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Updated: Mar 7, 2026

Full-Endoscopic Transforaminal Approach for Lumbar Discectomy
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Transforaminal endoscopic microdiscectomy. Indication and results.

M Haag1

  • 1Orthopädische Abteilung, Universitätskliniken Freiburg, Germany.

Der Orthopade
|March 2, 2017
PubMed
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Transforaminal endoscopic microdiscectomy for lumbar disc herniation offers good outcomes, with 78% of patients satisfied. Prompt relief of leg pain is a key indicator of successful treatment and reduced need for repeat surgery.

Area of Science:

  • Neurosurgery
  • Minimally Invasive Spine Surgery

Background:

  • Lumbar disc herniation is a common cause of back and leg pain.
  • Transforaminal endoscopic microdiscectomy is a minimally invasive surgical option.

Purpose of the Study:

  • To evaluate the outcomes of transforaminal endoscopic microdiscectomy for lumbar disc herniation.
  • To identify prognostic factors for successful outcomes.

Main Methods:

  • Retrospective study of 89 patients with lumbar disc herniation treated with transforaminal endoscopic microdiscectomy.
  • Median follow-up of 28 months.
  • Analysis of patient satisfaction and need for reoperation.

Main Results:

  • 69% of patients reported satisfaction with the procedure.
Keywords:
Key words Lumbar disc herniation • Transforaminal microdiscectomy • Endoscopy • Laser application

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  • 16% of patients required a second operation.
  • Prompt resolution of radicular leg pain within one week postoperatively was associated with a lower reoperation rate (6/61) compared to persistent pain (10/28).

    • Conclusions:

    • Transforaminal endoscopic microdiscectomy is an effective treatment for lumbar disc herniation.
    • Early resolution of radicular leg pain is a significant predictor of treatment success and may reduce the likelihood of requiring revision surgery.