Abstract
Contralateral sublaminar approaches involving unilateral biportal endoscopy (UBE) have been used recently to treat foraminal stenosis and foraminal ruptured disc herniations. The indications for lumbar contralateral sublaminar approaches include upper lumbar disc herniation, foraminal disc herniation, and foraminal ruptured disc with central disc herniation. The benefits of contralateral sublaminar approaches include the small size of laminotomy and preservation of facet joint. Also, contralateral sublaminar UBE approaches can be used to decompress both exiting nerve root as well as traversing nerve root.
The authors would like to introduce the technique of UBE contralateral sublaminar approach supplemented with surgical images and videos.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Akbary K, Kim JS, Park CW, Jun SG, Hwang JH. Biportal endoscopic decompression of exiting and traversing nerve roots through a single interlaminar window using a contralateral approach: technical feasibilities and morphometric changes of the lumbar canal and foramen. World Neurosurg. 2018;117:153–61.
Hwang JH, Park WM, Park CW. Contralateral interlaminar keyhole percutaneous endoscopic lumbar surgery in patients with unilateral radiculopathy. World Neurosurg. 2017;101:33–41.
Heo DH, Kim JS, Park CW, Quillo-Olvera J, Park CK. Contralateral sublaminar endoscopic approach for removal of lumbar Juxtafacet cysts using percutaneous biportal endoscopic surgery: technical report and preliminary results. World Neurosurg. 2019;122:474–9.
Park JH, Jang JW, Park WM, Park CW. Contralateral keyhole biportal endoscopic surgery for ruptured lumbar herniated disc: a technical feasibility and early clinical outcomes. Neurospine. 2020;17(Suppl 1):S110–s9.
Heo DH, Lee N, Park CW, Kim HS, Chung HJ. Endoscopic unilateral laminotomy with bilateral discectomy using biportal endoscopic approach: technical report and preliminary clinical results. World Neurosurg. 2020;137:31–7.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
1 Electronic Supplementary Material
A video clip of contralateral sublaminar approach for foraminal up-migrated disc herniation (MP4 222,265Â kb)
A video clip of contralateral sublaminar approach for upper lumbar disc herniation (MP4 223,559Â kb)
A video clip of contralateral sublaminar approach for decompression of an exiting nerve root as well as a traversing nerve root (MP4 271,653Â kb)
Rights and permissions
Copyright information
© 2022 The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd.
About this chapter
Cite this chapter
Heo, D.H., Park, C.W., Yi, S., Chung, H. (2022). Unilateral Biportal Endoscopy Via Contralateral Sublaminar Approach for Surgical Management of Lumbar Disc Herniation. In: Heo, D.H., Park, C.W., Son, S.K., Eum, J.H. (eds) Unilateral Biportal Endoscopic Spine Surgery. Springer, Singapore. https://doi.org/10.1007/978-981-16-8201-8_6
Download citation
DOI: https://doi.org/10.1007/978-981-16-8201-8_6
Published:
Publisher Name: Springer, Singapore
Print ISBN: 978-981-16-8200-1
Online ISBN: 978-981-16-8201-8
eBook Packages: MedicineMedicine (R0)