Related Experiment Video
Updated: Jan 21, 2026

Full-Endoscopic Isolation Zone Technique for the Treatment of Lumbar Disc Herniation
Published on: April 7, 2023
Far-lateral lumbar disc herniation: the microsurgical transmuscular approach
Enrico Tessitore1, Nicolas de Tribolet
1Department of Neurosurgery, University Hospital of Geneva, Geneva, Switzerland. tessenri@libero.it
Abstract:
Intra- and extraforaminal disc herniations can be treated via a lateral approach. The far-lateral approach is a muscle-splitting approach that allows surgeons to reach the disc herniation without any facet bone removal. The target of the surgical exposure is the isthmus. Good knowledge of the anatomic features of the intervertebral foramen and intertransverse space is mandatory. The transmuscular approach is discussed. We provide illustrations and a video to emphasize some operative aspects.
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