This article describes a new technique to achieve access to the epidur
al space via a direct posterior portal. This minimally invasive techni
que allows treatment of disc protrusions and extrusions with full visu
alization and minimal dissection of the paraspinal musculature. Hemost
asis, visualization, and triangulation is performed with standard arth
roscopic instrumentation. The anatomy of, indications for, and advanta
ges of this technique are described.