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Related Experiment Video

Updated: Jun 13, 2026

A Mobile Outside-in Technique of Transforaminal Lumbar Endoscopy for Lumbar Disc Herniations

A Mobile Outside-in Technique of Transforaminal Lumbar Endoscopy for Lumbar Disc Herniations

Published on: August 7, 2018

Transforaminal endoscopic lumbar procedure for disc herniations: a "between" technique.

Kai-Xuan Liu¹, Bryan Massoud

¹Atlantic Spinal Care, Edison, NJ, USA.

Surgical Technology International

|May 4, 2010

Summary

This summary is machine-generated.

A novel "between" technique offers a safe and effective endoscopic solution for challenging central and paracentral disc herniations, including extrusions and sequestrations.

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A Mobile Outside-in Technique of Transforaminal Lumbar Endoscopy for Lumbar Disc Herniations

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Published on: September 8, 2023

Area of Science:

Neurosurgery
Minimally Invasive Spine Surgery

Background:

Endoscopic spine surgery advancements continue, yet central and paracentral disc herniations, particularly extrusions and sequestrations, present ongoing treatment challenges.
Existing techniques may not fully address the complexities of accessing and removing these specific types of disc pathologies.

Purpose of the Study:

To introduce and describe a novel endoscopic surgical technique, termed the "between" technique, for treating central and paracentral disc herniations.
To detail the application of this technique in the removal of central and paracentral disc extrusions and sequestrations.

Main Methods:

The "between" technique involves precise endoscope access cannula placement at the disc edge, with half within the disc and half in the epidural space.
A blunt-ended dilator is utilized for navigation within the epidural space to establish the optimal access path and initial cannula positioning.
This method is applied to address central and paracentral extruded and sequestered disc herniations.

Main Results:

The "between" technique demonstrates safety, efficacy, and ease of use in endoscopic spine surgery.
The technique has shown particular effectiveness in managing central and paracentral extruded and sequestered disc herniations.

Conclusions:

The "between" technique provides a valuable new approach for endoscopic treatment of challenging central and paracentral disc herniations.
This method offers a safe, effective, and user-friendly solution for removing extruded and sequestered disc fragments in these difficult-to-treat locations.