Lumbar Spine

Transforaminal Percutaneous Endoscopic Lumbar Discectomy

Author(s): Ji-Yeon Kim*, Hyeun sung Kim, Kai-Uwe Lewandrowski and Il-Tae Jang

Pp: 65-89 (25)

DOI: 10.2174/9789815051537122020006

* (Excluding Mailing and Handling)

Abstract

The transforaminal spinal surgery technique is the most commonly performed way of endoscopic discectomy. Initial placement of the working cannula may determine the sequence of procedural steps. Commonly applied variations of the technique include the “inside-out” and “outside-in” techniques. In this up-to-date chapter, the authors describe the necessary procedure steps of the transforaminal endoscopic discectomy procedure, focusing on downward migrated disc herniations as these may push the endoscopic spine surgeon to the limits of his or her skill set. Therefore, the authors describe the limitations of the technique and assess adequate neural element decompression in great detail.


Keywords: Lumbar disc herniation, Transforaminal approach

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