Abstract
Background
Surgeries for far-lateral lumbar disc herniation (FLLDH) and foraminal stenosis at the L5/S1 level are very complicated because of its unique structure. The authors have performed unilateral bi-portal endoscopy (UBE) to these lesions because of the good results obtained for other spinal diseases (Park et al. in Orthopedics 40:e779–e783, 2017).
Methods
We described our experience of the surgical treatment for FLLDH and foraminal stenosis. Useful information for pre-, intraop-, and postoperative care is presented.
Conclusion
Among various minimally invasive surgical methods, extraforaminal approaches with UBE can be performed effectively.
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References
Kotil K, Akecetin M, Bilge T (2007) A minimally invasive transmuscular approach to far-lateral L5-S1 level disc herniations: a prospective study. J Spinal Disord Tech 20:132–138
Matsumoto M, Watanabe K, Ishii K, Tsuji T, Takaishi H, Nakamura M, Toyama Y, Chiba K (2010) Posterior decompression surgery for extraforaminal entrapment of the fifth lumbar spinal nerve at the lumbosacral junction. J Neurosurg Spine 12:72–81
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Acknowledgments
We thank Dr. Ji Soo Ha for providing useful information.
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This article is part of the Topical Collection on Spine Other
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Park, JH., Jung, JT. & Lee, SJ. How I do It: L5/S1 foraminal stenosis and far-lateral lumbar disc herniation with unilateral bi-portal endoscopy. Acta Neurochir 160, 1899–1903 (2018). https://doi.org/10.1007/s00701-018-3630-9
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DOI: https://doi.org/10.1007/s00701-018-3630-9