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Research ArticleEndoscopy

Transforaminal Endoscopic Lumbar Discectomy: Basic Concepts and Technical Keys to Clinical Success

Sang Gu Lee and Yong Ahn
International Journal of Spine Surgery December 2021, 15 (suppl 3) S38-S46; DOI: https://doi.org/10.14444/8162
Sang Gu Lee
Department of Neurosurgery, Gil Medical Center, Gachon University College of Medicine, Incheon, South Korea
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Yong Ahn
Department of Neurosurgery, Gil Medical Center, Gachon University College of Medicine, Incheon, South Korea
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    Figure 1

    Basic principle of transforaminal endoscopic lumbar discectomy. The percutaneous endoscopic approach provides direct access to the pathologic disc through the foraminal window, bypassing the posterior healthy structures.

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    Figure 2

    Levering technique. The angle of the endoscope and the visual field can be changed during the selective discectomy. This levering technique enables the surgeon to widely examine the torn annulus and remove epidurally herniated disc fragments.

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    Figure 3

    Lateral fluoroscopic view and schematic illustration of the transforaminal approach. The surgeon should not cross the posterior vertebral line (dashed line) until a disc landing is secured to prevent extraforaminal vascular or visceral injury.

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International Journal of Spine Surgery
Vol. 15, Issue suppl 3
1 Dec 2021
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Transforaminal Endoscopic Lumbar Discectomy: Basic Concepts and Technical Keys to Clinical Success
Sang Gu Lee, Yong Ahn
International Journal of Spine Surgery Dec 2021, 15 (suppl 3) S38-S46; DOI: 10.14444/8162

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Transforaminal Endoscopic Lumbar Discectomy: Basic Concepts and Technical Keys to Clinical Success
Sang Gu Lee, Yong Ahn
International Journal of Spine Surgery Dec 2021, 15 (suppl 3) S38-S46; DOI: 10.14444/8162
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  • Article
    • Abstract
    • INTRODUCTION
    • BASIC CONCEPTS
    • EVIDENCE
    • PATIENT SELECTION
    • TECHNICAL TIPS TO PREVENT COMPLICATIONS
    • LEARNING CURVE
    • Footnotes
    • References
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More in this TOC Section

  • Durability of Endoscopes Used During Routine Lumbar Endoscopy: An Analysis of Use Patterns, Common Failure Modes, Impact on Patient Care, and Contingency Plans
  • Biportal Endoscopic Technique for Transforaminal Lumbar Interbody Fusion: Review of Current Research
  • A Review of Unilateral Biportal Endoscopic Decompression for Degenerative Lumbar Canal Stenosis
Show more Endoscopy

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Keywords

  • complication
  • discectomy
  • endoscopic
  • lumbar disc
  • percutaneous
  • transforaminal

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