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How I do it: the biportal endoscopic inclined-ipsilateral technique to decompress the lumbar lateral recess – Lumbar Spinal Stenosis

The article discusses a novel target-addressed unilateral biportal endoscopic technique for reaching the lateral recess of the lumbar spine. The technique aims to preserve the lateral extension of ligamentum flavum and the facet joint, and it is particularly useful for the L4-L5 and L5-S1 levels. The technique offers the advantages of minimally invasive decompressive procedures and has shown outstanding outcomes. However, it requires specialized surgical tools and a steeper learning curve. Overall, the technique presents a promising approach for accessing the lumbar lateral recess

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
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Published article

CONCLUSION: This technique was associated with all the advantages of minimally invasive decompressive procedures and outstanding outcomes.

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Acta Neurochir (Wien). 2023 Jul 22. doi: 10.1007/s00701-023-05722-3. Online ahead of print.ABSTRACTBACKGROUND: Various full-endoscopic techniques have been developed to reach the lateral recess of the lumbar spine. However, specialized surgical tools, including expensive spinal endoscopic systems, and a steeper learning curve to mastering the technique are required.METHOD: We present a novel target-addressed unilateral biportal endoscopic,

Acta Neurochir (Wien). 2023 Jul 22. doi: 10.1007/s00701-023-05722-3. Online ahead of print.

ABSTRACT

BACKGROUND: Various full-endoscopic techniques have been developed to reach the lateral recess of the lumbar spine. However, specialized surgical tools, including expensive spinal endoscopic systems, and a steeper learning curve to mastering the technique are required.

METHOD: We present a novel target-addressed unilateral biportal endoscopic technique to reach directly the lumbar lateral recess, particularly useful at L4-L5 and L5-S1. The technique follows an inclined-ipsilateral trajectory to preserve the lateral extension of ligamentum flavum and the facet joint as much as possible.

CONCLUSION: This technique was associated with all the advantages of minimally invasive decompressive procedures and outstanding outcomes.

PMID:37480506 | DOI:10.1007/s00701-023-05722-3

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How I do it: the biportal endoscopic inclined-ipsilateral technique to decompress the lumbar lateral recess

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Acta Neurochir (Wien). 2023 Jul 22. doi: 10.1007/s00701-023-05722-3. Online ahead of print.ABSTRACTBACKGROUND: Various full-endoscopic techniques have been developed to reach the lateral recess of the lumbar spine. However, specialized surgical tools, including expensive spinal endoscopic systems, and a steeper learning curve to mastering the technique are required.METHOD: We present a novel target-addressed unilateral biportal endoscopic

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