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Published on: February 9, 2024
How I do it: the biportal endoscopic inclined-ipsilateral technique to decompress the lumbar lateral recess
Javier Quillo-Olvera1, Michelle Barrera-Arreola2, Javier Quillo-Reséndiz2
1Hospital Angeles Centro Sur, Neurological Surgery Unit - Spine Center, Queretaro City, Mexico. neuroqomd@gmail.com.
Background:
Various full-endoscopic techniques have been developed to reach the lateral recess of the lumbar spine. However, specialized surgical tools, including expensive spinal endoscopic systems, and a steeper learning curve to mastering the technique are required.
Method:
We present a novel target-addressed unilateral biportal endoscopic technique to reach directly the lumbar lateral recess, particularly useful at L4-L5 and L5-S1. The technique follows an inclined-ipsilateral trajectory to preserve the lateral extension of ligamentum flavum and the facet joint as much as possible.
Conclusion:
This technique was associated with all the advantages of minimally invasive decompressive procedures and outstanding outcomes.
