The Open Orthopaedics Journal




ISSN: 1874-3250 ― Volume 13, 2019
REVIEW ARTICLE

Percutaneous Endoscopic Spine Surgery for Extruded Lumbar Disc Herniation



Mutombo Menga Arsene, Xiao-Tao Wu*, Zan- Li Jiang, Lei Zhu
Department of Spine Surgery, The Affiliated ZhongDa Hospital of Southeast University, Nanjing, Jiangsu Province, China

Abstract

The conventional open discectomy is the gold standard for treating extruded lumbar disc herniation, especially in highly migrated lumbar disc herniation. Endoscopic spine surgery is known to be very challenging and technically demanding, in particular for highly migrated disc herniation. However, several studies have reported numerous effective techniques with results approximatively equal to conventional open surgeries or mini-open surgery. In the last few years, an increased number of endoscopic spine surgical techniques have been proposed in order to overcome various issues encountered in traditional endoscopic spine surgery. Nevertheless, surgical approach selection for treating extruded lumbar disc herniation is based on aspects such as anatomical structures, availability of surgical instruments, surgeon’s experience, and the disc herniation location. Advances in endoscopic visualization and instrumentation, as well as an increased demand for minimally invasive procedures, have led to the popularity of Percutaneous Endoscopic Lumbar Discectomy (PELD). PELD is a recent and advanced technique among other minimally invasive spine surgeries (MIS). It includes various kinds of surgical techniques to treat lumbar disc herniation and aims to offer a safe, less invasive surgical procedure for lumbar disc space decompression and removal of nucleus pulposus.

Keywords: PELD, Minimal invasive surgery, Discectomy, Lumbar disc herniation, Extrusion, Spine surgery.


Article Information


Identifiers and Pagination:

Year: 2018
Volume: 12
First Page: 482
Last Page: 495
Publisher Id: TOORTHJ-12-482
DOI: 10.2174/1874325001812010482

Article History:

Received Date: 11/8/2018
Revision Received Date: 5/11/2018
Acceptance Date: 7/11/2018
Electronic publication date: 30/11/2018
Collection year: 2018

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© 2018 Arsene et al.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: (https://creativecommons.org/licenses/by/4.0/legalcode). This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


* Address correspondence to this author at the Department of spine surgery, The Affiliated ZhongDa Hospital of Southeast University, Nanjing, Jiangsu Province, China, Tel: +8613605174323, Fax: 86 25 83272256; E-mail: wuxiaotaospine@seu.edu.cn



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