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Updated: Jun 23, 2026

Uniportal Full Endoscopic Posterolateral Transforaminal Lumbar Interbody Fusion
10:40

Uniportal Full Endoscopic Posterolateral Transforaminal Lumbar Interbody Fusion

Published on: June 6, 2025

Biportal Endoscopic Posterior Cervical Foraminotomy.

Samuel K Cho1, Matthew S Miyasaka1, Daniel C Berman1

  • 1Icahn School of Medicine, Mount Sinai, New York, NY.

JBJS Essential Surgical Techniques
|June 22, 2026
PubMed
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Biportal endoscopic cervical foraminotomy offers a minimally invasive approach for nerve-root compression, providing excellent visualization and allowing for same-day discharge. This technique shows high success rates in resolving arm pain.

Area of Science:

  • Neurosurgery
  • Minimally Invasive Spine Surgery
  • Spinal Decompression

Background:

  • Cervical spine pathologies can cause nerve-root compression, necessitating surgical decompression.
  • Cervical foraminotomy is indicated for isolated, unilateral cervical radiculopathy.
  • Biportal endoscopic cervical foraminotomy provides decompression with minimal soft-tissue disruption and enhanced visualization.

Purpose of the Study:

  • To describe the technique of biportal endoscopic cervical foraminotomy.
  • To highlight the advantages of this minimally invasive approach over traditional methods.
  • To present the clinical outcomes and benefits associated with the procedure.

Main Methods:

  • The procedure involves prone positioning with neuromonitoring and intraoperative fluoroscopy.

Related Experiment Videos

Last Updated: Jun 23, 2026

Uniportal Full Endoscopic Posterolateral Transforaminal Lumbar Interbody Fusion
10:40

Uniportal Full Endoscopic Posterolateral Transforaminal Lumbar Interbody Fusion

Published on: June 6, 2025

  • Two paramedian incisions create working and viewing portals for instruments and the endoscope.
  • Laminoforaminotomy is performed using a high-speed burr and Kerrison rongeur, with preservation of the ligamentum flavum and facet joint.

    • Main Results:

    • Biportal endoscopy allows for greater maneuverability and visualization compared to other techniques.
    • Minimally invasive approaches, including endoscopic foraminotomy, are associated with reduced muscle damage and blood loss.
    • Meta-analyses report high clinical success rates, with 91% to 94.9% of patients achieving good-to-excellent outcomes.

    Conclusions:

    • Biportal endoscopic cervical foraminotomy is an effective minimally invasive technique for treating cervical radiculopathy.
    • It offers advantages over open and other minimally invasive procedures, including preserved segmental motion and avoidance of anterior approach complications.
    • The procedure is associated with favorable clinical outcomes, early discharge, and reduced perioperative morbidity.