How I do it-tubular trans-spinous process muscle-sparing approach for bilateral lumbar microdiscectomy: surgical technique with illustrative video.

This video demonstrates our surgical approach for an entirely tubular trans-spinous process bilateral lumbar discectomy. A 47-year-old man presented with 12 months of severe predominantly right L5 radiculopathy. Magnetic resonance imaging revealed a large diffuse disc bulge at L4/5 resulting in bilateral lateral recess and central stenosis.

Far Lateral Tubular Microdiscectomy for Extraforaminal, Foraminal, and Lateral Recess Acute Disc Herniation: Surgical Technique.

Study Design: We present a 7-minute stepwise instructional video alongside a detailed technical report defining our surgical approach.

Objective: We outline our technique for tubular far lateral microdiscectomy for the treatment of a soft extraforaminal, foraminal, and lateral recess disc herniation, avoiding the need for spinal fusion.

Summary Of Background Data: This technique relies on a suitable soft disc consistency.

Minimally invasive far lateral tubular microdiscectomy: surgical technique and case series of 176 patients.

Background: Far lateral (extraforaminal) disc herniations comprise approximately 10% of symptomatic lumbar disc herniations. They represent operative challenges due to accessibility and surgical unfamiliarity. Surgical strategies in the past have included open discectomy and posterior lumbar interbody fusion.

The efficacy of post-operative drains for anterior cervical discectomy and fusion: a systematic review and meta-analysis.

Background: Controversy remains with the use of post-operative subfascial drains for anterior cervical discectomy and fusion, with limited guidelines and a paucity of conclusive evidence. Thus, the aim of this meta-analysis was to analyse and collate an evidence summary to determine the efficacy of such drains.

Methods: A systematic search of Medline (2002-2022.