Transforaminal Approach
Transforaminal Approach - Related Videos
01:24
Full-Endoscopic Transforaminal Approach for Lumbar Discectomy
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Cited by 6 •
2023
The present protocol describes the full-endoscopic transforaminal approach for lumbar discectomy, which is a safe technique that does not require muscle retraction or bone removal.
11:05
Uniportal Endoscopic Techniques for Lumbar Decompression: Interlaminar Microdiscectomy, Interlaminar Laminectomy, and Transforaminal Microdiscectomy
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2026
Here, we present three uniportal endoscopic protocols for lumbar decompression. These techniques include interlaminar microdiscectomy, interlaminar laminectomy, and transforaminal microdiscectomy.
05:52
Novel Mini-open Transforaminal Lumbar Interbody Fusion
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2025
The protocol introduces a novel mini-open TLIF, which can significantly reduce intraoperative blood loss, achieving minimally invasive outcomes with enhanced recovery.
05:50
A Mobile Outside-in Technique of Transforaminal Lumbar Endoscopy for Lumbar Disc Herniations
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Cited by 43 •
2018
Here we present a protocol of a novel outside-in technique of transforaminal endoscopic discectomy for lumbar disc herniations. The technical aspects of the technique, the wide indications of use, and the results of the treatment in 184 patients are described in detail.
07:38
Circumferential Transforaminal Endoscopic Lumbar Foraminotomy for 360° Exiting Nerve Root Decompression in Patients with Lumbar Foraminal Stenosis
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2026
This protocol describes circumferential transforaminal endoscopic lumbar foraminotomy for 360° decompression of the exiting nerve root in patients with lumbar foraminal stenosis using a step-by-step, landmark-based approach to achieve adequate bony and soft-tissue decompression.
FAQs
The neural foramen serves as the anatomical corridor associated with an exiting nerve root. Following this pathway lets the operator focus on a specific foraminal target rather than approaching the spine through a broader route. That anatomical selectivity is especially relevant when the clinical or research question concerns dysfunction associated with one spinal nerve root.
Fluoroscopy, computed tomography, and endoscopic visualization provide different ways to monitor the planned foraminal trajectory. These guidance methods help clinicians advance a needle or instrument toward the spinal canal, disc, or exiting nerve root with anatomical precision. The selected form of visualization therefore supports accurate delivery, diagnostic sampling, or treatment of targeted spinal structures.
The approach follows a focused path through the neural foramen instead of requiring a broader exposure of the surrounding region. By directing the needle or instrument toward a selected nerve root, disc, or spinal-canal target, clinicians can concentrate the intervention where it is needed. This focused access is intended to limit disruption of adjacent structures during minimally invasive procedures.
The procedure begins by selecting a foraminal target and establishing visualization with fluoroscopy, computed tomography, or an endoscope. A needle or instrument is then advanced along the planned trajectory toward the spinal canal, intervertebral disc, or exiting nerve root. Depending on the purpose, the operator delivers medication, obtains diagnostic information, or treats compressed tissue.
Clinicians may use the approach when they need information about a particular nerve root or want to direct treatment toward a localized spinal problem. Selective nerve-root blocks and epidural injections provide treatment-oriented applications, while the same targeted access can support diagnostic information. Endoscopic procedures extend its use to treating compressed tissue in appropriate spinal conditions.
In neuroscience and spine care, the approach helps investigate and manage spinal nerve dysfunction with greater anatomical precision. Its applications include selective nerve-root blocks, epidural injections, and endoscopic procedures for conditions such as radicular pain and disc herniation. These uses connect anatomical targeting with both clinical management and study of symptoms linked to spinal nerve compression or irritation.