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Related Experiment Video

Updated: Jun 19, 2026

Lateral-PLIF for Lumbar Spinal Arthrodesis: A Detailed Step-By-Step Surgical Technique

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[Translaminar fenestration for caudally herniated lumbar discs--a technical note].

M Seiz¹, I Pechlivanis, S Bag

¹Neurochirurgische Klinik, Universitätsmedizin Mannheim. marcel.seiz@umm.de

Zeitschrift Fur Orthopadie Und Unfallchirurgie

|October 7, 2009

Summary

Minimally invasive translaminar techniques can treat lumbar disc herniations. This study introduces a novel transaxillar approach for caudally sequestrated disc herniations, offering a new surgical option.

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Herniated Intervertebral Disc l: Introduction

Herniated Intervertebral Disc l: Introduction

Intervertebral disc herniation refers to the displacement of the nucleus pulposus (the gel-like inner core of the disc) through a tear or weakened area in the annulus fibrosus (the outer fibrous ring). The displaced disc material extends beyond the normal boundaries of the disc space and may compress or irritate nearby spinal nerve roots or, less commonly, the spinal cord.Etiology and Risk FactorsHerniation commonly results from degeneration, in which aging reduces disc hydration and...

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Area of Science:

Neurosurgery
Spinal Surgery
Minimally Invasive Procedures

Background:

Translaminar approaches are established for cranial or lateral lumbar disc herniations.
These techniques offer advantages like reduced postoperative instability and avoidance of medial arthrectomy.

Observation:

The study describes a novel application of the translaminar technique.
This approach is specifically adapted for caudally sequestrated disc herniations.

Findings:

A transaxillar sequesterotomy is presented as a viable option for caudally sequestrated lumbar disc herniations.
This method represents a first-time description of this specific application.

Implications:

This technique expands the utility of minimally invasive spine surgery.

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Published on: January 23, 2026

It offers a new surgical strategy for challenging disc herniation cases.