Case Report
Volume 12 Issue 10 - 2021
Full-Endoscopic Confirmation of a Discal Cyst by Indigo Carmine Injection during Lumbar Spine Surgery: A Technical Note
Yuji Yamada1,2, Toru Maeda1, Hirofumi Takami1, Naoyuki Yoshida1, Masahiro Kashima1, Shogo Tomiyama1, Junzo Fujitani2 and Koichi Sairyo2*
1Department of Orthopedic Surgery, Anan Medical Center, Anan, Japan
2Department of Orthopedics, Tokushima University, Tokushima, Japan
*Corresponding Author: Koichi Sairyo, Professor and Chairman, Department of Orthopedics, Tokushima University, Tokushima, Japan.
Received: August 10, 2021; Published: September 29, 2021




Abstract

A 28-year-old man presented complaining of left leg pain. Magnetic resonance imaging revealed herniated nucleus pulposus (HNP) with a discal cyst that was compressing the L5 nerve root. Conservative therapy failed; therefore, surgical treatment was selected. Minimally invasive transforaminal full-endoscopic excision of the discal cyst as well as the HNP under local anesthesia was planned. Before surgery, a mixture of indigo carmine and contrast medium was injected into the disc space, and entry of this fluid mixture into the cystic space was confirmed using a C-arm image intensifier. Foraminoplasty was performed first to allow manipulation and rupture of the cyst wall with a radio-pulse bipolar device. Rupture of the cyst wall was confirmed by release of the blue indigo carmine dye from the cyst. The HNP and the ventral cyst wall were removed under full-endoscopic guidance. The leg pain disappeared immediately after surgery, and he returned to work 20 days later. In this report, we describe the endoscopic views during surgery.

Keywords: Full-Endoscopic Surgery; Discal Cyst; Indigo Carmine; Herniated Nucleus Pulposus

References

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Citation: Yuji Yamada., et al. “Full-Endoscopic Confirmation of a Discal Cyst by Indigo Carmine Injection during Lumbar Spine Surgery: A Technical Note”. EC Orthopaedics 12.10 (2021): 55-59.

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