J Korean Pain Soc.  2004 Dec;17(Suppl):S5-S12. 10.3344/kjp.2004.17.S.S5.

Posterolateral Percutaneous Endoscopic Lumbar Discectomy

• Kim KH

• KMID: 2199647
• DOI: http://doi.org/10.3344/kjp.2004.17.S.S5

Abstract

A percutaneous endoscopic lumbar discectomy (PELD) through a posterolateral approach, is a representative minimally invasive spine surgery (MISS) procedure. With a small skin incision, less traumatic sequelae to the muscles, epidural space and neural tissues, as well as an early recovery after the procedure, posterolateral PELD has been referred to as 'state of the art'. The three main mechanisms for reducing the radiating pain to the legs and low back, due to a herniated nucleus pulpous (HNP), are the mechanical removal of the HNP, irrigation of chemical irritants and radiofrequency or laser ablation of the ingrown nerves and vessels. There are some difficulties in the approach with a high iliac crest and sequestrated nucleus; however, PELD with conscious anesthesia is the best choice when general anesthesia can not be performed due to a poor general condition.

Keyword

herniated discs; minimally invasive surgical procedures; percutaneous discectomy

MeSH Terms

Anesthesia
Anesthesia, General
Diskectomy*
Diskectomy, Percutaneous
Epidural Space
Intervertebral Disc Displacement
Irritants
Laser Therapy
Leg
Muscles
Skin
Spine
Surgical Procedures, Minimally Invasive
Irritants