@article{ART002420274},
author={Hak-Sun Kim and 김형복 and 정훈재 and 양재호},
title={Fistula Formation Between the Disc and Dura after Percutaneous Endoscopic Lumbar Discectomy - A Case Report -},
journal={Journal of Korean Society of Spine Surgery},
issn={2093-4378},
year={2018},
volume={25},
number={4},
pages={180-184}
TY - JOUR
AU - Hak-Sun Kim
AU - 김형복
AU - 정훈재
AU - 양재호
TI - Fistula Formation Between the Disc and Dura after Percutaneous Endoscopic Lumbar Discectomy - A Case Report -
JO - Journal of Korean Society of Spine Surgery
PY - 2018
VL - 25
IS - 4
PB - Korean Society Of Spine Surgery
SP - 180
EP - 184
SN - 2093-4378
AB - Study Design: Case report Objectives: To document fistula formation between the disc and dura by an unrecognized dural tear after percutaneous endoscopic lumbar discectomy (PELD).
Summary of Literature Review: The risk of durotomy is relatively low with PELD, but cases of unrecognized durotomies have been reported. An effective diagnostic tool for such situations has not yet been identified.
Materials and Methods: A patient twice underwent transforaminal PELD under the diagnosis of a herniated lumbar disc at L4-5.
She still complained of intractable pain and motor weakness around the left lower extremity at 6 months postoperatively. Magnetic resonance imaging showed no specific findings suggestive of violation of the nerve root. However, L5 and S1 nerve root injury was noted on electromyography. An exploratory operation was planned to characterize damage to the neural structures.
Results: In the exploration, a dural tear was found at the previous operative site, along with a fistula between the disc and dura was also found at the dural tear site. The durotomy site was located on the ventrolateral side of the dura and measured approximately 5 mm.
The durotomy site was repaired with Nylon 5-0 and adhesive sealants. The patient’s preoperative symptoms diminished considerably.
Conclusions: Fistula formation between the disc and dura can be caused by an unrecognized dural tear after PELD. Discography is a reliable diagnostic tool for fistulas formed by an unrecognized durotomy.
KW - Percutaneous endoscopic lumbar discectomy;Dural tear;Fistula formation
DO -
UR -
ER -
Hak-Sun Kim, 김형복, 정훈재 and 양재호. (2018). Fistula Formation Between the Disc and Dura after Percutaneous Endoscopic Lumbar Discectomy - A Case Report -. Journal of Korean Society of Spine Surgery, 25(4), 180-184.
Hak-Sun Kim, 김형복, 정훈재 and 양재호. 2018, "Fistula Formation Between the Disc and Dura after Percutaneous Endoscopic Lumbar Discectomy - A Case Report -", Journal of Korean Society of Spine Surgery, vol.25, no.4 pp.180-184.
Hak-Sun Kim, 김형복, 정훈재, 양재호 "Fistula Formation Between the Disc and Dura after Percutaneous Endoscopic Lumbar Discectomy - A Case Report -" Journal of Korean Society of Spine Surgery 25.4 pp.180-184 (2018) : 180.
Hak-Sun Kim, 김형복, 정훈재, 양재호. Fistula Formation Between the Disc and Dura after Percutaneous Endoscopic Lumbar Discectomy - A Case Report -. 2018; 25(4), 180-184.
Hak-Sun Kim, 김형복, 정훈재 and 양재호. "Fistula Formation Between the Disc and Dura after Percutaneous Endoscopic Lumbar Discectomy - A Case Report -" Journal of Korean Society of Spine Surgery 25, no.4 (2018) : 180-184.
Hak-Sun Kim; 김형복; 정훈재; 양재호. Fistula Formation Between the Disc and Dura after Percutaneous Endoscopic Lumbar Discectomy - A Case Report -. Journal of Korean Society of Spine Surgery, 25(4), 180-184.
Hak-Sun Kim; 김형복; 정훈재; 양재호. Fistula Formation Between the Disc and Dura after Percutaneous Endoscopic Lumbar Discectomy - A Case Report -. Journal of Korean Society of Spine Surgery. 2018; 25(4) 180-184.
Hak-Sun Kim, 김형복, 정훈재, 양재호. Fistula Formation Between the Disc and Dura after Percutaneous Endoscopic Lumbar Discectomy - A Case Report -. 2018; 25(4), 180-184.
Hak-Sun Kim, 김형복, 정훈재 and 양재호. "Fistula Formation Between the Disc and Dura after Percutaneous Endoscopic Lumbar Discectomy - A Case Report -" Journal of Korean Society of Spine Surgery 25, no.4 (2018) : 180-184.
