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22 March 2026 : Clinical Research  

Unilateral Percutaneous Transforaminal Endoscopic Approach With Bilateral Decompression for Large Central Lumbar Disc Herniation Complicated by Bilateral Neurological Symptoms: A 2-Year Retrospective Clinical Study

Yansheng Huang EFG 1, Sibo Wang BC 1, Peng Zou AD 1*, Shaoyan Shi A 2

DOI: 10.12659/MSM.951022

Med Sci Monit 2026; 32:e951022

Figure 1 Preoperative and postoperative imaging of central lumbar disc herniation. (A, B) Sagittal and axial T2-weighted magnetic resonance imaging demonstrate a large central lumbar disc herniation at the L4/5 level with bilateral nerve root compression. (C, D) Anteroposterior and lateral radiographs confirm accurate placement of the working cannula targeting the herniated disc fragment. (E) Complete decompression of the contralateral nerve root is displayed (black arrow). (F, G) Postoperative sagittal and axial T2-weighted magnetic resonance imaging confirm complete resection of the bilateral herniated disc fragments.

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Medical Science Monitor eISSN: 1643-3750
Medical Science Monitor eISSN: 1643-3750