Biportal Endoscopic Spinal Surgery for Recurrent Lumbar Disc Herniations

Area of Science:

• Neurosurgery
• Orthopedic Surgery
• Minimally Invasive Spine Procedures

Background:

• Recurrent lumbar disc herniation (LDH) presents surgical challenges.
• Adhesions and limited visualization increase risks during revision surgery.
• Potential for dura tear and nerve root injury is a significant concern.

Purpose of the Study:

• To evaluate biportal endoscopic spine surgery as a safer alternative for recurrent LDH.
• To highlight the benefits of improved visualization and instrument manipulation.
• To reduce complications and the need for fusion surgery.

Main Methods:

• Utilizing biportal endoscopic spine surgery for recurrent LDH.
• Achieving clear differentiation of neural structures from scar tissue.
• Performing adhesiolysis while preserving facet joint stability.

Main Results:

• Biportal endoscopy provides high magnification and a panoramic view.
• Allows for free instrument handling, unlike open surgery.
• Potentially reduces risks associated with revision surgery for recurrent LDH.

Conclusions:

• Biportal endoscopic spine surgery is a highly recommendable technique for recurrent LDH.
• It offers a safer and less destructive approach compared to other options.
• Improved visualization and precise dissection minimize surgical complications.