{"title":"腰椎椎板间单门静脉内窥镜椎间盘切除术:技术和病例报告。","authors":"George Bourdages, Ali Hazama","doi":"10.1016/j.jocn.2025.111546","DOIUrl":null,"url":null,"abstract":"<p><p>In this video we overview the techniques and methods of performing a lumbar interlaminar uniportal endoscopic discectomy utilizing a case presentation. A 26-year-old male presented with one year of low back pain radiating down his right lower extremity with associated numbness. Magnetic resonance imaging revealed a paramedian disc herniation at L5-S1 eccentric to the right side. An endoscopic discectomy was performed via an interlaminar approach. Intraoperative fluoroscopy was used to localize an incision. High quality video showed how to expose the ligamentum flavum and safely create a defect in the ligament for the working cannula, highlighting methods to prevent complications. Once the epidural space was entered, we detailed how to remove the epidural adipose tissue and separate the adhesions from the disc and adjacent thecal sac and nerve root. Detethering the tissue was a crucial step in alleviating patient symptoms. Once the disc was identified, an annulotomy was created. We reviewed how to protect the thecal sac during discectomy. We highlighted how the interlaminar approach can provide an excellent view medially permitting complete decompression of the thecal sac under direct visualization. The patient had improvement in his symptoms without recurrence at follow-up.</p>","PeriodicalId":15487,"journal":{"name":"Journal of Clinical Neuroscience","volume":"141 ","pages":"111546"},"PeriodicalIF":1.8000,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Lumbar interlaminar uniportal endoscopic discectomy: techniques and case presentation.\",\"authors\":\"George Bourdages, Ali Hazama\",\"doi\":\"10.1016/j.jocn.2025.111546\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>In this video we overview the techniques and methods of performing a lumbar interlaminar uniportal endoscopic discectomy utilizing a case presentation. A 26-year-old male presented with one year of low back pain radiating down his right lower extremity with associated numbness. Magnetic resonance imaging revealed a paramedian disc herniation at L5-S1 eccentric to the right side. An endoscopic discectomy was performed via an interlaminar approach. Intraoperative fluoroscopy was used to localize an incision. High quality video showed how to expose the ligamentum flavum and safely create a defect in the ligament for the working cannula, highlighting methods to prevent complications. Once the epidural space was entered, we detailed how to remove the epidural adipose tissue and separate the adhesions from the disc and adjacent thecal sac and nerve root. Detethering the tissue was a crucial step in alleviating patient symptoms. Once the disc was identified, an annulotomy was created. We reviewed how to protect the thecal sac during discectomy. We highlighted how the interlaminar approach can provide an excellent view medially permitting complete decompression of the thecal sac under direct visualization. The patient had improvement in his symptoms without recurrence at follow-up.</p>\",\"PeriodicalId\":15487,\"journal\":{\"name\":\"Journal of Clinical Neuroscience\",\"volume\":\"141 \",\"pages\":\"111546\"},\"PeriodicalIF\":1.8000,\"publicationDate\":\"2025-08-18\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Clinical Neuroscience\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1016/j.jocn.2025.111546\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"CLINICAL NEUROLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Clinical Neuroscience","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.jocn.2025.111546","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}
Lumbar interlaminar uniportal endoscopic discectomy: techniques and case presentation.
In this video we overview the techniques and methods of performing a lumbar interlaminar uniportal endoscopic discectomy utilizing a case presentation. A 26-year-old male presented with one year of low back pain radiating down his right lower extremity with associated numbness. Magnetic resonance imaging revealed a paramedian disc herniation at L5-S1 eccentric to the right side. An endoscopic discectomy was performed via an interlaminar approach. Intraoperative fluoroscopy was used to localize an incision. High quality video showed how to expose the ligamentum flavum and safely create a defect in the ligament for the working cannula, highlighting methods to prevent complications. Once the epidural space was entered, we detailed how to remove the epidural adipose tissue and separate the adhesions from the disc and adjacent thecal sac and nerve root. Detethering the tissue was a crucial step in alleviating patient symptoms. Once the disc was identified, an annulotomy was created. We reviewed how to protect the thecal sac during discectomy. We highlighted how the interlaminar approach can provide an excellent view medially permitting complete decompression of the thecal sac under direct visualization. The patient had improvement in his symptoms without recurrence at follow-up.
期刊介绍:
This International journal, Journal of Clinical Neuroscience, publishes articles on clinical neurosurgery and neurology and the related neurosciences such as neuro-pathology, neuro-radiology, neuro-ophthalmology and neuro-physiology.
The journal has a broad International perspective, and emphasises the advances occurring in Asia, the Pacific Rim region, Europe and North America. The Journal acts as a focus for publication of major clinical and laboratory research, as well as publishing solicited manuscripts on specific subjects from experts, case reports and other information of interest to clinicians working in the clinical neurosciences.