03/06/2023
Lumbar radiculopathy can be a very debilitating condition. After a trial of conservative therapies, NSAIDs, Physical Therapy, and Epidural Steroids injections some patients may experience intractable pain. After failing conservative treatment, surgical removal of the disk fragment/herniation can help alleviate radicular pain. Traditional open surgery requires dissection and retraction of the paraspinal muscles off the spine. Minimally invasive tubular retractors can be used to lessen the disruption of paraspinal muscles. An endoscopic approach can significantly lessen the degree of tissue disruption required to perform surgical decompression. Last week, I was able to utilize a Joimax endoscope to remove an L5-S1 disc herniation via an interlaminar appoach through a subcentimeter (