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Updated: Aug 20, 2025
Transtubular Endoscopic Posterolateral Decompression for L5-S1 Lumbar Lateral Disc Herniation
Published on: October 14, 2022
How I do it? Posterior full-endoscopic cervical discectomy with retrocorporeal technique and hemilaminectomy for
Su-Wei Ou1, Jae Hwan Lee1, Chien-Min Chen1
1Department of Surgery, Division of Neurosurgery, Changhua Christian Hospital, No 135 Nanhsiao Street, Chuanghua City, 50006, Taiwan.
Background:
Given that highly migrated cervical disk herniation (CDH) is a rare condition, its treatment remains controversial as reported by Srinivasan (2011). When the primary pathology is located posterior or lateral to the lateral edge of the spinal cord that causes a foraminal or far lateral disk herniation, a posterior full-endoscopic cervical discectomy (pFECD) may be appropriate as reported by Ahn (2020).
Methods:
We introduced the pFECD with retrocorporeal technique and hemilaminectomy performed on a case of C4/C5 highly downward migrated CDH with left C5/C6 cervical neural foraminal stenosis (Fig. 1).
Conclusions:
pFECD with retrocorporeal technique and hemilaminectomy could be an effective and minimally invasive option for highly migrated CDH.