Foraminoplastic Ventral Epidural Approach for Removal of Extruded Herniated Fragment at the L5-S1 Level
スポンサーリンク
概要
- 論文の詳細を見る
The ‘foraminoplastic’ ventral epidural approach and its advantages in the treatment of extruded disk herniation at the L5-S1 level are described. Percutaneous endoscopic lumbar discectomy is a minimally invasive procedure applicable to various types of lumbar disk herniation, but the L5-S1 disk space is still challenging to access due to anatomic limitations such as high iliac crest or severely narrowed foramen. The ‘foraminoplastic’ ventral epidural approach was performed in 25 patients with herniated disk radiculopathy at L5-S1 from March 2003 to May 2004. Their mean age was 39.2 years (range 20-67 years) and the mean follow-up duration was 32.5 months (range 28-42 months). During the procedure, ‘foraminoplasty’ was performed by undercutting the hypertrophic superior facet with the endoscopic bone cutter under C-arm guidance. The clinical result was assessed according to the visual analogue scale (VAS) and Oswestry disability index (ODI). Preoperative mean VAS score of 7.4 for leg pain fell to 1.6 postoperatively and mean preoperative ODI of 55.5% improved to 16.9% postoperatively, both showing significant improvements (p < 0.001). Mean hospital stay was 14.2 hours. Twenty-two patients had the favorable outcomes. Two patients required conversion to open microdiscectomy due to incomplete decompression and recurrent disk herniation. The ‘foraminoplastic’ approach is a safe and efficient surgical option for L5-S1 disk herniation even in patients with high iliac crest and narrow foramen.
- 社団法人 日本脳神経外科学会の論文
- 2010-12-15
著者
-
LEE Sang-Ho
Department of Neurosurgery, Wooridul Spine Hospital
-
Ahn Yong
Department of Internal Medicine, Gyeongsang National University Hospital, Korea
-
KIM Jin-Sung
Department of Neurosurgery, Wooridul Spine Hospital
-
Kim Jin-sung
Department Of Internal Medicine Oriental Medical College Kyunghee University
-
Ahn Yong
Department Of Neurosurgery Wooridul Spine Hospital
-
Lee Sang-ho
Department Of Architectural Engineering Yonsei University
-
KANG Han
Department of Neurosurgery, Naeun Hospital
-
CHOI Gun
Department of Neurosurgery, Wooridul Spine Hospital
-
KONG Byoung
Department of Neurosurgery, Naeun Hospital
-
LEE Ho-Yeon
Department of Neurosurgery, Wooridul Spine Hospital
-
Kang Han
Department Of Neurosurgery Naeun Hospital
-
Choi Gun
Department Of Neurosurgery Wooridul Spine Hospital
-
Kong Byoung
Department Of Neurosurgery Naeun Hospital
-
Lee Ho-yeon
Department Of Neurosurgery Wooridul Spine Hospital
-
Lee Ho-yeon
Department Of Chemical Engineering Sogang University
-
Lee Sang-ho
Department Of Agricultural Economics Sunchon National University
関連論文
- Two-Level Anterior Lumbar Interbody Fusion With Percutaneous Pedicle Screw Fixation: A Minimum 3-Year Follow-up Study
- Intussusception in a Young Female with Vibrio Gastroenteritis and Diabetic Ketoacidosis
- Two-Level Anterior Lumbar Interbody Fusion With Percutaneous Pedicle Screw Fixation : A Minimum 3-Year Follow-up Study
- Postoperative Radiotherapy in Carcinoma of the Cervix with Microscopically Positive Resection Margin
- Current Status of High Dose Rate Brachytherapy in Cervical Cancer in Korea
- Replication of the Wellcome Trust genome-wide association study on essential hypertension in a Korean population
- Surgical Experience of Gas-Containing Disk Herniation
- Radiation therapy for abdominal lymph node metastasis from hepatocellular carcinoma
- Foraminoplastic Ventral Epidural Approach for Removal of Extruded Herniated Fragment at the L5-S1 Level
- Effect of Intervertebral Disk Degeneration on Spinal Stenosis During Magnetic Resonance Imaging With Axial Loading
- Analysis of Correlation between Rectal Complications and Rectal Dose Following High Dose Rate Intracavitary Radiotherapy in Patients with Uterine Cervix Cancer:In vivo Dosimetric Analysis
- Secondary Angiosarcoma Following Irradiation-Case Report and Review of the Literature-
- CURRENT STATUS OF HIGH DOSE RATE BRACHYTHERAPY FOR CERVICAL CANCER IN KOREA
- Influence of Lumbar Lordosis Restoration on Thoracic Curve and Sagittal Position in Lumbar Degenerative Kyphosis Patients
- 放射線治療部内デジタル病歴システムにおける自動検証のためのエキスパートシステムの開発
- Symptomatic Isolated Lumbar Interdural Arachnoid Cyst : Case Report
- Comparative Study of Neck Pain in Relation to Increase of Cervical Epidural Pressure During Percutaneous Endoscopic Lumbar Discectomy
- Particle Removal and Its Mechanism on Hydrophobic Silicon Wafer in Highly Diluted NH_4OH Solutions with an Added Surfactant : Semiconductors
- Samsung Medical Centerの放射線腫瘍デジタル画象病歴システム
- Effects of Shikunshito-Kamiho on Fecal Enzymes and Formation of Aberrant Crypt Foci Induced by 1, 2-Dimethylhydrazine
- Fluoroscopically Assisted Percutaneous Translaminar Facet Screw Fixation Following Anterior Lumbar Interbody Fusion : Technical Report
- Risk Factor for Unsatisfactory Outcome After Lumbar Foraminal and Far Lateral Microdecompression
- Effect of Anthropometric Features on the Severity of Lumbar Disk Herniation
- Effect of Ultrasound on Recrystallization of 3-Nitro-1,2,4-triazole-5-one
- No association between AKT1 polymorphism and schizophrenia : A case-control study in a Korean population and a meta-analysis
- Extraforaminal Lumbar Synovial Cyst Causing Sudden Foot Drop
- Risk Factors for Perioperative Cardiac Complications After Lumbar Fusion Surgery
- The relationship between circulating fibroblast growth factor 23 and bone metabolism factors in Korean hemodialysis patients
- Adjacent Segment Disease After Interbody Fusion and Pedicle Screw Fixations for Isolated L4-L5 Spondylolisthesis : A Minimum Five-Year Follow-up
- Comparison of Multifidus Muscle Atrophy and Trunk Extension Muscle Strength : Percutaneous Versus Open Pedicle Screw Fixation
- A Study on the Planning Method of Temporary Residences for Refugees Following a Disaster : Focused on Korean Temporary Residences(Architectural/Urban Planning and Design)
- Preventive effect of Fluoride-containing Adhesive film made by Nano technology on dental caries
- Delayed Neurological Insufficiency Caused by Transverse Sacral Fracture After Minor Trauma in Elderly Patients : Two Case Reports
- Thoracic Disk Herniation Manifesting as Sciatica-Like Pain : Two Case Reports
- Learning Curve for Percutaneous Endoscopic Lumbar Discectomy
- Intradural Invasion of Lumbar Synovial Cyst : Case Report
- A CGE ANALYSIS OF THE ASEAN+3 FREE TRADE AGREEMENT UNDER DIFFERENT MARKET STRUCTURES
- Delayed Neurological Deficits Induced by an Epidural Hematoma Associated With a Thoracic Osteoporotic Compression Fracture
- The Efficacy of Hydroxyapatite for Screw Augmentation in Osteoporotic Patients
- P-19 Thermal Environment Analysis of a Classroom by CFD Simulation to Determine Optimal Temperature Sensor Position in Ceiling Type Air-Conditioning System
- Prognostic implication of thyroglobulin and quantified whole body scan after initial radioiodine therapy on early prediction of ablation and clinical response for the patients with differentiated thyroid cancer
- Factors Affecting Clinical Outcomes in Treating Patients With Grade 1 Degenerative Spondylolisthesis Using Interspinous Soft Stabilization With a Tension Band System : A Minimum 5-year Follow-up
- Radiation Exposure to the Surgeon During Percutaneous Endoscopic Lumbar Discectomy : A Prospective Study