In 1998, Dr. Antoni firstly presented biportal endoscopic approach named as lumbar degenerative disease (Fig. 20.1) [1]. Dr. Antoni performed translaminar lumbar discectomy through two channels using an epidural endoscopy. This approach was the first trial of percutaneous biportal endoscopic surgery. However, this approach did not become popular and developed technically in spine society and market. About 10 years ago, percutaneous biportal endoscopic approaches were attempted in
South Korea. Firstly, percutaneous biportal endoscopic approach has been attempted for the treatment of lumbar central stenosis. Because endoscopic systems and radiofrequency systems were vigorously developed, biportal endoscopic surgeries can be achieved from cervical to lumbosacral area. Recently, many spine surgeons of South Korea have performed percutaneous biportal endoscopic surgery. Moreover, endoscopic lumbar interbody fusion can be achieved by percutaneous biportal
endoscopic approach. Several articles related to percutaneous biportal endoscopic surgeries were published and presented.
Fig. 20.1 The first published article of biportal endoscopic
spine surgery. Dr. Antoni firstly presented biportal
endoscopic surgery for lumbar degenerative disease
19 years ago (1998)