PELD (PERCUTANEOUS ENDOSCOPIC LUMBAR DISCECTOMY)
Percutaneous endoscopic lumbar discectomy is a technique for the decompression of the lumbar disc space and removal of nucleus pulposus via a posterolateral approach. The method is indicated in patients with non-sequestrated lumbar discherniation with an intact lorsal longitudinal ligament. Through a minimum incision about 5~7mm, a special endoscope is inserted into the protruding area of the disc. It is a treatment method that removes only the problem disc compressing nerve by using a laser and high frequency and saves the normal disc as much as possible.
● Since partial anesthesia is performed, it is suitable for the elderly and diabetic patients
● A treatment method that saves money and time because adhesions occur less and recovery is quick
● Clinical contra-indications include severe or rapidly progressing neurological deficits such as conus – or cauda – syndromes, or severe paresis
Bi-portal UBE (UNILATERAL BIPORTAL ENDOSCOPY)
Unilateral Biportal Endoscopy is a surgical procedure to remove stenosis by inserting an endoscope by drilling two small holes about 4mm. It is a state-of-the-art surgical technique that inserts endoscopes on one side to find the exact cause, while inserting surgical instruments on the other to remove bone fractures in the ligaments and joints, which are the main causes of spinal stenosis.
● Unilateral biportal approach, not uniportal
● Clean and wide view while using 2 ports
● No usage limitation of various surgical instrument
● Unilateral laminotomy for bilateral lumbar decompression
● A little bleeding
● Multi-level operation available
● Wide indication
UBE has several advantages: the similar sufficient and direct fragmentectomy and discectomy to that in open microdiscectomy resulted in the same clinical outcomes, including pain improvement, functional disability, and patient satisfaction, while preserving the spinal tissues.
● Herniation of intervertebral disk
● Cervical HIVD
● Degenerative spinal disorder
● Lumbar spondylolisthesis
● Senile Kyphosis