• World Neurosurg · Jan 2021

    Review

    Technical Consideration of Interlaminar Approach in the Lumbar Disc Herniation.

    • Kuo-Tai Chen, Chun Tseng, Li-Wei Sun, Kai-Sheng Chang, and Chien-Min Chen.
    • Department of Neurosurgery, Chang Gung Memorial Hospital, Chiayi, Taiwan. Electronic address: tad91116@gmail.com.
    • World Neurosurg. 2021 Jan 1; 145: 612-620.

    AbstractWith the evolution of endoscopic instruments and techniques, full-endoscopic spine surgery has attracted more attention worldwide in recent years. At the initial stage, surgeons conducted endoscopic lumbar discectomy using the transforaminal approach. Next, interlaminar endoscopic lumbar discectomy was developed to treat a herniation disc at the L5-S1 level. The progression in interlaminar endoscopic techniques has further broadened the indications for full-endoscopic spine surgery. However, the steep learning curve of endoscopic procedures has remained challenging. The use of interlaminar endoscopic lumbar discectomy entails many essential skills to manage the different anatomical structures of the spine. From the perspective of successful and safe interlaminar endoscopic lumbar discectomy, we have discussed the technical considerations for endoscopic procedures.Copyright © 2020. Published by Elsevier Inc.

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