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How I do it? Transforaminal endoscopic decompression of intraspinal facet cyst

  • How I Do it - Spine degenerative
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Abstract

Background

Transforaminal endoscopic surgery provides equivalent results to open surgery with added advantages of feasibility under local anesthesia, no injury to posterior elements, preservation of the ligamentum flavum, ease of revision surgery, and cost-effectiveness. The technique of transforaminal endoscopic excision of cysts of facet or zygapophyseal joints is scarcely described in literature.

Methods

The transforaminal endoscopy is applicable to cyst lying in the extraforaminal, foraminal, and intraspinal regions. The “mobile” outside-in technique combined with osteotomy of the tip of the superior articular process facilitates intraspinal access for complete decompression.

Conclusion

Transforaminal endoscopic removal of the facet cyst is a viable alternative to traditional open surgery with added advantages of a minimal access procedure.

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Author information

Author notes

  1. Hyeun-Sung Kim and Sagar Bhupendra Sharma contributed equally to this work.

Authors and Affiliations

  1. Department of Neurosurgery, Nanoori Gangnam Hospital, 731, Eonju-ro, Gangnam-gu, Seoul, 06048, Republic of Korea

    Hyeun-Sung Kim, Sagar Bhupendra Sharma & Harshavardhan Dilip Raorane

Authors
  1. Hyeun-Sung Kim
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  2. Sagar Bhupendra Sharma
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  3. Harshavardhan Dilip Raorane
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Correspondence to Hyeun-Sung Kim.

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The authors declare that they have no conflict of interest.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee (name of institute/committee) and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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This article is part of the Topical Collection on Spine degenerative

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demonstration of the transforaminal endoscopic cyst removal (MP4 87924 kb)

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Kim, HS., Sharma, S.B. & Raorane, H.D. How I do it? Transforaminal endoscopic decompression of intraspinal facet cyst. Acta Neurochir 161, 1895–1900 (2019). https://doi.org/10.1007/s00701-019-03995-1

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  • DOI: https://doi.org/10.1007/s00701-019-03995-1

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