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How I do it? Full endoscopic transforaminal approach for lumbar disc herniation that migrated bilaterally to four corners

  • How I Do it - Spine degenerative
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Abstract

Background

Despite of the evolution of endoscopic surgery, the literature on technique uniportal transforaminal endoscopic lumbar discectomy (TELD) for bilateral lesions is scarce.

Methods

Unilateral TELD was performed in a patient with bilateral superior and inferior migrated, broad-based disc herniation presenting with an impaired neurological state. The key surgical steps focus on free mobility in Kambin triangle with the mobile outside-in technique and accessibility to contralateral lesions with an extensive annular resection procedure.

Conclusion

TELD can be a surgical option for treating bilateral multiple direction migrated lumbar disc herniation with benefits of minimal neural retraction and facet joint preservation.

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References

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Authors and Affiliations

  1. Neurosurgery, Nanoori Hospital Gangnam, 731, Eonju-ro, Seoul, South Korea

    Ji Yeon Kim, Hyeun-Sung Kim & Il-Tae Jang

  2. Department of Spine Center, Himchan Hospital, Seoul, South Korea

    Su Yong Choi

Authors
  1. Ji Yeon Kim
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  2. Su Yong Choi
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  3. Hyeun-Sung Kim
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  4. Il-Tae Jang
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Correspondence to Hyeun-Sung Kim.

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This article is part of the Topical Collection on Spine degenerative.

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Kim, J.Y., Choi, S.Y., Kim, HS. et al. How I do it? Full endoscopic transforaminal approach for lumbar disc herniation that migrated bilaterally to four corners. Acta Neurochir 163, 1199–1203 (2021). https://doi.org/10.1007/s00701-021-04760-z

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  • DOI: https://doi.org/10.1007/s00701-021-04760-z

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