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Epiduroscopic laser neural decompression as a treatment for migrated lumbar disc herniation: Case series.

Abstract Epiduroscopic laser neural decompression (ELND) is one of the more invasive techniques for managing patients with herniated lumbar disc. However, ELND can be used to treat, and diagnose the epidural pathology; indications for ELND remain controversial, especially, when applied in cases of large disc extrusion and migrated disc. This paper reports cases of patients that were satisfied with the ELND procedure for migrated lumbar disc herniation.
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Journal Title medicine
Publication Year Start




PMID- 29620648
OWN - NLM
STAT- MEDLINE
DCOM- 20180416
LR  - 20180416
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 97
IP  - 14
DP  - 2018 Apr
TI  - Epiduroscopic laser neural decompression as a treatment for migrated lumbar disc 
      herniation: Case series.
PG  - e0291
LID - 10.1097/MD.0000000000010291 [doi]
AB  - OBJECTIVE: Epiduroscopic laser neural decompression (ELND) is one of the more
      invasive techniques for managing patients with herniated lumbar disc. However,
      ELND can be used to treat, and diagnose the epidural pathology; indications for
      ELND remain controversial, especially, when applied in cases of large disc
      extrusion and migrated disc. This paper reports cases of patients that were
      satisfied with the ELND procedure for migrated lumbar disc herniation. METHODS:
      We reviewed the medical records of patients that received ELND for migrated
      lumbar disc in an outpatient clinic. The patients complained of low back pain
      with radicular pain with an intensity over 5 on a numeric rating scale (NRS) that
      had persisted for over 1 month. The Magnetic resonance imaging (MRIs) showed
      migrated lumbar disc herniation, and patients opted for ELND because they had
      previously experienced nerve blocks, and did not want to receive open surgery for
      their pain, even after the limitations of ELND were explained. RESULTS: Patients 
      reported that their pain was dramatically reduced, and other discomfort symptoms,
      such as numbness, were also reduced after the procedure. In follow-up, all of the
      patients were satisfied with the results. CONCLUSION: We applied the ENLD
      procedure to mechanically, remove disc material that compressed the spinal nerve,
      and the patients were satisfied, and reported symptom relief. ELND was a
      sufficient treatment approach for lumbar migrated herniated disc for patients who
      did not want to undergo open spine surgery.
FAU - Oh, Jinyoung
AU  - Oh J
AD  - Department of Anesthesiology and Pain Medicine, Daejeon St. Mary's hospital, The 
      Catholic University of Korea, Daejeon, Korea.
FAU - Jo, Daehyun
AU  - Jo D
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
SB  - AIM
SB  - IM
MH  - Adult
MH  - Aged
MH  - Decompression, Surgical/*methods
MH  - Epidural Space/*surgery
MH  - Female
MH  - Humans
MH  - Intervertebral Disc Displacement/pathology/*surgery
MH  - Laser Therapy/methods
MH  - Lumbar Vertebrae/*surgery
MH  - Male
MH  - Middle Aged
MH  - Neurosurgical Procedures/*methods
MH  - Retrospective Studies
EDAT- 2018/04/06 06:00
MHDA- 2018/04/17 06:00
CRDT- 2018/04/06 06:00
PHST- 2018/04/06 06:00 [entrez]
PHST- 2018/04/06 06:00 [pubmed]
PHST- 2018/04/17 06:00 [medline]
AID - 10.1097/MD.0000000000010291 [doi]
AID - 00005792-201804060-00026 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2018 Apr;97(14):e0291. doi: 10.1097/MD.0000000000010291.