How i do it: full-endoscopic transsacral approach for the treatment of extraforaminal L5/S1 disc herniation

IF 1.9 3区医学 Q3 CLINICAL NEUROLOGY

Acta Neurochirurgica Pub Date : 2024-12-30 DOI:10.1007/s00701-024-06410-6

Qingqing Xiao, Fuming Chu, Li Huang, Yue Li

引用次数: 0

Abstract

Background

For L5/S1 extraforaminal disc herniation, how to efficiently expose the herniated nucleus pulposus and reduce facet joint damage remain to be explored.

Methods

Lumbar discectomy was performed using a full-endoscopic transsacral approach, in which sacral ala and extraforaminal ligament were partially resected to expose the L5/S1 intervertebral disc. Methylene blue was used for disc staining, and the herniated nucleus pulposus was excised through the annular tear. The nerve root decompression was ensured by detecting from extraforaminal region to S1 vertebral outer edge.

Conclusion

The full-endoscopic transsacral approach for the therapy of L5/S1 extraforaminal disc herniation is safe and effective.

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怎么做：全内窥镜经骶入路治疗椎间孔外L5/S1椎间盘突出

背景对于L5/S1椎间孔外椎间盘突出，如何有效暴露髓核，减少小关节损伤仍有待探讨。方法采用全内窥镜经骶入路行骶椎间盘切除术，部分切除骶椎瓣和椎间孔外韧带，暴露L5/S1椎间盘。用亚甲基蓝进行椎间盘染色，通过环形撕裂切除髓核突出。从椎间孔外区到S1椎体外缘检测，确保神经根减压。结论经骶椎全内镜入路治疗L5/S1椎间盘突出症安全有效。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Acta Neurochirurgica 医学-临床神经学

CiteScore

4.40

自引率

4.20%

发文量

342

审稿时长

1 months

期刊介绍： The journal "Acta Neurochirurgica" publishes only original papers useful both to research and clinical work. Papers should deal with clinical neurosurgery - diagnosis and diagnostic techniques, operative surgery and results, postoperative treatment - or with research work in neuroscience if the underlying questions or the results are of neurosurgical interest. Reports on congresses are given in brief accounts. As official organ of the European Association of Neurosurgical Societies the journal publishes all announcements of the E.A.N.S. and reports on the activities of its member societies. Only contributions written in English will be accepted.