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Published in: Acta Neurochirurgica 9/2019

01-09-2019 | Endoscopy | How I Do it - Spine degenerative

How I do it? Transforaminal endoscopic decompression of intraspinal facet cyst

Authors: Hyeun-Sung Kim, Sagar Bhupendra Sharma, Harshavardhan Dilip Raorane

Published in: Acta Neurochirurgica | Issue 9/2019

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Abstract

Background

Transforaminal endoscopic surgery provides equivalent results to open surgery with added advantages of feasibility under local anesthesia, no injury to posterior elements, preservation of the ligamentum flavum, ease of revision surgery, and cost-effectiveness. The technique of transforaminal endoscopic excision of cysts of facet or zygapophyseal joints is scarcely described in literature.

Methods

The transforaminal endoscopy is applicable to cyst lying in the extraforaminal, foraminal, and intraspinal regions. The “mobile” outside-in technique combined with osteotomy of the tip of the superior articular process facilitates intraspinal access for complete decompression.

Conclusion

Transforaminal endoscopic removal of the facet cyst is a viable alternative to traditional open surgery with added advantages of a minimal access procedure.
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Literature
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Metadata
Title
How I do it? Transforaminal endoscopic decompression of intraspinal facet cyst
Authors
Hyeun-Sung Kim
Sagar Bhupendra Sharma
Harshavardhan Dilip Raorane
Publication date
01-09-2019
Publisher
Springer Vienna
Published in
Acta Neurochirurgica / Issue 9/2019
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI
https://doi.org/10.1007/s00701-019-03995-1

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