{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,4,3]],"date-time":"2022-04-03T15:47:18Z","timestamp":1649000838448},"reference-count":12,"publisher":"Georg Thieme Verlag KG","issue":"05","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Neurol Surg A Cent Eur Neurosurg"],"published-print":{"date-parts":[[2020,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Background\u2003With advances in techniques and instruments, percutaneous endoscopic transforaminal lumbar diskectomy (PETLD) is now widely used for lumbar disk herniation. Although the indication for PETLD is expanding, the technique still has limitations. To overcome them, we performed the epidural catheter-assisted PETLD described here.<\/jats:p><jats:p>Methods\u2003A 49-year-old woman had severe radiating pain in a left L5 dermatomal distribution. Magnetic resonance imaging (MRI) revealed left paramedial disk herniation at L4\u2013L5 and a small downward-migrated disk fragment. We performed epidural catheter-assisted PETLD. Mechanical outward pushing and normal saline injection through the epidural catheter were performed for removal of hidden disk remnants. In the second case, a 26-year-old man presented with severe radiating pain in the L5\u2013S1 dermatoms on both sides. MRI revealed massive disk herniation at L4\u2013L5. A unilateral approach was used, and the ruptured disk could be moved using an epidural catheter.<\/jats:p><jats:p>Results\u2003The patients' pain improved immediately after the procedures. With this method, neural decompression can be performed more easily and effectively.<\/jats:p><jats:p>Conclusions\u2003Epidural catheter-assisted PETLD has several advantages and can overcome the limitations of conventional PETLD.<\/jats:p>","DOI":"10.1055\/s-0040-1701636","type":"journal-article","created":{"date-parts":[[2020,6,23]],"date-time":"2020-06-23T05:43:54Z","timestamp":1592891034000},"page":"472-474","source":"Crossref","is-referenced-by-count":1,"title":["Epidural Catheter-Assisted Percutaneous Transforaminal Endoscopic Diskectomy: A Technical Note"],"prefix":"10.1055","volume":"81","author":[{"given":"Ki Joon","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Nanoori Hospital Suwon, Suwon-si, Gyeonggi-do, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"JeeSoo","family":"Jang","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Nanoori Hospital Suwon, Suwon-si, Gyeonggi-do, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Il-Tae","family":"Jang","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Nanoori Hospital Gangnam, Seoul, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2020,6,22]]},"reference":[{"issue":"03","key":"ref1","doi-asserted-by":"crossref","first-page":"300","DOI":"10.3171\/2017.7.SPINE161434","article-title":"Percutaneous transforaminal endoscopic discectomy compared with microendoscopic discectomy for lumbar disc herniation: 1-year results of an ongoing randomized controlled trial","volume":"28","author":"Z Chen","year":"2018","journal-title":"J Neurosurg Spine"},{"issue":"02","key":"ref2","first-page":"E291","article-title":"Percutaneous endoscopic lumbar discectomy as an alternative to open lumbar microdiscectomy for large lumbar disc herniation","volume":"19","author":"K C 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