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A Rare Case of Progressive Palsy of the Lower Leg during Percutaneous Endoscopic Lumbar Discectomy via a Transforaminal Approach
Joint Authors
Manabe, Hiroaki
Sugiura, Kosuke
Higashino, Kosaku
Source
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-01-31
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Percutaneous endoscopic discectomy (PED) for lumbar disc herniation is gaining popularity with the transforaminal (TF) approach preferred because it allows surgery under local anesthesia and preserves the spinal muscles.
Although this procedure has some characteristic complications, it is rare for PED to be converted to conventional open surgery due to worsening of symptoms intraoperatively.
Here, we report PED via the TF approach that required conversion to open surgery.
A 20-year-old man with a large disc herniation at L3/4 developed severe progressive leg pain and muscle weakness of the left leg intraoperatively.
Magnetic resonance imaging revealed that the size of the herniation was unchanged and the endoscope did not reach the herniated mass.
We converted to open surgery, and the patient’s postoperative course was favorable.
We discuss the reasons for failure of the approach and suggest planning for an appropriate foraminoplasty to avoid the potential need for conversion to open surgery.
American Psychological Association (APA)
Manabe, Hiroaki& Higashino, Kosaku& Sugiura, Kosuke. 2018. A Rare Case of Progressive Palsy of the Lower Leg during Percutaneous Endoscopic Lumbar Discectomy via a Transforaminal Approach. Case Reports in Orthopedics،Vol. 2018, no. 2018, pp.1-4.
https://search.emarefa.net/detail/BIM-1147923
Modern Language Association (MLA)
Manabe, Hiroaki…[et al.]. A Rare Case of Progressive Palsy of the Lower Leg during Percutaneous Endoscopic Lumbar Discectomy via a Transforaminal Approach. Case Reports in Orthopedics No. 2018 (2018), pp.1-4.
https://search.emarefa.net/detail/BIM-1147923
American Medical Association (AMA)
Manabe, Hiroaki& Higashino, Kosaku& Sugiura, Kosuke. A Rare Case of Progressive Palsy of the Lower Leg during Percutaneous Endoscopic Lumbar Discectomy via a Transforaminal Approach. Case Reports in Orthopedics. 2018. Vol. 2018, no. 2018, pp.1-4.
https://search.emarefa.net/detail/BIM-1147923
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1147923