• Minim Invas Neurosur · Jun 2007

    Case Reports

    Minimally invasive endoscopic removal of a herniated nucleus pulposus that had migrated to the S1 nerve root foramen.

    • I Tonogai, K Sairyo, K Higashino, T Sakai, S Katoh, and N Yasui.
    • Department of Orthopedics, The University of Tokushima School of Medicine, Tokushima, Japan.
    • Minim Invas Neurosur. 2007 Jun 1; 50 (3): 173-7.

    AbstractIn this report, we described an adult case with a lumbar herniated nucleus pulposus that had migrated to the S1 nerve root foramen from L5-S1 disc space. Endoscopically, the migrated mass was successfully removed after laminectomy at the S1 with a small skin incision of 20 mm in length. Unlike the other levels, the intraforaminally migrated mass along the S1 root can be excised without any removal of the facet joints; therefore, additional spinal fusion is not necessary. Thus, an S1 foraminal migrated mass can be a good surgical candidate for minimally invasive endoscopic surgery.

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