Lumbar Spine Surgery Percutaneous Endoscopic Discectomy patient education movies. This movie illustrates the technique for performing a percutaneous endoscopic lumbar discectomy. This movie shows patient positioning, skin preparation, local anesthetic injection, cannula insertion, the removal of some nucleus material, herniation retraction, the annuloplasty, patient education movies.<br />Sudden trauma or gradual degeneration can weaken the annulus fibrosis or wall of the intervertebral disc. This can then bulge outwards, forming a disc protrusion or a contained disc herniation. The pressure of the bulge against the surrounding structures causes back pain and the pressure against the nerve root causes leg pain.<br />Percutaneous discectomy is a minimally invasive disc decompression technique which is performed through a needle. The discectomy removes some nucleus material from the intervertebral disc. Lumbar Spine Surgery Percutaneous Endoscopic Discectomy patient education movies.