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March 29, 2026Frontiers in SurgeryOpen Access

Modified unilateral biportal endoscopic transpedicular discectomy for highly migrated upper lumbar disc herniation: a case report

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Authors

YWYang WangJHJinming HanBZBingke Zhu

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Overview

Case report demonstrates effective discectomy technique in upper lumbar herniation, suggesting a safe surgical option.

Key Points

  • To evaluate the effectiveness of a modified transpedicular approach for treating highly migrated upper lumbar disc herniation.
  • Case report of a 69-year-old man with severe ULDH symptoms.
  • Utilized modified posterior transpedicular approach with unilateral biportal endoscopy (UBE).
  • Applied 'Cortical Guidance' for navigating to the ventral pathology with minimal bone removal.
  • Complete resection of herniated disc fragments achieved postoperatively.
  • Significant reduction in VAS and ODI scores from 7/10 and 74 to 1/10 and 12, respectively.
  • Complete neurological recovery observed at 6-month follow-up.

Cite This Study

Wang et al. (2026) studied this question.

synapsesocial.com/papers/69c8c0b0de0f0f753b39b8f8https://doi.org/10.3389/fsurg.2026.1781307
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