Biportal Endoscopic Interlaminar Resection of Lumbar Facet Cyst: A Technical Note

The choice between contralateral and ipsilateral approaches in biportal endoscopic facet cyst removal depends on cyst location and anatomical considerations. The contralateral approach is better suited for medial or adherent cysts, offering improved access with less facet disruption. Meanwhile, the ipsilateral approach provides a direct path for lateral cysts but may require more nerve manipulation and facet joint resection. A personalized surgical strategy is essential to optimize access, ensure nerve safety, and maintain spinal stability.

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Publication Details

Journal
Orthopedic Research and Reviews
Published
2025-08-01
DOI
https://doi.org/10.2147/orr.s534359
Primary Topic
Spine and Intervertebral Disc Pathology
Type
article
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article

Biportal Endoscopic Interlaminar Resection of Lumbar Facet Cyst: A Technical Note

Erwin Ardian Noor, Syafrudin Husin, Harmantya Mahadhipta, Erica Kholinne et al.
Orthopedic Research and Reviews
Spine and Intervertebral Disc Pathology
article

Biportal Endoscopic Interlaminar Resection of Lumbar Facet Cyst: A Technical Note

Erwin Ardian Noor, Syafrudin Husin, Harmantya Mahadhipta, Erica Kholinne, Ajiantoro Ajiantoro, Asrafi Rizki Gatam, Phedy Phedy, Omar Luthfi, Mitchel Mitchel, Karina Sylvana Gani, Ilham Suryo Wibowo Antono, Luthfi Gatam
article en

Abstract

The choice between contralateral and ipsilateral approaches in biportal endoscopic facet cyst removal depends on cyst location and anatomical considerations. The contralateral approach is better suited for medial or adherent cysts, offering improved access with less facet disruption. Meanwhile, the ipsilateral approach provides a direct path for lateral cysts but may require more nerve manipulation and facet joint resection. A personalized surgical strategy is essential to optimize access, ensure nerve safety, and maintain spinal stability.

Orthopedic Research and ReviewsVol. Volume 17
Universitas Trisakti (ID), Universitas Gadjah Mada (ID), Indonesian Pediatric Society (ID), Rumah Sakit Umum Pusat Nasional Dr. Cipto Mangunkusumo (ID), Fatmawati Hospital (ID)
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Openalex Percentile: Top 70%
Spine and Intervertebral Disc Pathology
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Biportal Endoscopic Interlaminar Resection of Lumbar Facet Cyst: A Technical Note — Erwin Ardian Noor, Syafrudin Husin, et al. · Orthopedic Research and Reviews (2025) | TGRS Research Map | TGRS