaminar endoscopic discectomy, were retrospectively reviewed. There were 57 males and 44 females with a mean age of 44.8 years [range, 18 to 62 years]. The surgery consisted of needle insertion into the epidural space via the interlaminar space, sequential dilatation, and endoscopic discectomy through the axillary area of the S1 root. Results : The mean follow-up period was 14.5 months and the average surgical time was 41 min. According to the modified Macnab criteria, 44 patients [43.6%] had excellent outcomes, 49 [48.5%] had good results and only 8 [78%] had fair or poor outcomes. Four patients had a revision microdiscectomy due to incomplete removal of disc fragment. There were no major complications related to this surgical approach. Conclusion : Axillary approach of percutaneous endoscopic interlaminar discectomy is safe and effective procedure for the treatment of L5-Sl disc herniation. It combines the advantages of MED and conventional percutaneous endoscopic discectomy.


  • 주제어

    Interlaminar approach .   L5-S1 disc herniation .   Percutaneous endoscopic discectomy.  

  • 참고문헌 (16)

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  • 이 논문을 인용한 문헌 (1)

    1. 2007. "" Journal of Korean Neurosurgical Society = 대한신경외과학회지, 41(4): 241~245     

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  • Choi, Won-Chul (1)

  • Choi, Gun (3)

  • Shin, Song-Woo (6)

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