Asian Spine J.
2021 Oct;15(5):688-700. 10.31616/asj.2020.0119.
Unilateral Bi-portal Endoscopic Decompression via the Contralateral Approach in Asymmetric Spinal Stenosis: A Technical Note
- Affiliations
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- 1Department of Neurosurgery, Spine Center, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea
- 2Department of Spinal Surgery, Daejeon Woori Hospital, Daejeon, Korea
- 3Department of Orthopaedics and Traumatology, Caritas Medical Centre, Kowloon, Hong Kong
- 4Department of Orthopaedics and Traumatology, Hong Kong Baptist Hospital, Kowloon, Hong Kong
- KMID: 2521561
- DOI: http://doi.org/10.31616/asj.2020.0119
Abstract
- We discuss the technical details and operative advantages of approaching pathologies from the contralateral side in cases of asymmetric spinal stenosis. The contralateral approach offers better manipulative freedom and a more accessible target approach along the plane of the pathology, allowing safer decompression and facet preservation; further, this approach is ergonomic for surgeons. We recommend the adoption of this approach in decompressing asymmetric spinal stenosis.
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