baholzer - Endoscopic Spine

24 © baholzer Endoskopie-Systeme GmbH & Co.KG SPINE Introduction to lumbar transforaminal endoscopic disc surgery The combination of these manoeuvres allows for safe bony decompression and exposure of any migrated disc material and/or relevant stenotic lesion in the lateral recess under endoscopic visualisation (IMG 14, 15, 16). Now, still under endoscopic view, extruded disc material can be removed and/or neural structures can be fur- ther decompressed with a variety of rongeurs and grasping forceps (IMG 17, 18). In the final stage of the procedure, the decompression is assessed with an articulated palpation-/irriga- tion-probe and the neural structures are examined. In addition, this probe is useful for lysis of adhesion and to flush out any far-migrated or scattered disc fragments. IMG 14 Extraforaminal sequestrum IMG 17 X-Ray of rongeur IMG 19 X-Ray of Palpation and Irrigation Probe IMG 15 Media hemia IMG 16 Caudal sequestrum IMG 18 Endoscopic view of rongeur IMG 20 Palpation and Irrigation Probe