Related Experiment Video
Updated: Oct 8, 2025
01:24
Full-Endoscopic Transforaminal Approach for Lumbar Discectomy
Published on: September 8, 2023
628
Interlaminar Endoscopic Lumbar Discectomy: A Narrative Review
Young Il Won1, Woon Tak Yuh1, Shin Won Kwon1
1Department of Neurosurgery, Seoul National University Hospital, Seoul, Republic of Korea.
International Journal of Spine Surgery
|January 2, 2022
Summary
Interlaminar endoscopic lumbar discectomy (IELD) offers specific advantages for certain lumbar disc herniation (LDH) cases, complementing transforaminal endoscopic lumbar discectomy (TELD) and advancing endoscopic spine surgery.
Area of Science:
- Neurosurgery
- Spinal Surgery
- Minimally Invasive Spine Surgery
Background:
- Lumbar disc herniation (LDH) often requires surgery if conservative treatments fail after 4-6 weeks.
- Endoscopic lumbar discectomy offers outcomes comparable to open microdiscectomy.
- Transforaminal endoscopic lumbar discectomy (TELD) and interlaminar endoscopic lumbar discectomy (IELD) are the main endoscopic techniques.
Purpose of the Study:
- To review the surgical technique, indications, and outcomes of IELD.
- To explore potential future applications of IELD in spinal surgery.
Main Methods:
- Review of existing literature on IELD and TELD.
- Analysis of surgical techniques and patient outcomes.
Main Results:
- IELD is particularly beneficial for LDH with highly migrated discs and high iliac crest.
- Both TELD and IELD demonstrate favorable clinical outcomes.
- Surgeon preference currently dictates the choice between TELD and IELD.
Conclusions:
- IELD is a valuable technique for lumbar decompression and interbody fusion.
- Advancements like AI, robotics, and AR can enhance endoscopic spine surgery.
- A precise, systematic approach is crucial for integrating new technologies into surgical decision-making and techniques.
