Transforaminal Percutaneous Endoscopic Lumbar Discectomy Through a Transfacet Approach: Detailed Surgical Technique

The percutaneous endoscopic lumbar discectomy (PELD) is a minimally invasive surgical approach described for the treatment of herniated lumbar disks. We aim to offer a brief anatomical review followed by a detailed and illustrated description of the transforaminal PELD technique using the Tom SHIDI...

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Main Authors: Leonardo Giacomini, Alexandre Bossi Todeschini, Carlos Eduardo Vasconcelos Miranda, Roger Neves Mathias, Andrei Fernandes Joaquim
Format: Article
Language:English
Published: Korean Minimally Invasive Spine Surgery Society 2021-04-01
Series:Journal of Minimally Invasive Spine Surgery and Technique
Subjects:
Online Access:http://www.jmisst.org/upload/pdf/jmisst-2020-00220.pdf
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author Leonardo Giacomini
Alexandre Bossi Todeschini
Carlos Eduardo Vasconcelos Miranda
Roger Neves Mathias
Andrei Fernandes Joaquim
author_facet Leonardo Giacomini
Alexandre Bossi Todeschini
Carlos Eduardo Vasconcelos Miranda
Roger Neves Mathias
Andrei Fernandes Joaquim
author_sort Leonardo Giacomini
collection DOAJ
description The percutaneous endoscopic lumbar discectomy (PELD) is a minimally invasive surgical approach described for the treatment of herniated lumbar disks. We aim to offer a brief anatomical review followed by a detailed and illustrated description of the transforaminal PELD technique using the Tom SHIDI endoscope and instrument set (MaxMoreSpine, Unterföhring, Germany).The transforaminal PELD through a transforaminal approach using Tom SHIDI allows safe surgical treatment of most lumbar hernias thanks to the posterior entrance into Kambin's Triangle through a bony landmark allowing foraminoplasty to be performed using a manual drill. Careful surgical technique minimizes unforeseen complications and makes this a safe and viable alternative to conventional microdiscectomy.
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spelling doaj.art-f6f29c91e8f14e63be193f66f20fef1a2023-01-17T04:33:27ZengKorean Minimally Invasive Spine Surgery SocietyJournal of Minimally Invasive Spine Surgery and Technique2508-20432021-04-0161424610.21182/jmisst.2020.0022087Transforaminal Percutaneous Endoscopic Lumbar Discectomy Through a Transfacet Approach: Detailed Surgical TechniqueLeonardo Giacomini0Alexandre Bossi Todeschini1Carlos Eduardo Vasconcelos Miranda2Roger Neves Mathias3Andrei Fernandes Joaquim4 Department of Neurosurgery, Hospital 9 de Julh, Sao Paulo-SP, Brazil Department of Neurosurgery, Hospital 9 de Julh, Sao Paulo-SP, Brazil Department of Neurosurgery, Hospital 9 de Julh, Sao Paulo-SP, Brazil Department of Neurosurgery, Hospital 9 de Julh, Sao Paulo-SP, Brazil Department of Professor of Neurosurgery University of Campinas, Sao Paulo-SP, BrazilThe percutaneous endoscopic lumbar discectomy (PELD) is a minimally invasive surgical approach described for the treatment of herniated lumbar disks. We aim to offer a brief anatomical review followed by a detailed and illustrated description of the transforaminal PELD technique using the Tom SHIDI endoscope and instrument set (MaxMoreSpine, Unterföhring, Germany).The transforaminal PELD through a transforaminal approach using Tom SHIDI allows safe surgical treatment of most lumbar hernias thanks to the posterior entrance into Kambin's Triangle through a bony landmark allowing foraminoplasty to be performed using a manual drill. Careful surgical technique minimizes unforeseen complications and makes this a safe and viable alternative to conventional microdiscectomy.http://www.jmisst.org/upload/pdf/jmisst-2020-00220.pdflumbar disk herniationpercutaneous transforaminal endoscopic discectomyspine surgery
spellingShingle Leonardo Giacomini
Alexandre Bossi Todeschini
Carlos Eduardo Vasconcelos Miranda
Roger Neves Mathias
Andrei Fernandes Joaquim
Transforaminal Percutaneous Endoscopic Lumbar Discectomy Through a Transfacet Approach: Detailed Surgical Technique
Journal of Minimally Invasive Spine Surgery and Technique
lumbar disk herniation
percutaneous transforaminal endoscopic discectomy
spine surgery
title Transforaminal Percutaneous Endoscopic Lumbar Discectomy Through a Transfacet Approach: Detailed Surgical Technique
title_full Transforaminal Percutaneous Endoscopic Lumbar Discectomy Through a Transfacet Approach: Detailed Surgical Technique
title_fullStr Transforaminal Percutaneous Endoscopic Lumbar Discectomy Through a Transfacet Approach: Detailed Surgical Technique
title_full_unstemmed Transforaminal Percutaneous Endoscopic Lumbar Discectomy Through a Transfacet Approach: Detailed Surgical Technique
title_short Transforaminal Percutaneous Endoscopic Lumbar Discectomy Through a Transfacet Approach: Detailed Surgical Technique
title_sort transforaminal percutaneous endoscopic lumbar discectomy through a transfacet approach detailed surgical technique
topic lumbar disk herniation
percutaneous transforaminal endoscopic discectomy
spine surgery
url http://www.jmisst.org/upload/pdf/jmisst-2020-00220.pdf
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AT carloseduardovasconcelosmiranda transforaminalpercutaneousendoscopiclumbardiscectomythroughatransfacetapproachdetailedsurgicaltechnique
AT rogernevesmathias transforaminalpercutaneousendoscopiclumbardiscectomythroughatransfacetapproachdetailedsurgicaltechnique
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