{"id":"f2372b53-4baa-48a6-b5a0-2f798d1b9a30","slug":"full-endoscopic-discectomy-utilizing-an-interlaminar-approach-for-gas-containing-herniation-at-l5-s1","title":"Full-endoscopic discectomy utilizing an interlaminar approach for gas-containing herniation at L5–S1","authors":["Yoshihiko Ioroi","Toshinari Kawasaki","Jun Hashimoto","Tamaki Kobayashi","Hisashi Koga","Motohiro Takayama"],"abstract":"Background: Intradiscal gas is frequently observed in older patients with disc degeneration and can occasionally result in nerve root compression. Case Description: A 79-year-old male patient presented with increasing left lower extremity sciatica. Lumbar computed tomography (CT) and magnetic resonance (MR) images revealed a left paramedian L5–S1 gas-containing disc herniation. Utilizing an interlaminar approach, a full-endoscopic discectomy (FED) was performed at L5–S1. During disc removal, we countered intradiscal gas bubbles. Postoperatively, the patient’s symptoms/signs fully resolved, and follow-up MR and CT images revealed total resection of the disc herniation, and no further gas. Conclusion: Through an interlaminar FED, we effectively removed an L5–S1 MR/CT-documented gas-containing disc herniation.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/f2372b53-4baa-48a6-b5a0-2f798d1b9a30/featured/hero-1781559375314.png","publishDate":"2024-07-26T00:00:00.000Z","doi":"10.25259/SNI_508_2024","categories":["Spine","Case Report"],"fullTextUrl":"https://surgicalneurologyint.com/wp-content/uploads/2024/07/13005/SNI-15-265.pdf"}