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Updated: Jan 14, 2026
Transtubular Endoscopic Posterolateral Decompression for L5-S1 Lumbar Lateral Disc Herniation
Published on: October 14, 2022
Targeted Navigation-Guided Biportal Endoscopy for Thoracic Myelopathy Due to Disk-Osteophyte: A Case Report
Shailesh Hadgaonkar1, Sameer Nagpal, Parag Sancheti
1Department of Spine Surgery, Sancheti Institute for Orthopaedics and Rehabilitation, Pune, India.
Case:
A 63-year-old man presented with progressive lower limb stiffness, weakness, and imbalance. Examination indicated thoracic myelopathy. Magnetic resonance imaging (MRI) and computed tomography (CT) revealed a left paracentral calcified disk-osteophyte complex at D10-D11 with cord edema. Navigation-assisted biportal endoscopic decompression with percutaneous stabilization was performed using the O-arm system. The patient regained mobility within 24 hours and had complete symptom resolution at 6 months.
Conclusion:
In complex thoracic pathologies, real-time navigation enhances the safety and accuracy of biportal endoscopy, allowing effective decompression and instrumentation with minimal invasiveness-highlighting its value in managing symptomatic thoracic disk herniations.
