J Minim Invasive Spine Surg Tech.
2024 Jul;9(Suppl 2):S136-S140. 10.21182/jmisst.2024.01291.
Technical Considerations and Avoiding Complications in Interlaminar Endoscopic Lumbar Discectomy
- Affiliations
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- 1Traumadrid Spine Surgery Unit, University Hospital HM Puerta del Sur, Móstoles, Spain
- 2Spine Surgery Unit Endocolumna, Hospital San Rafael, A Coruña, Spain
- 3Endoscopic Spine Unit, Casal Dots Surgical Group, Madrid, Spain
- 4Orthopaedic Unit, Complexo Hospitalario Universitario A Coruña, A Coruña, Spain
- 5Anaesthesiology Department, Hospital San Rafael, A Coruña, Spain
- KMID: 2562259
- DOI: http://doi.org/10.21182/jmisst.2024.01291
Abstract
- The fully endoscopic technique has become the most effective and safest option for the treatment of lumbar disc herniation. Specifically, the interlaminar approach, which was first described at the beginning of the 21st century, is used for the treatment of L4–5 and L5–S1 intracanal disc herniation. Learning protocolized maneuvers facilitates reproducibility and increases the safety of the procedure. The description of the main maneuvers in this article aims to reduce complications and the learning curve with their widespread implementation.
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