Fig. 5

Arthroscopic visualization of the extraforaminal approach. (A) Exposure of the L4 isthmus with a radiofrequency probe (outlined in red). (B) Resection of the lateral facet apex with a burr (outlined in green), exposing the ligamentum flavum overlying the nerve root. (C–E) Comprehensive exposure of the gas-containing cyst encasing the extraforaminal nerve root; adhesions between the nerve root and cyst dissected using a nerve dissector; excision of both intra- and extraforaminal portions of the cyst performed with a nucleus forceps (outlined in green)