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Updated: Apr 21, 2026

Full-Endoscopic Transforaminal Approach for Lumbar Discectomy
Published on: September 8, 2023
En bloc discectomy via anterior lumbar approach: a technical note
Harmantya Mahadhipta1, Amri Muhyi2, Muhamad Abdul Harist Fadhlizain3
1Department of Orthopaedics and Traumatology, Tangerang General Hospital, Banten 15117, Indonesia - Department of Orthopaedics and Traumatology, Cipto Mangunkusumo Hospital, Faculty of Medicine, Universitas Indonesia, Jakarta 10430, Indonesia - Orthopedics and Traumatology, Gatam Institute, Eka Hospital, Tangerang 15321, Indonesia.
En bloc discectomy offers a novel surgical technique to reduce implant subsidence after lumbar fusion. This method preserves endplate integrity, leading to improved patient outcomes and long-term spinal stability.
Area of Science:
- Spinal surgery
- Orthopedic surgery
- Neurosurgery
Background:
- Implant subsidence is a common complication after lumbar interbody fusion and disc replacement.
- Excessive or uneven subchondral bone preparation contributes to implant subsidence.
- A novel surgical approach is needed to address these limitations.

