Full Endoscopic Translaminar Keyhole Diskectomy for Highly Upmigrated Lumbar Disk Herniation: A Case Report.

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Tác giả: Junseok Bae, Han-Joong Keum, Sang-Ho Lee, Pratyush Shahi, Sang-Ha Shin

Ngôn ngữ: eng

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Thông tin xuất bản: United States : JBJS case connector , 2025

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Bộ sưu tập: NCBI

ID: 707682

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CASE: A 49-year-old man underwent full endoscopic translaminar keyhole diskectomy for highly upmigrated disk herniation at L5-S1. This scope-in-scope technique involved creation of a targeted fenestration in the lamina using a large working cannula (13.7 mm) and endoscope (10 mm). This was followed by advancement of a smaller working cannula (7.5 mm) and endoscope (6.3 mm) into the fenestration to remove the upmigrated disk fragment. Surgery resulted in excellent outcomes. CONCLUSION: This can be a safe and effective surgical option for highly upmigrated disk herniation. It limits the amount of bone removal by directly targeting the herniated fragment and reduces the chances of neural injury.

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