Percutaneous Endoscopic Lumbar Discectomy

( 경피적 내시경하 디스크 제거술 )

Anatomy

•10-20

Operation room

Preoperative Planning

Position

Needle 삽입 위치

PELD

10-20 도

How to reach the fragment

Removal of facet and foraminal ligament

Transforaminal Approach

Removed herniated mass

Case 1. Large HIVD

Case 1. Large HIVD

Case 2. Up migrated HIVD

Case 2. Up migrated HIVD

Case 3. Down migrated HIVD

Case 3. Down migrated HIVD

Case 4. Foraminal HIVD

Case 4. Foraminal HIVD

Case 5. Foraminal Stenosis

Preop MR Postop MR

수술 전후 SLR Check