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Related Experiment Video

Updated: Jun 3, 2025

Transtubular Endoscopic Posterolateral Decompression for L5-S1 Lumbar Lateral Disc Herniation
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Hybrid Endoscopic Thoracic Discectomy Using Robotic Arm and Navigation for Highly Migrated Calcified Disc Herniation.

Yi-Hao Liang1,2, Rohit Akshay Kavishwar1, Maria Pedraza1

  • 1Department of Neurosurgery, Seoul St. Mary's Hospital, The Catholic University of Korea, Seoul, Korea.

Neurospine
|January 7, 2025
PubMed
Summary

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Stable low-grade degenerative spondylolisthesis does not adversely affect clinical outcome of full-endoscopic decompression in patients with spinal stenosis.

Brain & spine·2026

This video demonstrates a hybrid endoscopic thoracic discectomy using navigation and a robotic arm for treating migrated calcified disc herniation, offering a precise and minimally invasive solution for thoracic myelopathy.

Area of Science:

  • Neurosurgery
  • Minimally Invasive Spine Surgery
  • Robotic Surgery

Background:

  • Endoscopic spine surgery is a reliable treatment for thoracic myelopathy.
  • Advancements in navigation and robotic systems enhance precision and minimally invasive capabilities.
  • Hybrid techniques combine the benefits of full-endoscopy and Unilateral Biportal Endoscopy (UBE).

Purpose of the Study:

  • To provide a step-by-step guide for hybrid endoscopic thoracic discectomy.
  • To showcase the use of navigation and robotic arm for high migrated calcified disc herniation.
  • To highlight the efficacy of this technique in treating thoracic myelopathy.

Main Methods:

  • A hybrid endoscopic thoracic discectomy technique was performed.
  • Navigation and a robotic arm were utilized for enhanced precision.
Keywords:
EndoscopyHerniated diskRoboticsSpinal surgerySurgical navigation systemsThoracic

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Last Updated: Jun 3, 2025

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  • Combined full-endoscopy and UBE approaches were employed.

    • Main Results:

    • The procedure successfully addressed a highly migrated calcified disc herniation at T5-6.
    • The patient experienced an excellent outcome with improved leg strength and function.
    • Navigation and robotic systems improved accuracy in incisions, instrument placement, and decompression.

    Conclusions:

    • Hybrid endoscopic thoracic discectomy with navigation and robotic assistance is effective for migrated calcified disc herniation.
    • This technique offers high-resolution visualization and precise decompression.
    • The integration of technology advances minimally invasive thoracic spine surgery.