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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Format: | Article |
Language: | English |
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Korean Minimally Invasive Spine Surgery Society
2021-04-01
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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. |
first_indexed | 2024-04-10T22:32:25Z |
format | Article |
id | doaj.art-f6f29c91e8f14e63be193f66f20fef1a |
institution | Directory Open Access Journal |
issn | 2508-2043 |
language | English |
last_indexed | 2024-04-10T22:32:25Z |
publishDate | 2021-04-01 |
publisher | Korean Minimally Invasive Spine Surgery Society |
record_format | Article |
series | Journal of Minimally Invasive Spine Surgery and Technique |
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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