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The surgical approach used here combined the principles of transforaminal percutaneous endoscopic discectomy and the extreme lateral lumbar interbody fusion procedures with intraoperative CT-guided navigational assistance. The approach provides a safe corridor of direct visualization to the ventral thecal sac with minimal bony resection and could, in principle, reduce neurological injury and biomechanical instability, which likely contribute to poor outcomes at this level.<\/jats:p>","DOI":"10.3171\/2017.11.spine17509","type":"journal-article","created":{"date-parts":[[2018,4,20]],"date-time":"2018-04-20T14:01:29Z","timestamp":1524232889000},"page":"46-53","source":"Crossref","is-referenced-by-count":11,"title":["Minimally invasive direct lateral, retroperitoneal transforaminal approach for large L1\u20132 disc herniations with intraoperative CT navigational assistance: technical note and report of 3 cases"],"prefix":"10.3171","volume":"29","author":[{"given":"Adetokunbo A.","family":"Oyelese","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jared","family":"Fridley","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David B.","family":"Choi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Albert","family":"Telfeian","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ziya L.","family":"Gokaslan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"key":"b1","series-title":"Acta Neurochir (Wien)","doi-asserted-by":"publisher","first-page":"199","DOI":"10.1007\/s00701-009-0204-x","article-title":"Transforaminal percutaneous endoscopic lumbar discectomy for upper lumbar disc herniation: clinical outcome, prognostic factors, and technical consideration","volume":"151","author":"Ahn Y","year":"2009","unstructured":"Ahn Y, Lee SH, Lee JH, Kim JU, Liu WC: Transforaminal percutaneous endoscopic lumbar discectomy for upper lumbar disc herniation: clinical outcome, prognostic factors, and technical consideration. 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