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KMID : 1040920210060010042
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Journal of Minimally Invasive Spine Surgery and Technique
2021 Volume.6 No. 1 p.42 ~ p.46
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Transforaminal Percutaneous Endoscopic Lumbar Discectomy Through a Transfacet Approach: Detailed Surgical Technique
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Giacomini Leonardo
Todeschini Alexandre Bossi
Miranda Carlos Eduardo Vasconcelos
Mathias Roger Neves
Joaquim Andrei Fernandes
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Abstract
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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, Unterfohring, 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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KEYWORD
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Lumbar disk herniation, Percutaneous transforaminal endoscopic discectomy, Spine surgery
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