Careers

Human

_blank

Newsroom

Corporate

About Us

Community Events

Global Supply Chain Disclosure

Grants

Locations

Product Security

Risk Management & Compliance

Virtual Patent Marking

SBA Support

View Events, Labs, and Educational Opportunities

Contact a Representative

Sign Up for What's New

Medical Education

Courses and Events

Course Calendar

ArthroLab™ Locations

Meet Our Medical Education Staff

OrthoPedia

Privacy

Legal Notice

Ethics Helpline

Help

Contact Us

Cookie Settings

Patient Home

ACLTear.com

AnkleSprain.com

BunionPain.com

ArthrexEndoscopicSpine.com

JointPreservation.com

OrthoPedia Patient

ShoulderReplacement.com

TheNanoExperience.com

Shoulder

Procedure

Driving innovation with the latest technological products and procedures to treat a variety of shoulder conditions.

Team Home Templated (A)

Knee

Driving innovation with the latest technological products and procedures to treat a variety of knee conditions.

Elbow

Driving innovation with the latest technological products and procedures to treat a variety of elbow conditions.

Arthroplasty Shoulder

Arthroplasty Knee

Hand and Wrist

Driving innovation with the latest technological products and procedures to treat a variety of hand and wrist conditions.

Foot and Ankle

Driving innovation with the latest technological products and procedures to treat a variety of foot and ankle conditions.

Foot and Ankle 

Trauma Lower Extremities

Trauma Upper Extremities

Trauma

Driving innovation with the latest technological products and procedures to treat a variety of hip conditions.

Hip 

Orthobiologics

Driving innovation with the latest technological products and procedures for orthobiologics to treat a variety of conditions.

Cardiothoracic Surgery

Spine

Product

 Foot and Ankle

Imaging and Resection

Driving innovation with the latest technological products in imaging and resection for use in orthopedic and general surgery.

Coding Hotline

eDFUs (Instructions for Use)

Global Enterprise Labeling System (GELS)

Unique Device Identifier (UDI)

Exhibit-Congress & Workshop Requests

Rep Site

The Arthrex Surgeon App

Facebook

Instagram

LinkedIn

Twitter

Youtube

Vet Systems

SAP Supplier Portal

Synergy Solutions for Your ASC

Arthroplasty

Area of Interest

eDFU (Instructions for Use)

Market Access and Reimbursement

Resources

UDI (Unique Device Identifier) 

Arthrex News

Corporate Giving

Corporate Responsibility Report

Arthrex Green Policy

Awards

Global Supply Chain

Product Overview

Trust Center

About Arthrex

ASC X

Administrators

Access to Innovation

Operating Room Efficiency

Perioperative Team Experience

Supply Chain

Patient Experience Tools

Physician Experience

Arthrex Armour Technology Protection

Patient

Coding Guides

Contact Information

FAQs

Links to Resources

eDFU Policy Update

Arthrex U.S. Product Warranty

<img src='/damaged_icon.svg' height="15px" width="15px"/> Sterile Instruments Damaged Packaging Instructions

General Product Information

Marketing Material Request

Product Feedback Form

New Customer Request Form

Customer Resources

Finished Product

AR-S6524-071-190

The traditional open approach for treating far lateral disc herniations at L5-S1 is challenging. Alternatively, with proper targeting, the transforaminal endoscopic approach lands directly at the far lateral zone and requires little or no facet resection to achieve decompression.

Far Lateral Transforaminal Endoscopic Lumbar Discectomy

Child (D)

The ultra-minimally invasive trans-SAP approach provides a targeted corridor for accessing foraminal and lateral recess pathology, as well as cranial disc extrusions, particularly when facet anatomy or pathology limits a direct trajectory beneath the superior articular process.1,2&nbsp;
 
References
 
1. Lee S, Kim SK, Lee SH, et al. Percutaneous endoscopic lumbar discectomy for migrated disc herniation: classification of disc migration and surgical approaches. Eur Spine J. 2007;16(3):431-437. doi:10.1007/s00586-006-0219-4
2. Lewandrowski KU, Telfeian AE, Hellinger S, et al. Difficulties, challenges, and the learning curve of avoiding complications in lumbar endoscopic spine surgery. Int J Spine Surg. 2021;15(suppl 3):S21-S37. doi:10.14444/8161

Endoscopic Trans-SAP Approach for Lumbar 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&nbsp;K, Matsuura T,&nbsp;Higashino&nbsp;K, et al. Percutaneous endoscopic lumbar&nbsp;discectomy for athletes. J Spine. 2013;S5(006):1-4. doi:10.4172/2165-7939.S5-006&nbsp;​
2. Sivakanthan&nbsp;S, Williams JR,&nbsp;Feroze&nbsp;AH, et al. Endoscopic spine surgery in&nbsp;athletes: case series and review of literature. World&nbsp;Neurosurg. 2021;145:702-707. doi:10.1016/j.wneu.2020.08.211
3. Polikandriotis&nbsp;JA, Hudak EM, Perry MW. Minimally invasive surgery through&nbsp;endoscopic laminotomy and foraminotomy for the treatment of lumbar spinal&nbsp;stenosis. J&nbsp;Orthop. 2013;10(1):13-16. doi:10.1016/j.jor.2013.01.006
4. Ruetten&nbsp;S,&nbsp;Komp&nbsp;M, Merk H,&nbsp;Godolias&nbsp;G. Use of newly developed instruments&nbsp;and endoscopes: Full-endoscopic resection of lumbar disc herniations via the&nbsp;interlaminar and lateral transforaminal approach. J&nbsp;Neurosurg&nbsp;Spine.&nbsp;2007;6(6):521-530. doi:10.3171/spi.2007.6.6.2

Transforaminal Endoscopic Lumbar Discectomy

Minimally invasive endoscopic cervical foraminotomy and decompression is designed to treat cervical radiculopathy and other conditions that compress the nerve root. Using an endoscope, surgeons can directly visualize and remove compressive pathology such as disc herniations, osteophytes, and hypertrophic ligaments. This technique minimizes soft-tissue disruption, reduces blood loss, allows for quicker recovery, and has demonstrated high clinical success rates, with a systematic review reporting 91.3% overall and up to 94.2% for posterior approaches.1,2 Additionally, long-term follow-ups show lasting symptom relief, high patient satisfaction, and a lower risk of adjacent segment disease compared to traditional ACDF surgery.3
Potential applications include treatment of cervical radiculopathy, herniated cervical discs, cervical spondylosis, foraminal stenosis, and osteophytes. Research supports its effectiveness in treating both soft disc herniations, where the nucleus pulposus compresses the nerve root, and hard disc herniations caused by calcified disc material.4 A lower incidence of spinal instability has also been reported, suggesting a reduced need for future spinal fusion procedures.5
Careful patient selection is key to optimal surgical outcomes; those with major deformity, instability, or large central herniations may require alternative surgery. With proper selection and advancing technology, this method remains a safe, effective, and motion-preserving option for cervical nerve decompression.1
References
1. Huang CC, Fitts J, Huie D, Bhowmick DA, Abd-El-Barr MM. Evolution of cervical endoscopic spine surgery: current progress and future directions—a narrative review.&nbsp;J Clin Med.&nbsp;2024;13(7):2122. doi:10.3390/jcm13072122
2. Alomar SA, Maghrabi Y, Baeesa SS, Alves ÓL. Outcome of anterior and posterior endoscopic procedures for cervical radiculopathy due to degenerative disk disease: a systematic review and meta-analysis.&nbsp;Global Spine J.&nbsp;2022;12(7):1546-1560. doi:10.1177/2192568221103727
3. Kim HS, Wu PH, Tze-Chun Lau E, Jang IT. Narrative review of uniportal posterior endoscopic cervical foraminotomy.&nbsp;World Neurosurg.&nbsp;2024;181:148-153. doi:10.1016/j.wneu.2023.10.021
4. Bergamaschi JPM, Brito MBS, Araújo FF, et al. Surgical technique of central and over-the-top full-endoscopic decompression of the cervical spine: a technical note.&nbsp;J Pers Med.&nbsp;2023;13(10):1508. doi:10.3390/jpm13101508
5. Zhang C, Wu J, Zheng W, Li C, Zhou Y. Posterior endoscopic cervical decompression: review and technical note.&nbsp;Neurospine.&nbsp;2020;17(Suppl 1):S74-S80. doi:10.14245/ns.2040166.083

Cervical Foraminotomy and Decompression

Dilator, 7.1 x 190 mm

AR-S6524-071-190

Related Pages

Spine

Far Lateral Transforaminal Endoscopic Lumbar Discectomy

Product

Spine

Endoscopic Trans-SAP Approach for Lumbar Discectomy

Product

Spine

Transforaminal Endoscopic Lumbar Discectomy

Product

Spine

Cervical Foraminotomy and Decompression

Procedure

Procedure

Product

Medical Education

Corporate

Resources

Patient

Careers