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Acta Neurochir (Wien). 2016 Mar;158(3):459-63. doi: 10.1007/s00701-015-2670-7. Epub 2016 Jan 18.

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

Author information

1
Barun Spine Hospital, Yeoeudaebang-ro 1, Yeondeungpo-gu, Seoul, Republic of Korea. drccm@naver.com.
2
Barun Spine Hospital, Yeoeudaebang-ro 1, Yeondeungpo-gu, Seoul, Republic of Korea.

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).

KEYWORDS:

Biportal; Degenerative spine; Endoscopic spinal surgery; Spinal stenosis

PMID:
26782827
PMCID:
PMC4752582
DOI:
10.1007/s00701-015-2670-7
[Indexed for MEDLINE]
Free PMC Article

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