Skip to main content

Main menu

  • Home
  • Content
    • Current Issue
    • Advance Online Publication
    • Archive
  • About Us
    • About ISASS
    • About the Journal
    • Author Instructions
    • Editorial Board
    • Reviewer Guidelines & Publication Criteria
  • More
    • Advertise
    • Subscribe
    • Alerts
    • Feedback
  • Join Us
  • Reprints & Permissions
  • Sponsored Content
  • Other Publications
    • ijss

User menu

  • My alerts

Search

  • Advanced search
International Journal of Spine Surgery
  • My alerts
International Journal of Spine Surgery

Advanced Search

  • Home
  • Content
    • Current Issue
    • Advance Online Publication
    • Archive
  • About Us
    • About ISASS
    • About the Journal
    • Author Instructions
    • Editorial Board
    • Reviewer Guidelines & Publication Criteria
  • More
    • Advertise
    • Subscribe
    • Alerts
    • Feedback
  • Join Us
  • Reprints & Permissions
  • Sponsored Content
  • Follow ijss on Twitter
  • Visit ijss on Facebook
Research ArticleArticle
Open Access

The Surgical Treatment of Single Level Multi-Focal Subarticular and Paracentral and/or Far-Lateral Lumbar Disc Herniations: The Single Incision Full Endoscopic Approach

James J. Yue, David L. Scott, Xiao Han and Alem Yacob
International Journal of Spine Surgery January 2014, 8 16; DOI: https://doi.org/10.14444/1016
James J. Yue
Department of Orthopaedics & Rehabilitation, Yale University School of Medicine, New Haven CT 06520
MD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
David L. Scott
Department of Orthopaedics & Rehabilitation, Yale University School of Medicine, New Haven CT 06520
MD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Xiao Han
Department of Orthopaedics & Rehabilitation, Yale University School of Medicine, New Haven CT 06520
MD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Alem Yacob
Department of Orthopaedics & Rehabilitation, Yale University School of Medicine, New Haven CT 06520
MD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Figures & Data
  • Info & Metrics
  • PDF
Loading

Article Figures & Data

Figures

  • Tables
  • Fig. 1
    • Download figure
    • Open in new tab
    • Download powerpoint
    Fig. 1

    Intra-foraminal needle starting point just anterior to the posterior facet line.

  • Fig. 2
    • Download figure
    • Open in new tab
    • Download powerpoint
    Fig. 2

    A: Sagittal MRI (the red arrow identifies the foraminal herniated nucleus pulposus (HNP)). B: Sub-articular (SA) and far-lateral (FL) disc herniations.

  • Fig. 3
    • Download figure
    • Open in new tab
    • Download powerpoint
    Fig. 3

    A: Left L3 nerve root (NR) with far lateral herniated nucleus pulposus (HNP) medial to the nerve. B: L3 nerve root (NR) partially decompressed. HNP (herniated nucleus pulposus). C: L3 nerve root decompressed. Kambin (K) triangle visualized. D: Normal full left hip extension 10 days post-operative.

  • Fig. 4
    • Download figure
    • Open in new tab
    • Download powerpoint
    Fig. 4

    A, B: Subarticular (SA) and paracentral (PC) herniated nucleus pulposus (HNP). C: Extruded disc (HNP) surrounding nerve root (NR). D: Post-discectomy, decompressed nerve root (NR) surrounded by epidural fat.

  • Fig. 5
    • Download figure
    • Open in new tab
    • Download powerpoint
    Fig. 5

    A, B: Post-operative MRI 5 months after discectomy.

  • Fig. 6
    • Download figure
    • Open in new tab
    • Download powerpoint
    Fig. 6

    A, B: Preoperative MRI demonstrating L4-5 foraminal/subarticular herniated nucleus pulposus (HNP) and far-lateral HNP. Nerve root (NR) compression demonstrated.

  • Fig. 7
    • Download figure
    • Open in new tab
    • Download powerpoint
    Fig. 7

    Pre-operative back showing two previous surgical incisions.

  • Fig. 8
    • Download figure
    • Open in new tab
    • Download powerpoint
    Fig. 8

    Intradiscal starting (INTRA) line more medial and extra discal / intra foraminal (EXTRA) starting line more lateral. Dark line is posterior facet line (PFL).

  • Fig. 9
    • Download figure
    • Open in new tab
    • Download powerpoint
    Fig. 9

    A: Subarticular herniated nucleus pulposus (HNP).B: L3 nerve root.

  • Fig. 10
    • Download figure
    • Open in new tab
    • Download powerpoint
    Fig. 10

    Postoperative incision (9 mm).

  • Fig. 11
    • Download figure
    • Open in new tab
    • Download powerpoint
    Fig. 11

    A, B: MRI of uni-focal herniated nucleus pulposus (HNP).

Tables

  • Figures
    • View popup
    Table 1

    Case Distribution

    Subarticular + Paracentral/CentralSubarticular + Far lateralSubarticular + Far lateral and Paracentral/Central
    L3–4211
    L4–5425
PreviousNext
Back to top

In this issue

International Journal of Spine Surgery
Vol. 8
1 Jan 2014
  • Table of Contents
  • Index by author

Print
Download PDF
Article Alerts
Sign In to Email Alerts with your Email Address
Email Article

Thank you for your interest in spreading the word on International Journal of Spine Surgery.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
The Surgical Treatment of Single Level Multi-Focal Subarticular and Paracentral and/or Far-Lateral Lumbar Disc Herniations: The Single Incision Full Endoscopic Approach
(Your Name) has sent you a message from International Journal of Spine Surgery
(Your Name) thought you would like to see the International Journal of Spine Surgery web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Citation Tools
The Surgical Treatment of Single Level Multi-Focal Subarticular and Paracentral and/or Far-Lateral Lumbar Disc Herniations: The Single Incision Full Endoscopic Approach
James J. Yue, David L. Scott, Xiao Han, Alem Yacob
International Journal of Spine Surgery Jan 2014, 8 16; DOI: 10.14444/1016

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Share
The Surgical Treatment of Single Level Multi-Focal Subarticular and Paracentral and/or Far-Lateral Lumbar Disc Herniations: The Single Incision Full Endoscopic Approach
James J. Yue, David L. Scott, Xiao Han, Alem Yacob
International Journal of Spine Surgery Jan 2014, 8 16; DOI: 10.14444/1016
Twitter logo Facebook logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One

Jump to section

  • Article
    • Abstract
    • Introduction
    • Materials & Methods
    • Discussion
    • Disclosures
    • References
  • Figures & Data
  • Info & Metrics
  • PDF

Related Articles

  • No related articles found.
  • Google Scholar

Cited By...

  • No citing articles found.
  • Google Scholar

More in this TOC Section

  • Accuracy of Pedicle Screw Placement Using the ExcelsiusGPS Robotic Navigation Platform: An Analysis of 728 Screws
  • Management of Spinal Langerhans Cell Histiocytosis in Children: A Systematic Review
  • Meta-Analysis Investigating Optimal Timing of Chemoprophylaxis for Venous Thromboembolism in Operatively Managed Blunt Spinal Injuries
Show more Article

Similar Articles

Keywords

  • endoscopic spine surgery
  • lumbar
  • Far-lateral
  • Subarticular
  • Paracentral
  • disc herniation

Content

  • Current Issue
  • Latest Content
  • Archive

More Information

  • About IJSS
  • About ISASS
  • Privacy Policy

More

  • Subscribe
  • Alerts
  • Feedback

Other Services

  • Author Instructions
  • Join ISASS
  • Reprints & Permissions

© 2025 International Journal of Spine Surgery

International Journal of Spine Surgery Online ISSN: 2211-4599

Powered by HighWire