The Journal of Practical Medicine ›› 2025, Vol. 41 ›› Issue (8): 1123-1129.doi: 10.3969/j.issn.1006-5725.2025.08.006

• Clinical Advances • Previous Articles    

Research progress of intervertebral foramen shaping in transforaminal endoscopic lumbar discectomy via the intervertebral foramen approach

Honglin LIU1,Kai CHEN1,Zibo GAO1,Chengyu HUANG1,Yongjin. LI1,2,3()   

  1. *.The Second Clinical Medical College of Guangzhou University of Chinese Medicine,Guangzhou 510405,Guangdong,China
  • Received:2024-12-13 Online:2025-04-25 Published:2025-04-30
  • Contact: Yongjin. LI E-mail:lyj2106@126.com

Abstract:

With the rapid advancements in minimally invasive spine surgery and the increasingly sophisticated concept of visualization, transforaminal endoscopic lumbar discectomy (TELD) has become a primary treatment for lumbar disc herniation. Among the critical preoperative steps in TELD, foraminalplasty plays a pivotal role, as its quality directly impacts surgical outcomes and postoperative recurrence rates. This article systematically reviews the evolution of foraminalplasty techniques, evaluates the selection and application of plasty sites, examines factors influencing stability after lumbar foraminalplasty, and highlights recent advancements in computer-assisted navigation. The goal is to serve as a comprehensive reference for clinicians.

Key words: foraminoplasty, spinal endoscopy, transforaminal approach, lumbar disc herniation, spinal minimally invasive

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