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The study aims to detail a minimally invasive technique for thoracic disc herniation that avoids spinal cord retraction and instability.

A Facet-Preserving Modified Transpedicular Approach Using Unilateral Biportal Endoscopy for Thoracic Spinal Pathology

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The study aims to detail a minimally invasive technique for thoracic disc herniation that avoids spinal cord retraction and instability.
Described a modified transpedicular unilateral biportal endoscopy (UBE) technique
Performed on a 76-year-old woman with upwardly migrated thoracic disc herniation
Used MRI for diagnosis and CT for postoperative validation
Achieved complete removal of the herniated disc fragment without cord retraction
Postoperative MRI confirmed complete decompression of the spinal cord
Patient exhibited neurological improvement with no complications observed

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Study describes a modified biportal endoscopic approach for disc herniation, suggesting it safely improves outcomes.

Park et al. (2026) studied this question.

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