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Category: Case Studies & Techniques

Comparable Alternatives to Traditional Spinal Fusion Procedures

This new playlist features special situations helped by Endoscopic Decompression as well as alternatives to fusion for painful spinal conditions that can be compared to traditional procedures touted by current key opinion leaders (KOL’s).

These examples are from Dr. Yeung’s personal database of over 10,000 procedures since 1991. Dr. Yeung adopted and evolved Kambin’s “inside-out ” intradiscal endoscopic technique, and evolved it over 25 years to include “foraminoplasty” versus simple foraminotomy. It involves 1) directly decompressing and visualizing the hidden zone of McNab (when deemed necessary) between the traversing and exiting nerve, the site of painful patho-anatomy, as the graveyard of Failed Back Surgery Syndrome (FBSS) and 2) the appropriate use of laser under endoscopic visualization (not as a marketing ploy) facilitating endoscopic surgery as a valuable surgical tool when utilized appropriately.

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Advances in Transforaminal Endoscopic Decompression

These videos showcase more procedures offering the least invasive alternatives to fusion that target the pain generator such as foraminal stenosis and patho-anatomy in the hidden zone that is successfully treated with transforaminal decompression following excellent results with diagnostic and therapeutic injections.

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Case Presentation – Selective Endoscopic Posterolateral Discectomy


A 22 year old male with a two year history of low back pain and intermittent right leg pain sustained an acute worsening of his right leg pain 12 days prior to evaluation. He proportionalized his pain to 5% back and 95% leg pain. He complained of a new onset of weakness, tingling, and constant numbness. The pain and numbness radiated down the posterolateral leg to the dorsum of the right foot. He was unable to bear weight on the right leg and was using a walking pole for support. He was unable to sleep supine and had to sleep in a recliner to minimize the pain. Sitting provided some relief. He denied bowel or bladder incontinence, but had constipation for the last 12 days.

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DISC - Desert Institute for Spine Care