Related Experiment Video
Updated: Jun 23, 2026
Full-Endoscopic Transforaminal Approach for Lumbar Discectomy
Published on: September 8, 2023
Percutaneous endoscopic lumbar discectomy by transiliac approach: a case report
Gun Choi1, Jin-Sung Kim, Pramod Lokhande
1Department of Neurosurgery, Wooridul Spine Hospital, Seoul, Korea.
Study Design:
Case report.
Objective:
The authors report a new percutaneous endoscopic lumbar discectomy (PELD) technique for the treatment of lumbar disc herniation with a high iliac crest via a transiliac approach.
Summary Of Background Data:
When the iliac crest is high, the L4-L5 and L5-S1 disc spaces are located deep in the pelvis, so they are not easily accessible via a suprailiac route.
Methods:
A 51-year-old man manifested left gluteal and leg pain due to an up-migrated soft disc herniation at the L4-L5 level. Transforaminal PELD via a transiliac approach was performed to remove the herniated fragment, achieving complete decompression of the nerve root.
Results:
The symptom was relieved and the patient was discharged the next day.
Conclusion:
When a conventional transforaminal PELD is impossible due to the presence of a high iliac crest, PELD via a transiliac route could be a alternative option in selected cases.
