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Updated: Jun 12, 2026
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Transtubular Endoscopic Posterolateral Decompression for L5-S1 Lumbar Lateral Disc Herniation
Published on: October 14, 2022
[Limited indication for percutaneous lumbal nucleotomies.]
M Weissinger1, C Helmreich, G Eiserle
1Orthopädische Schwerpunktabteilung des A. ö. Krankenhauses Zwettl, Osterreich, ärzlicher Direktor Prim. Dr. Manfred Weissinger.
Summary
This study on percutaneous nucleotomy for disc herniation shows significant pain improvement in 85% of patients. The minimally invasive endoscopic approach offers rapid rehabilitation for selected cases resistant to conservative treatment.
Area of Science:
- Neurosurgery
- Minimally Invasive Procedures
Context:
- Retrospective analysis of 179 vertebral disc operations performed between 1992 and 1997.
- Focus on patients with lumbar or lumboischialgia resistant to conservative therapies.
- Inclusion criteria: disc protrusions/prolapse without posterior longitudinal ligament perforation.
Purpose:
- To evaluate the efficacy and safety of percutaneous nucleotomy and discoscopy.
- To assess patient outcomes, including pain reduction and neurological deficit resolution.
- To highlight the advantages of minimally invasive techniques in spinal surgery.
Summary:
- 165 conservative nucleotomies and 14 percutaneous nucleotomies/discopies were performed.
- Average age for percutaneous procedures was 42 years.
- Subjective pain improvement reported in 85% of percutaneous cases; 5 pre-operative motor deficits resolved.
- One complication: L4 root lesion with Spondylodiscitis, managed conservatively.
Impact:
- Percutaneous nucleotomy demonstrates high efficacy in pain relief for selected patients.
- Minimally invasive endoscopic surgery offers advantages of reduced invasiveness and faster recovery.
- Careful patient selection is crucial for optimal outcomes in percutaneous spinal procedures.
