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- Gun Choi, Jin-Sung Kim, Pramod Lokhande, and Sang-Ho Lee.
- Department of Neurosurgery, Wooridul Spine Hospital, Seoul, Korea.
- Spine. 2009 May 20;34(12):E443-6.
Study DesignCase report.ObjectiveThe authors report a new percutaneous endoscopic lumbar discectomy (PELD) technique for the treatment of lumbar disc herniation with a high iliac crest via a transiliac approach.Summary Of Background DataWhen the iliac crest is high, the L4-L5 and L5-S1 disc spaces are located deep in the pelvis, so they are not easily accessible via a suprailiac route.MethodsA 51-year-old man manifested left gluteal and leg pain due to an up-migrated soft disc herniation at the L4-L5 level. Transforaminal PELD via a transiliac approach was performed to remove the herniated fragment, achieving complete decompression of the nerve root.ResultsThe symptom was relieved and the patient was discharged the next day.ConclusionWhen a conventional transforaminal PELD is impossible due to the presence of a high iliac crest, PELD via a transiliac route could be a alternative option in selected cases.
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