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Fig. 4 | BMC Surgery

Fig. 4

From: Contralateral translaminar endoscopic approach for highly down-migrated lumbar disc herniation using percutaneous biportal endoscopic surgery

Fig. 4

L4/5 down migrated disc shown in preoperative T2-weighted sagittal magnetic resonance imaging in sagittal (a) and axial views (b). Complete removal of ruptured disc without remnant disc material in postoperative MR images in sagittal (c) and axial views (d). Keyhole in contralateral spinolaminar junction without violation of facet joint shown in postoperative CT image (e). Desired initial tagert portal position in X-rays (f). Intraoperative fluoroscopicimage confirming inferior (g) and superior (h) of pedicle and complete decompression of traversing nerve root

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