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SELD (Trans-Sacral Epiduroscopic Laser Decompression)

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Endoscopic Procedures on the Spine
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Abstract

Background: Trans-sacral epiduroscopic laser decompression (t-SELD) has been developed as one of the spine surgeries for patients with a herniated lumbar disc.

The purpose of this chapter is to examine and better understand the indication of this procedure and function of laser in epidural space.

Method: t-SELD is performed in patients with back pain and radiculopathy due to definite nerve compression confirmed by MRI with flexible epiduroscopy of 0.9 mm outside diameter and Ho: YAG laser ablation under local anesthesia.

Conclusion: As optical science and technology develops, t-SELD is suggested to be an effective therapeutic modality for patients with symptomatic HNP and can be performed safely without damage to normal anatomical structures.

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Correspondence to Sang Gu Lee .

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Lee, S.G. (2020). SELD (Trans-Sacral Epiduroscopic Laser Decompression). In: Kim, JS., Lee, J., Ahn, Y. (eds) Endoscopic Procedures on the Spine. Springer, Singapore. https://doi.org/10.1007/978-981-10-3905-8_29

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  • DOI: https://doi.org/10.1007/978-981-10-3905-8_29

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  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-10-3904-1

  • Online ISBN: 978-981-10-3905-8

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