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Surgical management of tethered spinal cord syndrome through biportal endoscopic approach: a novel technical note – Lumbar Fusion

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The article discusses a case of tethered cord release in a 24-year-old female using a minimally invasive biportal endoscopic approach. The surgery was successful in treating the patient’s chronic back pain and thigh numbness, with minimal bone excision and muscle sparing techniques. The approach involved a one-sided hemilaminectomy, durotomy, and filum terminale separation, resulting in a rapid postoperative recovery without complications. The technique showcased in the video emphasizes reduced invasiveness and successful outcomes, providing a promising option for similar cases in the future

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : most experienced treatment hospital on Harley Street UK

Published article

This video article explores a case of tethered cord release through a minimally invasive biportal endoscopic approach. A 24-year-old female with chronic back pain and thigh numbness underwent surgery. The chosen approach involved biportal endoscopic technique, demonstrating precision with minimal bone excision. Preoperative imaging revealed a midline fusion defect at L5 and abnormal conus medullaris termination. The surgical procedure involved one-sided hemilaminectomy, durotomy, and careful…

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Neurosurg Focus Video. 2024 Apr 1;10(2):V13. doi: 10.3171/2024.1.FOCVID23228. eCollection 2024 Apr. ABSTRACT This video article explores a case of tethered cord release through a minimally invasive biportal endoscopic approach. A 24-year-old female with chronic back pain and thigh numbness underwent surgery. The chosen approach involved biportal endoscopic technique, demonstrating precision with minimal bone excision. Preoperative,

Neurosurg Focus Video. 2024 Apr 1;10(2):V13. doi: 10.3171/2024.1.FOCVID23228. eCollection 2024 Apr.

ABSTRACT

This video article explores a case of tethered cord release through a minimally invasive biportal endoscopic approach. A 24-year-old female with chronic back pain and thigh numbness underwent surgery. The chosen approach involved biportal endoscopic technique, demonstrating precision with minimal bone excision. Preoperative imaging revealed a midline fusion defect at L5 and abnormal conus medullaris termination. The surgical procedure involved one-sided hemilaminectomy, durotomy, and careful filum terminale separation. Postoperatively, radiological exams confirmed success with minimal bone defect. Emphasizing minimal invasiveness, reduced bone excision, and muscle sparing, this technique showcased successful outcomes, enabling the patient’s rapid postoperative recovery without complications. The video can be found here: https://stream.cadmore.media/r10.3171/2024.1.FOCVID23228.

PMID:38616901 | PMC:PMC11013374 | DOI:10.3171/2024.1.FOCVID23228

The London Spine Unit : most experienced treatment hospital on Harley Street UK

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Surgical management of tethered spinal cord syndrome through biportal endoscopic approach: a novel technical note

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Neurosurg Focus Video. 2024 Apr 1;10(2):V13. doi: 10.3171/2024.1.FOCVID23228. eCollection 2024 Apr. ABSTRACT This video article explores a case of tethered cord release through a minimally invasive biportal endoscopic approach. A 24-year-old female with chronic back pain and thigh numbness underwent surgery. The chosen approach involved biportal endoscopic technique, demonstrating precision with minimal bone excision. Preoperative

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