Neurospine.
2024 Dec;21(4):1160-1167. 10.14245/ns.2449096.548.
Paramedian Unilateral ‘Bitubular’ Endoscopic Access for a Far Lateral Disc Herniation: A Novel Approach for Far Lateral Lumbar Pathologies
- Affiliations
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- 1Gloucestershire Hospitals NHS Foundation Trust, Gloucestershire, UK
- 2Paras Hospital, Gurugram, India
- 3Daejeon Woori Hospital, Daejeon, Korea
- KMID: 2563114
- DOI: http://doi.org/10.14245/ns.2449096.548
Abstract
- We present a novel technique to approach far lateral lumbar pathologies using a bitubular, biportal endoscopic system and a paramedian approach. Background: Conventional approaches for lumbar far lateral discectomy range from open approaches to newer minimally invasive approaches such as tubular discectomy and single portal endoscopic discectomy. We present a case of a patient suffering with a left L3–4 and left L4–5 extraforaminal disc herniation who was treated successfully with a left sided bitubular, biportal endoscopic 2 level far lateral discectomy. A paramedian ‘bitubular’ biportal endoscopic approach is safe and effective for far lateral lumbar pathologies with excellent visualisation due to good outflow of irrigation fluid.
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