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Fig 1.

First steps of surgery.

1: Prone positioning of the animal with the hind limbs extended forward; 2: Placement of sterile drapes and fluoroscopic equipment; 3: Insertion of the guide needle for the transforaminal approach.

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Fig 1 Expand

Fig 2.

Fluoroscopic localization for lumbar endoscopic decompression.

1-2: Fluoroscopic localization of the transforaminal approach trajectory; 3-4: Discography with contrast injection into the intervertebral disc space.

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Fig 2 Expand

Fig 3.

Intraoperative view of the transforaminal approach.

Endoscopic visualization of the working channel after partial facetectomy, exposing the exiting nerve root and dural sac.

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Fig 3 Expand

Fig 4.

Intraoperative view of the interlaminar approach.

Endoscopic decompression following flavectomy, with clear visualization of the dural sac and adjacent nerve root.

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Fig 4 Expand

Table 1.

Summary of experimental surgical cases, including animal sex, total operative time, intraoperative and postoperative complications, and necropsy findings.

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Table 1 Expand

Fig 5.

Learning curve for endoscopic lumbar spine surgery in the porcine model.

Each point represents the total surgical time for a single case. The downward trend demonstrates improved efficiency with increasing surgical experience.

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Fig 5 Expand