Hernia extraforaminal en el espacio L5-S1 tratada por abordaje transfacetario endoscópico. Presentación de un caso y nota técnica

• Máximo de Zavalía ^[1] ; Enrique Gobbi ^[1] ; Santiago Yeregui ^[1]
  1. [1] Unidad de Columna, Servicio de Ortopedia y Traumatología, Hospital Universitario CEMIC, Grupo Médico Vertebral, Ciudad Autónoma de Buenos Aires, Argentina
• Localización: Revista de la Asociación Argentina de Ortopedia y Traumatología, ISSN 1852-7434, Vol. 89, Nº. 1, 2024 (Ejemplar dedicado a: Sociedad Argentina de Patología de la Columna Vertebral), págs. 70-75
• Idioma: español
• DOI: 10.15417/issn.1852-7434.2024.89.1.1856
• Títulos paralelos:
  • Extraforaminal L5-s1 Disc Herniation Treated by endoscopic Transfacet Approach. Case Report and Technical note
• Enlaces
  • Texto completo  1    2  
• Resumen
  • español

    Las hernias de disco extraforaminales en el espacio L5-S1 suelen ser difíciles de tratar por su complicado acceso y el riesgo de lesión nerviosa. Se presenta el caso de un paciente con discopatía en L5-S1 izquierda que fue tratado mediante discectomía endoscópica por abordaje símil Wiltse transfacetario. Este tipo de abordaje permite el acceso seguro a las hernias extraforaminales en el espacio L5-S1 evitando la manipulación e irritación de la raíz de L5.

  • English

    Extraforaminal L5-S1 disc herniations are usually difficult to treat due to their complicated access and risk of nerve injury. We present the case of a patient with left L5-S1 disc disease who was treated by endoscopic discectomy using a transfacet Wiltse-like approach. This method provides safe access to L5-S1 extraforaminal herniations while avoiding manipulation and irritation of the L5 root.

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