J Minim Invasive Spine Surg Tech.
2021 Apr;6(Suppl 1):S103-S108. 10.21182/jmisst.2021.00122.
Full Endoscopic Transforaminal Lumbar Discectomy: A Literature Review
- Affiliations
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- 1Department of Neurosurgery, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Hualien, Taiwan, R.O.C
- 2Division of Neurosurgery, Department of Surgery, Changhua Christian Hospital, Changhua, Taiwan
- 3School of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan, R.O.C
- 4College of Nursing and Health Sciences, Dayeh University, Taiwan, R.O.C
- KMID: 2562104
- DOI: http://doi.org/10.21182/jmisst.2021.00122
Abstract
- Since its introduction in 1973, Kambin’s triangle had made endoscopic transforaminal lumbar discectomy (TELD) possible. Dr. Yeung further developed a complete spinal endoscope system and approach methods (the Yeung endoscopic spine system). With the advancement of endoscopic instruments such as the high‐speed burr, reamer, and trephine, Dr. Hoogland introduced foraminoplasty methods to extract herniated disks. Since then, the surgical field of TELD has been broadly widened. Many interesting and innovative surgical methods have been developed to overcome the limitations of TELD, such as managing the migrating disk or operation at the L5/S1 level. In this article, we describe the surgical steps of TELD and discuss relevant literatures associated with it.
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