Choo Heng Tan

Interlaminar Versus Transforaminal Full-Endoscopic Lumbar Discectomy for Lumbar Disc Herniation: A Structured Debate and International Practice Patterns

Objective: This study aimed to synthesize evidence comparing transforaminal (TELD) and interlaminar (IELD) full-endoscopic lumbar discectomy and characterize surgeons’ stated approach preferences across anatomical scenarios.Methods: We conducted a structured narrative (nonsystema...

Endoscopic Decompression Versus Fusion for Degenerative Lumbar Spondylolisthesis: A Structured Debate and International Practice Patterns

Degenerative lumbar spondylolisthesis (DLS) combines neural compression with a variable mechanical phenotype, creating uncertainty over whether decompression alone is sufficient or fusion is required. Over the last few decades, endoscopic spine surgery (ESS) has opened new avenue...