Fig. 3

Surgical images obtained through the posterior approach under arthroscopy. (A) Exposure and resection of the ligamentum flavum (outlined by the green ellipse). (B) Sufficient decompression of the spinal canal (highlighted by the blue ellipse). (C) Exposure of the right intervertebral disc (marked by the green arrow), with successful decompression of the right L5 nerve root. (D) Exposure of the left intervertebral disc (marked by the green arrow), with successful decompression of the left L5 nerve root. (E-G) Exposure of the intraspinal cyst, followed by exploration, dissection, and excision using radiofrequency plasma, nucleus forceps, and a nerve dissector (outlined in the green box). (H) Complete excision of the intrathecal gas-containing cyst, ensuring sufficient decompression