Skip to main content
SpringerLink
Log in

Various Other Disc Herniations

  • Chapter
  • First Online:
Transforaminal Endoscopy for Lumbar Spine

  • 250 Accesses

Abstract

Revision surgery for recurrent lumbar disc herniation constitutes a challenge for the spine surgeon because it has approach-related complications. Recently, PELD has been proposed as a potentially beneficial alternative surgical management for recurrent lumbar disc herniation. Posterolateral transforaminal approach through unscarred tissue can prevent nerve injury and can prevent further damage to the posterior spinal and paraspinal structure.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

References

  1. Carragee EJ, Spinnickie AO, Alamin TF, Paragioudakis S. A prospective controlled study of limited versus subtotal posterior discectomy: short-term outcomes in patients with herniated lumbar intervertebral discs and large posterior annular defect. Spine. 2006;31:653–7.

    Article  PubMed  Google Scholar 

  2. Cinotti G, Roysam GS, Eisenstein SM, Postacchini F. Ipsilateral recurrent lumbar disc herniation. A prospective, controlled study. J Bone Joint Surg Br. 1998;80:825–32.

    Article  CAS  PubMed  Google Scholar 

  3. Javedan S, Sonntag VK. Lumbar disc herniation: microsurgical approach. Neurosurgery. 2003;52:160-162; discussion 162-164.

    Google Scholar 

  4. Silvers HR, Lewis PJ, Asch HL, Clabeaux DE. Lumbar discectomy for recurrent disk herniation. J Spinal Disord. 1994;7:408–19.

    Article  CAS  PubMed  Google Scholar 

  5. Suk KS, Lee HM, Moon SH, Kim NH. Recurrent lumbar disc herniation: results of operative management. Spine. 2001;26:672–6.

    Article  CAS  PubMed  Google Scholar 

  6. Swartz KR, Trost GR. Recurrent lumbar disc herniation. Neurosug Focus. 2003;15:E10.

    Google Scholar 

  7. Dai LY, Zhou Q, Yao WF, Shen L. Recurrent lumbar disc herniation after discectomy: outcome of repeated discectomy. Surg Neurol. 2005;64:226–31; discussion 231.

    Article  PubMed  Google Scholar 

  8. Fu TS, Lai PL, Tsai TT, Niu CC, Chen LH, Chen WJ. Long-term results of disc excision for recurrent lumbar disc herniation with or without posterolateral fusion. Spine. 2005;30:2830–4.

    Article  PubMed  Google Scholar 

  9. Ebeling U, Kalbarcyk H, Reulen HJ. Microsurgical reoperation following lumbar disc surgery. Timing, surgical findings, and outcome in 92 patients. J Neurosurg. 1989;70:397–404.

    Article  CAS  PubMed  Google Scholar 

  10. Ebeling U, Reichenberg W, Reulen HJ. Results of microsurgical lumbar discectomy.Review of 485 patients. Acta Neurochir Wien. 1986;81:45–52.

    Article  CAS  PubMed  Google Scholar 

  11. Fandino J, Botana C, Viladrich A, et al. Reoperation after lumbar disc surgery: results in 130 cases. Acta Neurochir Wien. 1993;122:102–4.

    Article  CAS  PubMed  Google Scholar 

  12. Law JD, Lehman RAW, Kirsch WM. Reoperation after lumbar intervertebral disc surgery. J Neurosurg. 1978;48:259–63.

    Article  CAS  PubMed  Google Scholar 

  13. Kim SS, Michelsen CB. Revision surgery for failed back surgery syndrome. Spine. 1992;17:957–60.

    Article  CAS  PubMed  Google Scholar 

  14. Stolke D, Sollmann WP, Seifert V. Intra- and postoperative complications on lumbar disc surgery. Spine. 1989;14:56–9.

    Article  CAS  PubMed  Google Scholar 

  15. Waddell G, Kummel EG, Lotto WN, et al. Failed lumbar disc surgery and repeat surgery following industrial injuries. J Bone Joint Surg Am. 1979;61:201–7.

    Article  CAS  PubMed  Google Scholar 

  16. Ozgen S, Naderi S, Ozgen MM, et al. Findings and outcome of revision lumbar disc surgery. J Spinal Disord. 1999;12:287–92.

    Article  CAS  PubMed  Google Scholar 

  17. Vishteh AG, Dickman CA. Anterior lumbar microdiscectomy and interbody fusion for the treatment of recurrent disc herniation. Neurosurgery. 2001;48:334–7.

    CAS  PubMed  Google Scholar 

  18. Hermantin FU, Peters T, Quartararo L, et al. A prospective, randomized study comparing the results of open discectomy with those of video-assisted arthroscopic microdiscectomy. J Bone Joint Surg Am. 1999;81:958–65.

    Article  CAS  PubMed  Google Scholar 

  19. Kambin P, Casey K, O’Brien E, et al. Transforaminal arthroscopic decompression of lateral recess stenosis. J Neurosurg. 1996;84:462–7.

    Article  CAS  PubMed  Google Scholar 

  20. Knight MT, Ellison DR, Goswami A, et al. Review of safety in endoscopic laser foraminoplasty for the management of back pain. J Clin Laser Med Surg. 2001;19:147–57.

    Article  CAS  PubMed  Google Scholar 

  21. Knight MT, Goswami A, Patko JT, et al. Endoscopic foraminoplasty: a prospective study on 250 consecutive patients with independent evaluation. J Clin Laser Med Surg. 2001;19:73–81.

    Article  CAS  PubMed  Google Scholar 

  22. Knight MT, Vajda A, Jakab GV, et al. Endoscopic laser foraminoplasty on the lumbar spine-early experience. Minim Invasive Neurosurg. 1998;41:5–9.

    Article  CAS  PubMed  Google Scholar 

  23. Lew SM, Mehalic TF, Fagone KL. Transforaminal percutaneous endoscopic discectomy in the treatment of far-lateral and foraminal lumbar disc herniations. J Neurosurg. 2001;94:216–20.

    CAS  PubMed  Google Scholar 

  24. Mayer HM, Brock M. Percutaneous endoscopic lumbar discectomy (PELD). Neurosurg Rev. 1993;16:115–20.

    Article  CAS  PubMed  Google Scholar 

  25. Yeung AT. The evolution of percutaneous spinal endoscopy and discectomy: state of the art. Mt Sinai J Med. 2000;67:327–32.

    CAS  PubMed  Google Scholar 

  26. Yeung AT, Tsou PM. Posterolateral endoscopic excision for lumbar disc herniation: surgical technique, outcome, and complications in 307 consecutive cases. Spine. 2002;27:722–31.

    Article  PubMed  Google Scholar 

  27. Mizuno J, Hirano Y, Nishimura Y. Establishment of endoscopic spinal neurosurgery and its current status. No Shinkei Geka. 2016;44:203–9.

    PubMed  Google Scholar 

  28. Ahn Y, Lee SH, Park WM, Lee HY, Shin SW, Kang HY. Percutaneous endoscopic lumbar discectomy for recurrent disc herniation:surgical technique, outcome, and prognostic factors of 43 consecutive cases. Spine. 2004;29:E326–32.

    Article  PubMed  Google Scholar 

  29. Choi G, Raiturker PP, Kim MJ, Chung DJ, Chae YS, Lee SH. The effect of early isolated lumbar extension exercise program for patients with herniated disc undergoing lumbar discectomy. Neurosurgery. 2005;57:764–72; discussion 764-772.

    Article  PubMed  Google Scholar 

  30. Morgan-Hough CVJ, Jones PW, Eisenstein SM. Primary and revision lumbar discectomy. J Bone Joint Surg Br. 2003;85:871–4.

    Article  CAS  PubMed  Google Scholar 

  31. Saxler G, Kramer J, Barden B, Kurt A, Pfortner J, Bernsmann K. The long-term clinical sequelae of incidental durotomy in lumbar disc surgery. Spine. 2005;30:2298–302.

    Article  PubMed  Google Scholar 

  32. Barth M, Diepers M, Weiss C, et al. Two-year outcome after lumbar microdiscectomy versus microscopic sequestrectomy: part 2:radiographic evaluation and correlation with clinical outcome. Spine. 2008;33:273–9.

    Article  PubMed  Google Scholar 

  33. Barth M, Weiss C, Thome C. Two-year outcome after lumbar microdiscectomy versus microscopic sequestrectomy: part 1: evaluation of clinical outcome. Spine. 2008;33:265–72.

    Article  PubMed  Google Scholar 

  34. Carragee EJ, Spinnickie AO, Alamin TF, et al. A prospective controlled study of limited versus subtotal posterior discectomy: short-term outcomes in patients with herniated lumbar intervertebral discs and large posterior annular defect. Spine. 2006;31:653–7.

    Article  PubMed  Google Scholar 

  35. Faulhauer K, Manicke C. Fragment excision versus conventional disc removal in the microsurgical treatment of herniated lumbar disc. Acta Neurochir. 1995;133:07–11.

    Article  Google Scholar 

  36. Goel VK, Nishiyama K, Weinstein JN, et al. Mechanical properties of lumbar spinal motion segments as affected by partial disc removal. Spine. 1986;11:1008–12.

    Article  CAS  PubMed  Google Scholar 

  37. Mochida J, Nishimura K, Nomura T, et al. The importance of preserving disc structure in surgical approaches to lumbar disc herniation. Spine. 1996;21:1556–63.

    Article  CAS  PubMed  Google Scholar 

  38. Kambin P, Gellman H. Percutaneous lateral discectomy of the lumbar spine. Clin Orthop. 1983;174:172–32.

    Article  Google Scholar 

  39. Ahn Y, Lee SH, Park WM, et al. Percutaneous endoscopic lumbar discectomy for recurrent disc herniation: surgical technique, outcome, and prognostic factors of 43 consecutive cases. Spine. 2004;29:E326–32.

    Article  PubMed  Google Scholar 

  40. Kambin P, Gennarelli T, Hermantin F. Minimally invasive techniques in spinal surgery: current practice. Neurosurg Focus. 1998;4:1–10.

    Article  Google Scholar 

  41. Kambin P, O’Brien E, Zhou L, Schaffer JL. Arthroscopic microdiscectomy and selective Fragmentectomy. Clin Orthop Relat Res. 1998;347:150–67.

    Article  Google Scholar 

  42. Yeung AT. Minimally invasive disc surgery with the Yeung endoscopic spine system(YESS™). Surg Technol Int. 1999;8:267–77.

    CAS  PubMed  Google Scholar 

  43. Hermantin FU, Peters T, Quartararo L, Kambin P. A prospective, randomized study comparing the results of open discectomy with those of video-assisted arthroscopic microdiscectomy. J Bone Joint Surg Am. 1999;81:958–65.

    Article  CAS  PubMed  Google Scholar 

  44. Knop-Jergas BM, Zucherman JF, Hsu KY, et al. Anatomic position of a herniated nucleus pulposus predicts the outcome of lumbar discectomy. J Spinal Disord. 1996;9:246–50.

    Article  CAS  PubMed  Google Scholar 

  45. Walker JL, Schulak D, Murtagh R. Midline disk herniations of the lumbar spine. South Med J. 1993;86:13–7.

    Article  CAS  PubMed  Google Scholar 

  46. Ethier DB, Cain JE, Yaszemski MJ, et al. The influence of annulotomy selection on disc competence. A radiographic, biomechanical, and histologic analysis. Spine. 1994;19:2071–6.

    Article  CAS  PubMed  Google Scholar 

  47. Lu WW, Luk KD, Ruan DK, et al. Stability of the whole lumbar spine after multilevel fenestration and discectomy. Spine. 1999;24:1277–82.

    Article  CAS  PubMed  Google Scholar 

  48. Satoh I, Yonenobu K, Hosono N, et al. Indication of posterior lumbar interbody fusion for lumbar disc herniation. J Spinal Disord Tech. 2006;19:104–8.

    Article  PubMed  Google Scholar 

  49. Takeshima T, Kambara K, Miyata S, et al. Clinical and radiographic evaluation of disc excision for lumbar disc herniation with and without posterolateral fusion. Spine. 2000;25:450–6.

    Article  CAS  PubMed  Google Scholar 

  50. Ruetten S, Komp M, Merk H, et al. Full-endoscopic anterior decompression versus conventional anterior decompression and fusion in cervical disc herniations. Int Orthop. 2009;33:1677–82.

    Article  PubMed  Google Scholar 

  51. Lee SH, Chung SE, Ahn Y, et al. Comparative radiologic evaluation of percutaneous endoscopic lumbar discectomy and open microdiscectomy: a matched cohort analysis. Mt Sinai J Med. 2006;73:795–801.

    PubMed  Google Scholar 

  52. Fardon DF, Williams AL, Dohring EJ, et al. Lumbar disc nomenclature: version 2.0: recommendations of the combined task forces of the North American Spine Society, the American Society of Spine Radiology, and the American Society of Neuroradiology. Spine (Phila Pa 1976). 2014;39:E1448–65.

    Article  PubMed  Google Scholar 

  53. Chen Y, Wang J-X, Sun B, et al. Percutaneous endoscopic lumbar discectomy in treating calcified lumbar intervertebral disc herniation. World Neurosurg. 2019;122:e1449–e56.

    Article  PubMed  Google Scholar 

  54. Choi KY, Eun SS, Lee HY. Percutaneous endoscopic thoracic discectomy; Transforaminal approach. Minim Invas Neurosurg. 2010;53:25–8.

    Article  CAS  Google Scholar 

  55. Ruetten S, Komp M, Merk H, et al. Full-endoscopic interlaminar and transforaminal lumbar discectomy versus conventional microsurgical technique: a prospective, randomized, controlled study. Spine (Phila Pa 1976). 2008;33:931–9.

    Article  PubMed  Google Scholar 

  56. Kambin P, Gellman H. Percutaneous lateral discectomy of the lumbar spine a preliminary report. Clin Orthop Relat Res. 1983;174:127–32.

    Article  Google Scholar 

  57. Shin SH, Hwang BW, Keum HJ, et al. Epidural steroids after a percutaneous endoscopic lumbar discectomy. Spine (Phila Pa 1976). 2015;40:E859–65.

    Article  PubMed  Google Scholar 

  58. Shin SH, Bae JS, Lee SH, et al. Transforaminal endoscopic decompression for lumbar spinal stenosis: a novel surgical technique and clinical outcomes. World Neurosurg. 2018;114:e873–e82.

    Article  PubMed  Google Scholar 

  59. Bae J, Chachan S, Shin SH, et al. Percutaneous endoscopic thoracic discectomy in the upper and midthoracic spine: a technical note. Neurospine. 2019;16:148.

    Article  PubMed  PubMed Central  Google Scholar 

  60. Ahn Y, Keum HJ, Shin SH, et al. Laser-assisted endoscopic lumbar foraminotomy for failed back surgery syndrome in elderly patients. Lasers Med Sci. 2020;35:121–9.

    Article  PubMed  Google Scholar 

  61. Ahn Y. Endoscopic spine discectomy: indications and outcomes. Int Orthop. 2019;43:909–16.

    Article  PubMed  Google Scholar 

  62. Choi G, Pophale CS, Patel B, et al. Endoscopic spine surgery. J Korean Neurosurg Soc. 2017;60:485–97.

    Article  PubMed  PubMed Central  Google Scholar 

  63. Ruetten S, Komp M, Merk H, et al. Use of newly developed instruments and endoscopes: full-endoscopic resection of lumbar disc herniations via the interlaminar and lateral transforaminal approach. J Neurosurg Spine. 2007;6:521–30.

    Article  PubMed  Google Scholar 

  64. Kim HS, Adsul N, Ju YS, et al. Full endoscopic lumbar discectomy using the calcification floating technique for symptomatic partially calcified lumbar herniated nucleus pulposus. World Neurosurg. 2018;119:500–5.

    Article  PubMed  Google Scholar 

  65. Dabo X, Ziqiang C, Yinchuan Z, et al. The clinical results of percutaneous endoscopic interlaminar discectomy (PEID) in the treatment of calcified lumbar disc herniation: a case-control study. Pain Physician. 2016;19:69–76.

    Article  PubMed  Google Scholar 

  66. Quraishi N, Khurana A, Tsegaye M, et al. Calcified giant thoracic disc herniations: considerations and treatment strategies. Eur Spine J. 2014;23:76–83.

    Article  PubMed Central  Google Scholar 

  67. Gille O, Soderlund C, Razafimahandri HJ, et al. Analysis of hard thoracic herniated discs: review of 18 cases operated by thoracoscopy. Eur Spine J. 2006;15:537–42.

    Article  PubMed  PubMed Central  Google Scholar 

  68. Jang J-S, An S-H, Lee S-H. Transforaminal percutaneous endoscopic discectomy in the treatment of foraminal and extraforaminal lumbar disc herniations. J Spinal Disord Tech. 2006;19(5):338–43.

    Article  PubMed  Google Scholar 

  69. Fiorenza V, Ascanio F. Percutaneous endoscopic transforaminal outside-in outside technique for foraminal and extraforaminal lumbar disc herniations—operative technique. World Neurosurg. 2019;130:244–53.

    Article  PubMed  Google Scholar 

  70. Ahn Y. Transforaminal percutaneous endoscopic lumbar discectomy: technical tips to prevent complications. Expert Rev Med Devices. 2012;9(4):361–6.

    Article  CAS  PubMed  Google Scholar 

  71. Mathews HH. Transforaminal endoscopic microdiscectomy. Neurosurg Clin N Am. 1996;7(1):59–63.

    Article  CAS  PubMed  Google Scholar 

  72. Soo ES, Sourabh C, Ho LS. Posterolateral endoscopic lumbar decompression rotate-to-retract technique for foraminal disc herniation: a technical report. Biomed Res Int. 2019;2019:5758671.

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Neurosurgery, Chungdam Wooridul Spine Hospital, Seoul, Republic of Korea

    Jeong Hoon Choi

  2. Wooridul Spine Hospital, Seoul, Korea (Republic of)

    Sang-Ha Shin

  3. Department of Neurosurgery, Gangbuk Wooridul Spine Hospital, Seoul, Republic of Korea

    Shin-Jae Kim

Authors
  1. Jeong Hoon Choi
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Sang-Ha Shin
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Shin-Jae Kim
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Sang-Ha Shin .

Editor information

Editors and Affiliations

  1. Wooridul Spine Hospital, Seoul, Korea (Republic of)

    Sang-Ho Lee

  2. Wooridul Spine Hospital, Seoul, Korea (Republic of)

    Sang-Ha Shin

  3. Wooridul Spine Hospital, Seoul, Korea (Republic of)

    Junseok Bae

  4. Wooridul Spine Hospital, Busan, Korea (Republic of)

    Sang-Joon Park

1 Electronic Supplementary Materials

(a) Ipsilateral decompression of the herniated disc. (b) Identification of the herniated route. (c) Contralateral decompression of the herniated disc. (d) Confirmation of the ipsilateral and contralateral traversing nerve root (MP4 12485 kb)

(a) Foraminoplasty using drill. (b) Removal of the ligamentum flavum. (c) Dissection between the hard disc and the nerve. (d) Removal of the hard disc using laser. (e) Removal of the hard disc using forceps. (f) Confirmation of full decompression along the traversing nerve root (MP4 31708 kb)

Endoscopic procedure. Paramedian decompression is first done by standard TELD method. After observing the freely moving traversing root at medial side, working cannula is pulled out to target the surface layer of annulus. It is rotated and moved to superior-lateral lesion, retracting the exiting root. Beneath the exiting root, ruptured extra-foraminal disc fragment is observed. After sufficient decompression, both exiting root and traversing root are observed. (MP4 123553 kb)

Rights and permissions

Reprints and permissions

Copyright information

© 2023 The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd.

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Choi, J.H., Shin, SH., Kim, SJ. (2023). Various Other Disc Herniations. In: Lee, SH., Shin, SH., Bae, J., Park, SJ. (eds) Transforaminal Endoscopy for Lumbar Spine. Springer, Singapore. https://doi.org/10.1007/978-981-19-8971-1_11

Download citation

  • DOI: https://doi.org/10.1007/978-981-19-8971-1_11

  • Published:

  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-19-8970-4

  • Online ISBN: 978-981-19-8971-1

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation