2017 年 31 巻 3 号 p. 276-282
Percutaneous endoscopic lumbar discectomy (PELD) is a minimally invasive spinal technique. PELD can be performed using the transforaminal (TF) or interlaminar (IL) approach. The TF approach is a well-established modality in the treatment of patients with a herniated lumbar disc. This technique makes the most of the space within the intervertebral foramen, where Kambin’s triangle permits a safe approach to the lesion.
Knowledge of the anatomy of the lumbar artery and its branches and the ligaments of the intervertebral foramen is necessary to perform successful surgery and avoid complications.