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Mr of ths case

Mr of ths case. Access to disc. COURSE OF WORKING CANNULA. QUADRATUS LUMBORUM. MULTIFIDUS. LONGISSIMUS. INTERSPINALIS. ILIOCOSTALIS. PSOAS MAJOR. Transforaminal surgery. midline. Disc space as is seen. Lateral marking. Lateral c arm. Lordosis considered. Same distance from midline.

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Mr of ths case

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  1. Mr of ths case

  2. Access to disc

  3. COURSE OF WORKING CANNULA QUADRATUS LUMBORUM MULTIFIDUS LONGISSIMUS INTERSPINALIS ILIOCOSTALIS PSOAS MAJOR

  4. Transforaminal surgery

  5. midline

  6. Disc space as is seen

  7. Lateral marking

  8. Lateral c arm

  9. Lordosis considered

  10. Same distance from midline

  11. Point of entry

  12. LA

  13. Needle trajectory

  14. AP

  15. Lateral

  16. On entry ap

  17. On entry LAT

  18. Guide wire ready

  19. Remove needle

  20. Dialtor over guide wire

  21. Dilator at intertrans area

  22. Dilator in disc centre ap

  23. Dilator in disc lat

  24. Cannula on dialtor

  25. Cannula in disc below fragment

  26. Cannual seen in lateral

  27. Scope and grasper in cannula

  28. First glimpse

  29. Removal of herniation

  30. fragment

  31. Grasper seen on c arm

  32. Skin cut less than 8 mm

  33. System USP • Size • Ease of use • Minimalism in instruments • Evolution and version 3

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