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Updated: May 21, 2026
The Third Channel-Assisted Unilateral Biportal Endoscopic Technique for Lumbar Spinal Stenosis Combined with Contralateral Disc Herniation
Published on: November 17, 2023
Unilateral surgical approach for lumbar disc herniation with contralateral symptoms
Taşkan Akdeniz1, Tuncay Kaner, Ibrahim Tutkan
1Department of Neurosurgery, Küçükyalı Delta Hospital, Istanbul, Turkey. taskanakdeniz5924@gmail.com
Object:
In most cases of lumbar disc herniation, the primary problem is usually limited to radicular pain due to nerve compression on the herniated side, which is generally limited to the side of operation. The aim of this study was to reevaluate the side of the surgical approach in a selected group of patients with leg pain and contralateral lumbar disc herniation.
Methods:
Included in this study were a total of 5 patients with lumbar disc herniations who presented with contralateral symptoms and neurological signs. In all cases, patients underwent a microdiscectomy from the side ipsilateral to the herniated lumbar disc, the side contralateral to the motor deficits and leg pain.
Results:
The symptoms and signs, to some extent, resolved during the immediate postoperative period. There were no postoperative complications.
Conclusions:
The findings confirm that performing a laminotomy via the side of the herniation is sufficient for this group of patients.
