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Paramedian Unilateral ‘Bitubular’ Endoscopic Access for a Far Lateral Disc Herniation: A Novel Approach for Far Lateral Lumbar Pathologies

Wadikhaye, Rohit
Sun, Gyeong Ung
Park, Cheol Woong
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Date
2024-12-31
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Journal Article
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Abstract
We present a novel technique to approach far lateral lumbar pathologies using a bitubular, biportal endoscopic system and a paramedian approach. Background: Conventional approaches for lumbar far lateral discectomy range from open approaches to newer minimally invasive approaches such as tubular discectomy and single portal endoscopic discectomy. We present a case of a patient suffering with a left L3-4 and left L4-5 extraforaminal disc herniation who was treated successfully with a left sided bitubular, biportal endoscopic 2 level far lateral discectomy. A paramedian 'bitubular' biportal endoscopic approach is safe and effective for far lateral lumbar pathologies with excellent visualisation due to good outflow of irrigation fluid.
Citation
Kerr, H. L., Wadikhaye, R., Sun, G. U., & Park, C. W. (2024). Paramedian Unilateral 'Bitubular' Endoscopic Access for a Far Lateral Disc Herniation: A Novel Approach for Far Lateral Lumbar Pathologies. Neurospine, 21(4), 1160–1167. https://doi.org/10.14245/ns.2449096.548
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CC BY-NC 4.0
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CC BY-NC 4.0