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Transforaminal Approach for L5-s Level

  • Fumitake Tezuka
Chapter
  • 46 Downloads

Abstract

The trajectory of TELD can be limited by the surrounding anatomical structure. TELD for the central-type lumbar disc herniation at the L5-s disc level is more technically demanding than TELD at the L4–L5 disc level because of the interference of the iliac crest. However, in the clinical setting, such anatomical particularities can be overcome by using a hand-down technique with the possible addition of a foraminoplasty when we perform TELD at the L5-s disc level.

Keywords

Lumbar disc herniation L5-s intervertebral disc TELD Iliac crest Foraminoplasty 

References

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Copyright information

© Springer Nature Singapore Pte Ltd. 2021

Authors and Affiliations

  • Fumitake Tezuka
    • 1
  1. 1.Department of OrthopedicsTokushima UniversityTokushimaJapan

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