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. 2020 Jun;6(2):397–404. doi: 10.21037/jss.2019.11.19

Figure 3.

Figure 3

Surgical technique. (A) Skin entry point planning on axial computed tomography scan by drawing an imaginary line from posterior annulus at the midpedicular level to lateral margin of facet joint; (B) placement of needle tip at the midpedicular level; (C,D) enlargement of foramen by serial dilation and sequential reaming of ventral and lateral aspect of superior facet over guidewire; (E) placement of beveled 7.5-mm working cannula on the posterior disc space through annular window at the midpedicular level—AP view; (F) placement of beveled 7.5-mm working cannula on the posterior disc space through annular window at the midpedicular level—lateral view; (G,H) removal of herniated disc fragment using microforceps. AP, anteroposterior.