Case Report
Copyright ©The Author(s) 2019. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. May 26, 2019; 7(10): 1161-1168
Published online May 26, 2019. doi: 10.12998/wjcc.v7.i10.1161
Ultrasound guidance for transforaminal percutaneous endoscopic lumbar discectomy may prevent radiation exposure: A case report
Ming-Bo Zhang, Long-Tao Yan, Shou-Peng Li, Ying-Ying Li, Peng Huang
Ming-Bo Zhang, Shou-Peng Li, Ying-Ying Li, Department of Ultrasound, General Hospital of Chinese PLA, Beijing 100853, China
Long-Tao Yan, Department of Pain, China-Japan Friendship Hospital, Beijing 100029, China
Peng Huang, Department of Orthopedics, General Hospital of Chinese PLA, Beijing 100853, China
Author contributions: Zhang MB and Yan LT contributed equally to this work and should be considered co-first authors; Zhang MB and Yan LT reviewed the literature, performed the ultrasound-assisted transforaminal percutaneous endoscopic lumbar discectomy, and contributed to manuscript drafting; Li SP and Li YY reviewed the literature and contributed to data collection; Huang P was responsible for establishment of ultrasound guidance method and the revision of the manuscript; all authors issued final approval for the version to be submitted.
Supported by Clinical Research Support Fund of PLA General Hospital, No. 2018XXFC-18.
Informed consent statement: Written informed consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See:
Corresponding author: Peng Huang, MD, Associate Professor, Department of Orthopedics, General Hospital of Chinese PLA, No. 28, Fuxing Road, Haidian District, Beijing 100853, China.
Telephone: +86-10-66875503
Received: January 13, 2019
Peer-review started: January 14, 2019
First decision: January 30, 2019
Revised: March 1, 2019
Accepted: March 16, 2019
Article in press: March 16, 2019
Published online: May 26, 2019
Core Tip

Core tip: Percutaneous endoscopic lumbar discectomy, a mature and mainstream minimally invasive surgical technique for treating lumbar disc herniation (LDH), needs more than 30 shots of fluoroscopy each level on average, causing a threat to human health. With the help of ultrasound (US) guidance, we report a patient with two levels of LDH who received only two shots to achieve satisfactory results. US guidance has great potential to become an alternative method to reduce radiation largely.