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Acta Neurochirurgica
Published in: Acta Neurochirurgica 10/2018

01-10-2018 | How I Do it - Spine - Other

How I do It: L5/S1 foraminal stenosis and far-lateral lumbar disc herniation with unilateral bi-portal endoscopy

Authors: Jae-Hyun Park, Je-Tae Jung, Sang-Jin Lee

Published in: Acta Neurochirurgica | Issue 10/2018

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Abstract

Background

Surgeries for far-lateral lumbar disc herniation (FLLDH) and foraminal stenosis at the L5/S1 level are very complicated because of its unique structure. The authors have performed unilateral bi-portal endoscopy (UBE) to these lesions because of the good results obtained for other spinal diseases (Park et al. in Orthopedics 40:e779–e783, 2017).

Methods

We described our experience of the surgical treatment for FLLDH and foraminal stenosis. Useful information for pre-, intraop-, and postoperative care is presented.

Conclusion

Among various minimally invasive surgical methods, extraforaminal approaches with UBE can be performed effectively.
Appendix
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Literature
1.
Kotil K, Akecetin M, Bilge T (2007) A minimally invasive transmuscular approach to far-lateral L5-S1 level disc herniations: a prospective study. J Spinal Disord Tech 20:132–138CrossRefPubMed
2.
Matsumoto M, Watanabe K, Ishii K, Tsuji T, Takaishi H, Nakamura M, Toyama Y, Chiba K (2010) Posterior decompression surgery for extraforaminal entrapment of the fifth lumbar spinal nerve at the lumbosacral junction. J Neurosurg Spine 12:72–81CrossRefPubMed
3.
Soliman HM (2015) Irrigation endoscopic decompressive laminotomy. A new endoscopic approach for spinal stenosis decompression. Spine J 15:2282–2289CrossRefPubMed
Metadata
Title
How I do It: L5/S1 foraminal stenosis and far-lateral lumbar disc herniation with unilateral bi-portal endoscopy
Authors
Jae-Hyun Park
Je-Tae Jung
Sang-Jin Lee
Publication date
01-10-2018
Publisher
Springer Vienna
Published in
Acta Neurochirurgica / Issue 10/2018
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI
https://doi.org/10.1007/s00701-018-3630-9

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