Title: Paramedian Unilateral 'Bitubular' Endoscopic Access for a Far Lateral Disc Herniation: A Novel Approach for Far Lateral Lumbar Pathologies.
Authors: Kerr, Hui-Ling; Wadikhaye, Rohit; Sun, Gyeong Ung; Park, Cheol Woong
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.
Subjects: INTERVERTEBRAL disk; DISCECTOMY; HERNIA; IRRIGATION (Medicine); PATHOLOGY
Publication: Neurospine, 2024, Vol 21, Issue 4, p1160
ISSN: 2586-6583
Publication type: Academic Journal
DOI: 10.14245/ns.2449096.548

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

Kerr, Hui-Ling; Wadikhaye, Rohit; Sun, Gyeong Ung; Park, Cheol Woong