Related Experiment Video
Updated: Feb 3, 2026

Transforaminal Full-Endoscopic Lumbar Foraminotomy Under Local Anesthesia for L5/S1 Adjacent Segment Foraminal Stenosis
Published on: October 17, 2025
Endoscope-Assisted Anterior Lumbar Interbody Fusion with Computed Tomography-Guided, Image-Navigated Unilateral
Vit Kotheeranurak1, Guang-Xun Lin2, Akaworn Mahatthanatrakul3
1Department of Orthopedics, Queen Savang Vadhana Memorial Hospital, Sriracha, Chonburi, Thailand.
Objective:
We sought to describe a novel technique in managing a patient with adjacent segment disease at the L5/S1 level.
Methods:
We performed an endoscope-assisted anterior lumbar interbody fusion with computed tomography-guided, image-navigated unilateral cortical bone trajectory screw fixation to treat L5/S1 intervertebral disk pathology.
Results:
Patient was successfully treated by a direct endoscopic decompression through the anterior access, interbody fusion using an anterior lumbar interbody fusion cage, unilateral cortical bone trajectory instrumentation under computed tomography-guided image navigation.
Conclusions:
This minimally invasive technique is effective in terms of decompression and fixation. It could be used as an alternative method to treat patients with L5/S1 adjacent segment disease.
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