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Fig. 5 | BMC Musculoskeletal Disorders

Fig. 5

From: Functional outcomes of full-endoscopic spine surgery for high-grade migrated lumbar disc herniation: a prospective registry-based cohort study with more than 5 years of follow-up

Fig. 5

L4–L5 and L5–S1 interlaminar full-endoscopic lumbar discectomy (IELD) for L4–L5 high-grade downward migrated disc at zone 4 due to difficulty reaching the migrated fragment from L4–L5 IELD. a Preoperative MRI lateral view showing L4–L5 high-grade downward migration. b Preoperative MRI axial view showing L4–L5 herniated disc. c Postoperative MRI lateral view showing removal of the migrated disc. d Postoperative MRI axial view showing the removal of the migrated disc. e Intraoperative fluoroscopic view of the two working channels of the double IELD approach. f Intraoperative fluoroscopic view showing IELD from the L4–L5 interlaminar window for L4–S1 zone 4. g Intraoperative fluoroscopic view showing IELD for L5–S1 zone 1

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