alexa [Decompression of lumbar lateral spinal stenosis: full-endoscopic, interlaminar technique].


Journal of Spine

Author(s): Ruetten S, Komp M, Hahn P, Oezdemir S

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Abstract OBJECTIVE: Decompression in lumbar recess stenosis in a full-endoscopic technique using an interlaminar approach. INDICATIONS: Lumbar recess stenosis due to ligamentous, osseous, discogenic compression, and/or juxta-facet cysts. CONTRAINDICATIONS: Pure back pain, instability/deformity requiring correction, pure foraminal stenosis. SURGICAL TECHNIQUE: Introduction of a surgical sleeve to the intralaminar window. Endoscopic resection of compressing bony/ligamentary structures and also of osteophytes or parts of annulus. POSTOPERATIVE MANAGEMENT: Immediate mobilization, isometric/coordination exercises, functional exercises from week 3, building up strength from week 6. RESULTS: A total of 192 patients underwent full-endoscopic surgery or microsurgery and were followed up over a minimum of 2 years. A significant improvement was revealed. Serious complications occurred in 5\% and were significantly reduced in the endoscopic group. Five patients were revised with decompression and/or fusion. Eighty-nine percent would undergo the operation again. This article was published in Oper Orthop Traumatol and referenced in Journal of Spine

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