Discogenic leg pain is a primary cause of health care expenditure in the U.S.A., afflicting nearly 10 million people at an estimated cost of over $20 billion.(1,2) This pain is often due to herniation of the intervertebral disc (3-5) and clinically characterized as compressive or noncompressive. (3) Compressive herniations have been treated with open surgical discectomy/decompression when a pro...

Full-endoscopic lumbar discectomy under local anesthesia is major trends for the treatment of disc herniation in spine minimally invasive surgery. However, sometimes not enough analgesic surgery especially interlaminar approach. This study summarizes current methods full-endoscopic discectomy. Local still most common method and comparison group other due to high safety. Compared anesthesia, Epi...

Injury to the vertebral artery during anterior cervical discectomy is rare but potentially fatal. We report a case of cerebellar infarction after endovascular embolization for iatrogenic vertebral artery injury at C5-C6 during an anterior cervical discectomy and fusion. A 61-year-old man had an intraoperative injury of the right vertebral artery that occurred during anterior cervical discectomy...

Surgical treatment of the degenerative disc disease has evolved from traditional open spine surgery to minimally invasive spine surgery including endoscopic spine surgery. Constant improvement in the imaging modality especially with introduction of the magnetic resonance imaging, it is possible to identify culprit degenerated disc segment and again with the discography it is possible to diagnos...

The authors report 2 cases of nerve root herniation after discectomy of a large lumbar disc herniation caused by an unrecognized dural tear. Patients complained of the abrupt onset of radiating pain after lumbar discectomy. Magnetic resonance imaging showed cerebrospinal fluid signal in the disc space and nerve root displacement into the disc space. Symptoms improved after the herniated nerve r...

Low back pain is common during pregnancy. However, the prevalence of symtomatic lumbar disc herniation is rare, and cauda equina syndrome due to disc herniation during pregnancy is even rarer. We report a rare case of lumbar disc herniation causing cauda equina syndrome during third trimester of pregnancy which successfully treated by endoscopic discectomy. This case shows that endoscopic disce...