Transforaminal Endoscopic Discectomy

A transforaminal, or paraspinal, approach provides the ability to reach far-lateral disc herniations. Using a spine-specific endoscope minimizes soft-tissue disruption, resulting in less postoperative pain.1,2 Additionally, studies showed that approximately 85% patients who underwent endoscopic lumbar discectomy returned to athletic activity in as few as 6 to 8 weeks.3,4

References

1. Sairyo K, Matsuura T, Higashino K, et al. Percutaneous endoscopic lumbar discectomy for athletes. J Spine. 2013;S5(006):1-4. doi:10.4172/2165-7939.S5-006 ​

2. Sivakanthan S, Williams JR, Feroze AH, et al. Endoscopic spine surgery in athletes: case series and review of literature. World Neurosurg. 2021;145:702-707. doi:10.1016/j.wneu.2020.08.211

3. Polikandriotis JA, Hudak EM, Perry MW. Minimally invasive surgery through endoscopic laminotomy and foraminotomy for the treatment of lumbar spinal stenosis. J Orthop. 2013;10(1):13-16. doi:10.1016/j.jor.2013.01.006

4. Ruetten S, Komp M, Merk H, Godolias G. Use of newly developed instruments and endoscopes: Full-endoscopic resection of lumbar disc herniations via the interlaminar and lateral transforaminal approach. J Neurosurg Spine. 2007;6(6):521-530. doi:10.3171/spi.2007.6.6.2

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A transforaminal, or paraspinal, approach provides the ability to reach far-lateral disc herniations. Using a spine-specific endoscope minimizes soft-tissue disruption, resulting in less postoperative pain.1,2 Additionally, studies showed that approximately 85% patients who underwent endoscopic lumbar discectomy returned to athletic activity in as few as 6 to 8 weeks.3,4

References

1. Sairyo K, Matsuura T, Higashino K, et al. Percutaneous endoscopic lumbar discectomy for athletes. J Spine. 2013;S5(006):1-4. doi:10.4172/2165-7939.S5-006 ​

2. Sivakanthan S, Williams JR, Feroze AH, et al. Endoscopic spine surgery in athletes: case series and review of literature. World Neurosurg. 2021;145:702-707. doi:10.1016/j.wneu.2020.08.211

3. Polikandriotis JA, Hudak EM, Perry MW. Minimally invasive surgery through endoscopic laminotomy and foraminotomy for the treatment of lumbar spinal stenosis. J Orthop. 2013;10(1):13-16. doi:10.1016/j.jor.2013.01.006

4. Ruetten S, Komp M, Merk H, Godolias G. Use of newly developed instruments and endoscopes: Full-endoscopic resection of lumbar disc herniations via the interlaminar and lateral transforaminal approach. J Neurosurg Spine. 2007;6(6):521-530. doi:10.3171/spi.2007.6.6.2

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Spine Endoscopic Case, large
AR-S1000-C1

Spine Endoscopic Case, large

Blakesley Forceps, 3.5 x 330 mm
AR-S7118-035-330

Blakesley Forceps, 3.5 x 330 mm

Cannula w/ Oblique Window, 8 mm × 178 mm
AR-S3420-080-178

Cannula w/ Oblique Window, 8 mm × 178 mm

Cannula, w/ elevator tip, 8 mm x 178 mm
AR-S3420-080-178ET

Cannula, w/ elevator tip, 8 mm x 178 mm

Cup Forceps, 2.5 x 330mm
AR-S7110-025-330

Cup Forceps, 2.5 x 330mm

Cup Forceps, 3.5 x 330mm
AR-S7110-035-330

Cup Forceps, 3.5 x 330mm

Cup Forceps, Up Angle, 2.5 x 330mm
AR-S7110-025U-330

Cup Forceps, Up Angle, 2.5 x 330mm

Scissor Punch, 2.5 x 330 mm
AR-S7116-025-330

Scissor Punch, 2.5 x 330 mm

Cup Grasper, SF, 3.0 x330mm
AR-S7125-030F-330

Cup Grasper, SF, 3.0 x330mm

Dilator, 2.5 mm x230 mm
AR-S6524-025-230

Dilator, 2.5 mm x230 mm

Dilator, 4.1 mm × 185 mm
AR-S6524-041-185

Dilator, 4.1 mm × 185 mm

Dilator, 5.1 mm × 170 mm
AR-S6524-051-170

Dilator, 5.1 mm × 170 mm

Dilator, 6 mm × 160 mm
AR-S6524-060-160

Dilator, 6 mm × 160 mm

Dilator, 7.1 mm × 185 mm
AR-S6524-071-185

Dilator, 7.1 mm × 185 mm

Switching Stick, 7 mm × 225 mm
AR-S3020-070-225

Switching Stick, 7 mm × 225 mm

Extracting Forceps
AR-S4100-200-100

Extracting Forceps

Rod Removal Forceps
AR-S4100-200-200

Rod Removal Forceps

Mallet
AR-S4100-100-000

Mallet

Hook Probe, 2.5 mm x 310 mm
AR-S10030-025-310

Hook Probe, 2.5 mm x 310 mm

Kerrison Handle
AR-S7400-000-000H

Kerrison Handle

Kerrison, 2.5 mm × 360 mm, 40°
AR-S7440-025-360

Kerrison, 2.5 mm × 360 mm, 40°

Kerrison, 3.5 mm x 360 mm, 40 °
AR-S7440-035-360

Kerrison, 3.5 mm x 360 mm, 40 °

Kerrison, 4 mm × 360 mm, 40°
AR-S7440-040-360

Kerrison, 4 mm × 360 mm, 40°

Rod Pusher, 2.5 mm
AR-S6524-025-230P

Rod Pusher, 2.5 mm

Rod Pusher, 4 mm
AR-S6524-040-230P

Rod Pusher, 4 mm

Rod Pusher, 5 mm
AR-S6524-050-230P

Rod Pusher, 5 mm

Spine Endoscope, 7 mm × 181 mm, 30°
AR-S3350-7030-181

Spine Endoscope, 7 mm × 181 mm, 30°

Trephine Handle
AR-S7700-000-000H

Trephine Handle

Trephine, 5.1 mm x 225 mm
AR-S7705-051-225

Trephine, 5.1 mm x 225 mm

Trephine, 6.6 mm x 225 mm
AR-S7705-066-225

Trephine, 6.6 mm x 225 mm

Trephine, 7.6 mm x 225 mm
AR-S7705-076-225

Trephine, 7.6 mm x 225 mm

Spine Endoscopic Case, large
AR-S1000-C1

Spine Endoscopic Case, large

Blakesley Forceps, 3.5 mm x 330 mm, WishBone handle
AR-S7118-035-330W

Blakesley Forceps, 3.5 mm x 330 mm, WishBone handle

Cannula w/ Oblique Window, 8 mm × 178 mm
AR-S3420-080-178

Cannula w/ Oblique Window, 8 mm × 178 mm

Cannula, w/ elevator tip, 8 mm x 178 mm
AR-S3420-080-178ET

Cannula, w/ elevator tip, 8 mm x 178 mm

Cup Forceps, 2.5 x 330mm, WB
AR-S7110-025-330W

Cup Forceps, 2.5 x 330mm, WB

Cup Forceps, 3.5 x 330mm, WB
AR-S7110-035-330W

Cup Forceps, 3.5 x 330mm, WB

Cup Forceps, Up Angled, 2.5 x 330mm, WB
AR-S7110-025U-330W

Cup Forceps, Up Angled, 2.5 x 330mm, WB

Scissor Punch, 2.5 x 330mm, WB
AR-S7116-025-330W

Scissor Punch, 2.5 x 330mm, WB

Cup Grasper, semi-flexible, 3 mm × 330 mm, WishBone handle
AR-S7125-030F-330W

Cup Grasper, semi-flexible, 3 mm × 330 mm, WishBone handle

Dilator, 2.5 mm x230 mm
AR-S6524-025-230

Dilator, 2.5 mm x230 mm

Dilator, 4.1 mm × 185 mm
AR-S6524-041-185

Dilator, 4.1 mm × 185 mm

Dilator, 5.1 mm × 170 mm
AR-S6524-051-170

Dilator, 5.1 mm × 170 mm

Dilator, 6 mm × 160 mm
AR-S6524-060-160

Dilator, 6 mm × 160 mm

Dilator, 7.1 mm × 185 mm
AR-S6524-071-185

Dilator, 7.1 mm × 185 mm

Switching Stick, 7 mm × 225 mm
AR-S3020-070-225

Switching Stick, 7 mm × 225 mm

Kerrison/Ball Tip Probe, handle, WishBone handle
AR-S7400-000-000W

Kerrison/Ball Tip Probe, handle, WishBone handle

Extracting Forceps
AR-S4100-200-100

Extracting Forceps

Rod Removal Forceps
AR-S4100-200-200

Rod Removal Forceps

Mallet
AR-S4100-100-000

Mallet

Hook Probe, 2.5 mm x 310 mm
AR-S10030-025-310

Hook Probe, 2.5 mm x 310 mm

Kerrison, 2.5 mm × 360 mm, 40°
AR-S7440-025-360

Kerrison, 2.5 mm × 360 mm, 40°

Kerrison, 3.5 mm x 360 mm, 40 °
AR-S7440-035-360

Kerrison, 3.5 mm x 360 mm, 40 °

Kerrison, 4 mm × 360 mm, 40°
AR-S7440-040-360

Kerrison, 4 mm × 360 mm, 40°

Rod Pusher, 2.5 mm
AR-S6524-025-230P

Rod Pusher, 2.5 mm

Rod Pusher, 4 mm
AR-S6524-040-230P

Rod Pusher, 4 mm

Rod Pusher, 5 mm
AR-S6524-050-230P

Rod Pusher, 5 mm

Trephine Handle
AR-S7700-000-000H

Trephine Handle

Trephine, 5.1 mm x 225 mm
AR-S7705-051-225

Trephine, 5.1 mm x 225 mm

Trephine, 6.6 mm x 225 mm
AR-S7705-066-225

Trephine, 6.6 mm x 225 mm

Trephine, 7.6 mm x 225 mm
AR-S7705-076-225

Trephine, 7.6 mm x 225 mm

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