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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Main Authors: Dae-Jung Choi, Ju-Eun Kim, Je-Tea Jung, Yong-Sang Kim, Han-Jin Jang, Bang Yoo, Il-Ho Kang
Format: Article
Language:English
Published: Korean Spine Society 2018-06-01
Series:Asian Spine Journal
Subjects:
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.
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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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