Abstract
Percutaneous biportal endoscopic surgery was used in two channels. One portal was used for endoscopy, and the other portal was used for working channel. And, general spinal operative instruments are available during procedures. The indication of biportal endoscopic approaches is same as microdiscectomy for lumbar disc herniation. Indications of biportal endoscopic discectomy include foraminal and extraforaminal herniated disc, highly migrated disc, and cauda equina syndrome huge disc herniation like microsurgery. Operation procedures of biportal endoscopic discectomy were similar with microsurgery. The surgical anatomical view of biportal endoscopic approaches is similar to the spinal microscopic anatomy. Additional discectomy for internal decompression can be achieved like microsurgery. We suggest that percutaneous biportal endoscopic lumbar discectomy may be an effective treatment for various types of lumbar disc herniation.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Heo DH, Son SK, Eum JH, Park CK. Fully endoscopic lumbar interbody fusion using a percutaneous unilateral biportal endoscopic technique: technical note and preliminary clinical results. Neurosurg Focus. 2017;43(2):E8.
Hwa Eum J, Hwa Heo D, Son SK, Park CK. Percutaneous biportal endoscopic decompression for lumbar spinal stenosis: a technical note and preliminary clinical results. J Neurosurg Spine. 2016;24(4):602–7.
Eun SS, Eum JH, Lee SH, Sabal LA. Biportal endoscopic lumbar decompression for lumbar disk herniation and spinal canal stenosis: a technical note. J Neurol Surg Part A Cent Eur Neurosurg. 2017;78(4):390–6.
Todd NV. Cauda equina syndrome: is the current management of patients presenting to district general hospitals fit for purpose? A personal view based on a review of the literature and a medicolegal experience. Bone Joint J. 2015;97-B(10):1390–4.
Hwang JH, Park WM, Park CW. Contralateral interlaminar keyhole percutaneous endoscopic lumbar surgery in patients with unilateral radiculopathy. World Neurosurg. 2017;101:33–41.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
1 Electronic Supplementary Material
(1) Laminar and interlaminar space dissection; (2) right L4 laminotomy; (3) removal of ligamentum flavum; (4) decompression of lateral recess; (5) exposure of L5 nerve root right; (6) complete exposure of axillar and shoulder areas; (7) exposure of ruptured disc particle under L5 root; (8) removal of ruptured disc particles; (9) annuloplasty with radiofrequency; (10) exploration at axillar area; (11) final view
: (1) Annulotomy by RF; (2) removal of multi-fragmented disc particles; (3) additional internal decompression
(1) Laminotomy L45 left; (2) removal of ligamentum flavum; (3) removal of huge rupture disc particle without retraction; (4) removal of huge rupture particles with slight retraction; (5) complete removal of ruptured disc particles; (6) final view after full decompression
(1) Ipsilateral laminar dissection; (2) right midline laminotomy of L4; (3) midline laminotomy of L4; (4) removal of contralateral ligamentum flavum; (5) exposure of L4 exiting nerve root left; (6) removal of foraminal ligament; (7) full exposure contralateral exiting nerve root of L4; (8) removal of ruptured disc particles; (9) final endoscopic view
Rights and permissions
Copyright information
© 2020 Springer Nature Singapore Pte Ltd.
About this chapter
Cite this chapter
Heo, D.H., Park, CK. (2020). Percutaneous Biportal Endoscopic Discectomy for Lumbar Disc Herniation. In: Kim, JS., Lee, J., Ahn, Y. (eds) Endoscopic Procedures on the Spine. Springer, Singapore. https://doi.org/10.1007/978-981-10-3905-8_19
Download citation
DOI: https://doi.org/10.1007/978-981-10-3905-8_19
Published:
Publisher Name: Springer, Singapore
Print ISBN: 978-981-10-3904-1
Online ISBN: 978-981-10-3905-8
eBook Packages: MedicineMedicine (R0)