Contralateral facet-sparing sublaminar endoscopic foraminotomy for the treatment of lumbar lateral recess stenosis: technical note

Lumbar lateral recess stenosis that results from a degenerative bulging of the disc and overgrowth of the facet is a very common cause for lumbar radiculopathy in the elderly. The standard surgical treatment for symptomatic lumbar lateral recess stenosis often requires a laminectomy or hemi-laminect...

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Veröffentlicht in:Journal of spine surgery (Hong Kong) 2017-06, Vol.3 (2), p.260-266
Hauptverfasser: Krzok, Guntram, Telfeian, Albert E, Wagner, Ralf, Hofstetter, Christoph P, Iprenburg, Menno
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Sprache:eng
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Zusammenfassung:Lumbar lateral recess stenosis that results from a degenerative bulging of the disc and overgrowth of the facet is a very common cause for lumbar radiculopathy in the elderly. The standard surgical treatment for symptomatic lumbar lateral recess stenosis often requires a laminectomy or hemi-laminectomy and medial facetectomy which can further destabilize a pathological motion segment. The authors present here a novel technique for contralateral endoscopic access to the lateral recess pathology that is truly minimally invasive and spares most of the facet joint complex: 6 patient cases are described where lateral recess stenosis pathology was accessed from a contralateral sublaminar endoscopic approach.
ISSN:2414-469X
2414-4630
DOI:10.21037/jss.2017.06.11