Endoscopic Effort to Overcome Anatomical Barriers

  • Javier Quillo-Olvera
  • Jin-Sung Kim


Endoscopic surgery is a minimally invasive and feasible option for the treatment of lumbar disc herniations. The technological advances applied to the new endoscopic instruments help to overcome the anatomical barriers that make this procedure difficult in complex anatomical situations. Currently, some techniques allow us to reach disc fragments distal to the intervertebral space. In this chapter, several options to overcome the anatomical barriers with endoscopic procedures are presented.


Endoscopic posterolateral approach Iliac wing Migrated disc herniation Endoscopic transpedicular approach Endoscopic foraminoplasty Minimally invasive spine surgery 





Dorsal root ganglion


Magnetic resonance imaging


Oswestry disability index


Percutaneous endoscopic lumbar discectomy


Percutaneous endoscopic lumbar discectomy


Percutaneous epidural neuroplasty


Percutaneous endoscopic translaminar approach


Posterior-superior iliac spine


Superior articular process


Visual analog pain scale


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Copyright information

© Springer Nature Singapore Pte Ltd. 2020

Authors and Affiliations

  • Javier Quillo-Olvera
    • 1
  • Jin-Sung Kim
    • 1
  1. 1.Spine Center, Department of Neurosurgery, Seoul St. Mary’s Hospital, College of MedicineThe Catholic University of KoreaSeoulSouth Korea

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