Biportal Endoscopic Spine Surgery for Various Foraminal Lesions at the Lumbosacral Lesion
The stenosing foramen of L5–S1 by several degenerative diseases is one of the challenging areas on surgical approaching because of the deeper depth and steep slope in the lumbosacral junction. The floating view using unilateral biportal endoscopic spine surgery rather than docking into the Kambin’s...
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Format: | Article |
Language: | English |
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Korean Spine Society
2018-06-01
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Series: | Asian Spine Journal |
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Online Access: | http://www.asianspinejournal.org/upload/pdf/asj-2018-12-3-569.pdf |
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author | Dae-Jung Choi Ju-Eun Kim Je-Tea Jung Yong-Sang Kim Han-Jin Jang Bang Yoo Il-Ho Kang |
author_facet | Dae-Jung Choi Ju-Eun Kim Je-Tea Jung Yong-Sang Kim Han-Jin Jang Bang Yoo Il-Ho Kang |
author_sort | Dae-Jung Choi |
collection | DOAJ |
description | The stenosing foramen of L5–S1 by several degenerative diseases is one of the challenging areas on surgical approaching because of the deeper depth and steep slope in the lumbosacral junction. The floating view using unilateral biportal endoscopic spine surgery rather than docking into the Kambin’s zone can make the foraminal structures seen panoramically and permit dynamic handling of various instruments without destroying the facet joint and causing iatrogenic instability. Fine discrimination of structural margins in helps of the higher magnification and gentle manipulation of neural structures just as in open spine surgery could be guaranteed using floating technique from the target structures. Selective decompression with preserving innocent structures including facet joints could relieve foraminal lesions at the L5–S1 and decrease the necessity of fusion surgery caused by wider decompression and iatrogenic instability. |
first_indexed | 2024-12-21T15:13:27Z |
format | Article |
id | doaj.art-a048da513c6c4b86aaf37fd4bec7a891 |
institution | Directory Open Access Journal |
issn | 1976-1902 1976-7846 |
language | English |
last_indexed | 2024-12-21T15:13:27Z |
publishDate | 2018-06-01 |
publisher | Korean Spine Society |
record_format | Article |
series | Asian Spine Journal |
spelling | doaj.art-a048da513c6c4b86aaf37fd4bec7a8912022-12-21T18:59:13ZengKorean Spine SocietyAsian Spine Journal1976-19021976-78462018-06-0112356957310.4184/asj.2018.12.3.569906Biportal Endoscopic Spine Surgery for Various Foraminal Lesions at the Lumbosacral LesionDae-Jung Choi0Ju-Eun Kim1Je-Tea Jung2Yong-Sang Kim3Han-Jin Jang4Bang Yoo5Il-Ho Kang6 Spine Center, Barun Hospital, Jinju, Korea Department of Orthopedic Surgery, Andong Hospital, Andong, Korea Spine Center, Barun Hospital, Jinju, Korea Spine Center, Barun Hospital, Jinju, Korea Spine Center, Barun Hospital, Jinju, Korea Spine Center, Barun Hospital, Jinju, Korea Spine Center, Barun Hospital, Jinju, KoreaThe stenosing foramen of L5–S1 by several degenerative diseases is one of the challenging areas on surgical approaching because of the deeper depth and steep slope in the lumbosacral junction. The floating view using unilateral biportal endoscopic spine surgery rather than docking into the Kambin’s zone can make the foraminal structures seen panoramically and permit dynamic handling of various instruments without destroying the facet joint and causing iatrogenic instability. Fine discrimination of structural margins in helps of the higher magnification and gentle manipulation of neural structures just as in open spine surgery could be guaranteed using floating technique from the target structures. Selective decompression with preserving innocent structures including facet joints could relieve foraminal lesions at the L5–S1 and decrease the necessity of fusion surgery caused by wider decompression and iatrogenic instability.http://www.asianspinejournal.org/upload/pdf/asj-2018-12-3-569.pdfSpinal stenosisLumbosacral regionMinimally invasive surgerySurgical endoscopy |
spellingShingle | Dae-Jung Choi Ju-Eun Kim Je-Tea Jung Yong-Sang Kim Han-Jin Jang Bang Yoo Il-Ho Kang Biportal Endoscopic Spine Surgery for Various Foraminal Lesions at the Lumbosacral Lesion Asian Spine Journal Spinal stenosis Lumbosacral region Minimally invasive surgery Surgical endoscopy |
title | Biportal Endoscopic Spine Surgery for Various Foraminal Lesions at the Lumbosacral Lesion |
title_full | Biportal Endoscopic Spine Surgery for Various Foraminal Lesions at the Lumbosacral Lesion |
title_fullStr | Biportal Endoscopic Spine Surgery for Various Foraminal Lesions at the Lumbosacral Lesion |
title_full_unstemmed | Biportal Endoscopic Spine Surgery for Various Foraminal Lesions at the Lumbosacral Lesion |
title_short | Biportal Endoscopic Spine Surgery for Various Foraminal Lesions at the Lumbosacral Lesion |
title_sort | biportal endoscopic spine surgery for various foraminal lesions at the lumbosacral lesion |
topic | Spinal stenosis Lumbosacral region Minimally invasive surgery Surgical endoscopy |
url | http://www.asianspinejournal.org/upload/pdf/asj-2018-12-3-569.pdf |
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