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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Transforaminal Endoscopic Discectomy

Surgical Technique Animations | 03:25 | English | 06/11/2024 | AN1-000527-en-US C
Endoscopic Spine

Endoscopic Spine

Catalogs | English | 09/23/2024 | LB1-000396-en-US D
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Cervical Foraminotomy
Cervical Foraminotomy
Mazda Farshad, MD
09:21 | English | 06/12/2024 | VID1-006063-en-US C
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Transforaminal Epidural Steroid Injection for the Endoscopic Spine Surgeon
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03:50 | English | 05/02/2024 | VID1-005938-en-US A
In-clinic, Ultrasound-guided Facet Block
In-clinic, Ultrasound-guided Facet Block
06:04 | English | 04/25/2024 | VID1-005937-en-US A
Endoscopic Approach to Transforaminal Discectomy
Endoscopic Approach to Transforaminal Discectomy
Raymond J. Gardocki, MD
11:35 | English | 02/16/2024 | VID1-005944-en-US A

Surgical Technique Animations (1)

Transforaminal Endoscopic Discectomy
Transforaminal Endoscopic Discectomy
03:25 | English | 06/11/2024 | AN1-000527-en-US C

Brochures (3)

Spine Resource Shortcuts
Spine Resource Shortcuts
English | 08/23/2024 | BR1-004430-en-US F
Join the Endoscopic Spine Evolution…
Join the Endoscopic Spine Evolution…
English | 05/07/2024 | LB1-000440-en-US E
A Patient’s Guide to Endoscopic Lumbar Discectomy
A Patient’s Guide to Endoscopic Lumbar Discectomy
English | 10/13/2023 | pLB1-000446-en-US A

Catalogs (1)

Endoscopic Spine
Endoscopic Spine
English | 09/23/2024 | LB1-000396-en-US D

Coding Guides (1)

Spine - 2024 Coding and Reimbursement Guidelines
Spine - 2024 Coding and Reimbursement Guidelines
English | 11/04/2024 | DOC1-001312-en-US D

Miscellaneous (2)

Join the Endoscopic Spine Evolution
Join the Endoscopic Spine Evolution
01:55 | English | 02/12/2024 | VID1-004194-en-US C
Endoscopic Approaches to Spine: The Curriculum Pathway
Endoscopic Approaches to Spine: The Curriculum Pathway
01:49 | English | 10/12/2023 | VID1-004141-en-US A

Office Forms & Reference Documents (2)

Spine Evolutions Surgeon Faculty Answers to Audience Questions
Spine Evolutions Surgeon Faculty Answers to Audience Questions
English | 11/20/2024 | DOC1-001292-en-US C
Instrument Checklist
Instrument Checklist
English | 01/10/2024 | OF1-000455-en-US B

Patient Education Animations (1)

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Endoscopic Transforaminal Approach for a Herniated Disc
03:11 | English | 08/14/2024 | pAN1-000579-en-US A

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Arthrex Ultra-Minimally Invasive Spine Portfolio Overview
00:49 | English | 08/23/2024 | AN1-000597-en-US A
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SpeedPearl: Transforaminal Discectomies—Saving Time in the Case
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00:29 | English | 04/25/2024 | VID1-006026-en-US A
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FlexTip RF Probe Features and Benefits
00:39 | English | 04/25/2024 | AN1-000585-en-US A

Scientific Updates (2)

Endoscopic Spine Learning Curve
Endoscopic Spine Learning Curve
English | 04/10/2024 | DOC1-001335-en-US B
Endoscopic Discectomy and Decompression
Endoscopic Discectomy and Decompression
English | 04/03/2024 | DOC1-001334-en-US A

SpeedPearls (2)

SpeedPearl: Endoscopic Transforaminal Discectomies—Changing the Trajectory
SpeedPearl: Endoscopic Transforaminal Discectomies—Changing the Trajectory
Raymond J. Gardocki, MD
01:08 | English | 09/27/2024 | VID1-005978-en-US B
SpeedPearl: Endoscopic Posterior Cervical Foraminotomy and Discectomy - Identifying the Exiting Nerve Root
SpeedPearl: Endoscopic Posterior Cervical Foraminotomy and Discectomy - Identifying the Exiting Nerve Root
Mazda Farshad, MD
00:31 | English | 07/19/2024 | VID1-006212-en-US A

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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