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Acta Neurochir (Wien). 2018 Oct;160(10):1899-1903. doi: 10.1007/s00701-018-3630-9. Epub 2018 Jul 31.

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

Author information

1
Department of Neurosurgery, Barun Spine & Joint Hospital, Seoul, Republic of Korea. neurocutal@gmail.com.
2
Department of Neurosurgery, Barun Spine & Joint Hospital, Seoul, Republic of Korea.
3
Department of Orthopaedic Surgery, Barun Spine & Joint Hospital, Seoul, Republic of Korea.

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.

KEYWORDS:

L5/S1 far-lateral lumbar disc herniation; L5/S1 foraminal stenosis; Unilateral bi-portal endoscopy

PMID:
30066192
DOI:
10.1007/s00701-018-3630-9

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