How I do it-tubular trans-spinous process muscle-sparing approach for bilateral lumbar microdiscectomy: surgical technique with illustrative video.
Where this comes from
- Record sourced from PubMed, PMID 40844638.
- Also identified by DOI 10.1007/s00701-025-06648-8 and PMC identifier 12373546.
- Licence recorded as CC BY.
- The licence permits redistribution, so the abstract is shown in full and the full text is available from the publisher.
Abstract
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. He underwent bilateral discectomies via a trans-spinous process tubular approach. Postoperatively, his pain resolved and was discharged home the following day. Clinical resolution was sustained at 6 weeks. An entirely tubular trans-spinous process technique for lumbar decompression provides excellent bilateral lateral recess exposure through a minimally invasive muscle-sparing approach.
Medical subject headings
- Diskectomy
- Lumbar Vertebrae
- Radiculopathy
- Decompression, Surgical
- Intervertebral Disc Displacement
- Microsurgery