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Percutaneous endoscopic transforaminal outside-in outside (TOIO) technique for foraminal and extraforaminal lumbar disc herniations - operative technique.

08:00 EDT 9th July 2019 | BioPortfolio

Summary of "Percutaneous endoscopic transforaminal outside-in outside (TOIO) technique for foraminal and extraforaminal lumbar disc herniations - operative technique."

Different transforaminal endoscopic approaches have been developed for the surgical treatment of lumbar disc herniations: Kambin (intradiscal), Yeung (intraforaminal intra-discal), Ruetten (extreme lateral), TESSYS approach (intraforaminal extradiscal approach) and modifications. The operative technique, for the treatment of foraminal and extraforaminal lumbar disc herniations through these surgical approaches, has not been well described in literature. Moreover, each of these surgical approaches has limitations to remove migrated intra/extraforaminal disc herniation. We describe step by step the operative technique of a modified percutaneous endoscopic transforaminal approach, that we have named "percutaneous endoscopic intra and extraforaminal extradiscal approach (Transforaminal Outside-In Outside - TOIO - approach)", for the treatment of foraminal and extraforaminal lumbar disc herniations.

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Name: World neurosurgery
ISSN: 1878-8769
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