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- Title
Full-endoscopic discectomy utilizing an interlaminar approach for gas-containing herniation at L5-S1.
- Authors
Yoshihiko Ioroi; Toshinari Kawasaki; Jun Hashimoto; Tamaki Kobayashi; Hisashi Koga; Motohiro Takayama
- Abstract
Background: Intradiscal gas is frequently observed in older patients with disc degeneration and can occasionally result in nerve root compression. Case Description: A 79-year-old male patient presented with increasing left lower extremity sciatica. Lumbar computed tomography (CT) and magnetic resonance (MR) images revealed a left paramedian L5-S1 gascontaining disc herniation. Utilizing an interlaminar approach, a full-endoscopic discectomy (FED) was performed at L5-S1. During disc removal, we countered intradiscal gas bubbles. Postoperatively, the patient's symptoms/signs fully resolved, and follow-up MR and CT images revealed total resection of the disc herniation, and no further gas. Conclusion: Through an interlaminar FED, we effectively removed an L5-S1 MR/CT-documented gas-containing disc herniation.
- Subjects
OLDER patients; SPINAL surgery; COMPUTED tomography; MAGNETIC resonance imaging; MAGNETIC resonance
- Publication
Surgical Neurology International, 2024, Vol 15, p1
- ISSN
2229-5097
- Publication type
Case Study
- DOI
10.25259/SNI_508_2024