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Acta Neurochirurgica
Published in: Acta Neurochirurgica 3/2016

Open Access 01-03-2016 | How I Do it - Spine

How I do it? Biportal endoscopic spinal surgery (BESS) for treatment of lumbar spinal stenosis

Authors: Chang Myong Choi, Je Tea Chung, Sang Jin Lee, Dae Jung Choi

Published in: Acta Neurochirurgica | Issue 3/2016

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Abstract

Background

Prevalent endoscopic spine surgeries have shown limitations especially in spinal stenosis (Ahn in Neurosurgery 75(2):124–133, 2014). Biportal endoscopic surgery is introduced to manage central and foraminal stenosis with its wide range of access angle and clear view.

Methods

The authors provide an introduction of this technique followed by a description of the surgical anatomy with discussion on its indications and advantages. In particular, tricks to avoid complications are also presented.

Conclusions

Effective circumferential and focal decompression were achieved in most cases without damage to the spinal structural integrity with preservation of muscular and ligamentous attachments. The biportal endoscopic spinal surgery (BESS) may be safely used as an alternative minimally invasive procedure for lumbar spinal stenosis (Figs. 1 and 2).
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Hesham MS (2013) Irrigation endoscopic discectomy: a novel percutaneous approach for lumbar disc prolapse. Eur Spine J 22:1037–1044CrossRef
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Komp M, Hahn P, Oezdemir S, Giannakopoulos A, Heikenfeld R, Kasch R, Merk H, Godolias G, Ruetten S (2015) Bilateral spinal decompression of lumbar central stenosis with the full-endoscopicInterlaminar versus microsurgical laminotomy technique: a prospective, randomized, controlled study. Pain Physician 18:61–70PubMed
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Metadata
Title
How I do it? Biportal endoscopic spinal surgery (BESS) for treatment of lumbar spinal stenosis
Authors
Chang Myong Choi
Je Tea Chung
Sang Jin Lee
Dae Jung Choi
Publication date
01-03-2016
Publisher
Springer Vienna
Published in
Acta Neurochirurgica / Issue 3/2016
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI
https://doi.org/10.1007/s00701-015-2670-7

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