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Acta Neurochirurgica

, Volume 160, Issue 10, pp 1899–1903 | Cite as

How I do It: L5/S1 foraminal stenosis and far-lateral lumbar disc herniation with unilateral bi-portal endoscopy

  • Jae-Hyun ParkEmail author
  • Je-Tae Jung
  • Sang-Jin Lee
How I Do it - Spine - Other
Part of the following topical collections:
  1. Spine - Other

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.

Keywords

Unilateral bi-portal endoscopy L5/S1 foraminal stenosis L5/S1 far-lateral lumbar disc herniation 

Notes

Acknowledgments

We thank Dr. Ji Soo Ha for providing useful information.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Supplementary material

701_2018_3630_MOESM1_ESM.mp4 (134.6 mb)
This video summarises the surgical image of the right L5/S1 foraminal decompression. (MP4 137,849 kb)

References

  1. 1.
    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 20:132–138CrossRefPubMedGoogle Scholar
  2. 2.
    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 12:72–81CrossRefPubMedGoogle Scholar
  3. 3.
    Soliman HM (2015) Irrigation endoscopic decompressive laminotomy. A new endoscopic approach for spinal stenosis decompression. Spine J 15:2282–2289CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag GmbH Austria, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of NeurosurgeryBarun Spine & Joint HospitalSeoulRepublic of Korea
  2. 2.Department of Orthopaedic SurgeryBarun Spine & Joint HospitalSeoulRepublic of Korea

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