Unilateral Biportal Endoscopic Treatment of Multisegmental Lumbar Disc Herniation with Spinal Stenosis in a Young: A Case Report and Literature Review

Abstract

Lumbar Disc Herniation (LDH), the main clinical symptom of which is low back pain, is a syndrome caused by degeneration of the lumbar disc, rupture of the annulus fibrosus, and irritation or compression of the sinus nerve and nerve roots by the protruding nucleus pulposus. At present, mul-tisegmental LDH is mostly seen in the middle-aged and elderly population, and is less common in younger patients. Conservative treatment for patients with multisegmental onset is ineffective, while surgery is dominated by multisegmental fusion or endoscopic management of a single responsible segment, and endoscopic treatment of multisegmental is less common. Unilateral Biportal Endoscopic technology (UBE) is the use of arthroscopic system to carry out treatment, with a clear field of operation, flexible operation, decompression is sufficient and other characteristics, endoscopic surgery in the endoscopic treatment of multisegmental lumbar disc herniation has a unique advantage. In this paper, we report the clinical data of a young patient who visited Hubei Provin-cial Hospital of Traditional Chinese Medicine and underwent minimally invasive UBE for the treat-ment of 3-segment giant lumbar disc herniation with lumbar spinal stenosis and disc calcification, and provide a review of the relevant literature.