Skip to main content
SpringerLink
Log in
Book cover

Endoscopic Procedures on the Spine pp 243–251Cite as

Full-Endoscopic Bilateral Decompression of Central Lumbar Spinal Stenosis with a Unilateral Interlaminar Approach

  • Chapter
  • First Online:

  • 845 Accesses

Abstract

The development of the interlaminar access was a milestone in the history of full-endoscopic spine surgery. In addition to the removal of intraspinal disc herniations, this access for the first time enabled sufficient decompression of a recess stenosis through the use of intra-endoscopic motor-driven drilling systems.

The authors have advanced the interlaminar technique to bilateral decompression with a uniportal approach in central lumbar spinal stenosis. The mastery of this technique is an important requirement in the extension of the treatment options of the thoracic and cervical spine.

This chapter gives an overview of the technical principle of decompression as well as additional information.

This is a preview of subscription content, log in via an institution.

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   109.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD   139.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  1. Abumi K, Panjabi MM, Kramer KM, et al. Biomechanical evaluation of lumbar spinal stability after graded facetectomies. Spine. 1990;15:1142–7.

    Article  CAS  PubMed  Google Scholar 

  2. Caspar W. A new surgical procedure for lumbar disc herniation causing less tissue damaging trough a microsurgical approach. In: Wüllenweber R, Brock M, editors. Advances in neurosurgery, vol. 7. Berlin, Heidelberg: Springer; 1977. p. 74–7.

    Google Scholar 

  3. Wilson DH, Kenning J. Microsurgical lumbar discectomy: preliminary report of 83 consecutive cases. Neurosurgery. 1979;42:137–40.

    Article  Google Scholar 

  4. Mathews HH. Transforaminal endoscopic microdiscectomy. Neurosurg Clin Orth Am. 1996;7:59–63.

    Article  CAS  Google Scholar 

  5. Meyer HM, Brock M. Percutaneous endoscopic discectomy: surgical technique and preliminary results compared to microsurgical discectomy. J Neurosurg. 1993;78:261.

    Article  Google Scholar 

  6. Destandeau J. A special device for endoscopic surgery of lumbar disc herniation. Neurol Res. 1999;21:39–42.

    Article  Google Scholar 

  7. Komp M, Hahn P, Oezdemir S, Giannakopoulos A, Heikenfeld R, Kasch R, Merk H, Godolias G, Puchstein C, Ruetten S. Bilateral decompression of lumbar central stenosis using the full-endoscopic interlaminar technique compared with microsurgical technique: a prospective, randomized, controlled study. Pain Physician. 2015;18:61–70.

    PubMed  Google Scholar 

  8. Ruetten S, Komp M, Oezdemir S. Current status of full-endoscopic techniques in the surgical treatment of disk herniations and spinal canal stenosis. Chin J Bone Joint. 2014;3:571–84.

    Google Scholar 

  9. Komp M, Hahn P, Oezdemir S, Merk H, Kasch R, Godolias G, Ruetten S. Operation of lumbar zygoapophyseal joint cysts using a full-endoscopic interlaminar and transforaminal approach: prospective 2-year results of 74 patients. Surg Innov. 2014;21:605–14.

    Article  PubMed  Google Scholar 

  10. Birkenmaier C, Komp M, Leu HF, Ruetten S. The current state of endoscopic disc surgery: review of controlled studies comparing full-endoscopic procedures for disc herniations to standard procedures. Pain Physician. 2013;16:335–44.

    PubMed  Google Scholar 

  11. Ruetten S, Komp M, Hahn P, Oezdemir S. Decompression of lumbar lateral spinal stenosis: full-endoscopic, interlaminar technique. Oper Orthop Traumatol. 2013;25:31–46. https://doi.org/10.1007/s00064-012-0195-2.

    Article  CAS  PubMed  Google Scholar 

  12. Komp M, Hahn P, Merk H, Godolias G, Ruetten S. Bilateral operation of lumbar degenerative central spinal stenosis in full-endoscopic interlaminar technique with unilateral approach: prospective 2-year results of 74 patients. J Spinal Disord Tech. 2011;24:281–7.

    Article  PubMed  Google Scholar 

  13. Ruetten S, Komp M, Merk H, Godolias G. Surgical treatment for lumbar lateral recess stenosis with the full-endoscopic interlaminar approach versus conventional microsurgical technique: a prospective, randomized, controlled study. J Neurosurg Spine. 2009;10:476–85.

    Article  PubMed  Google Scholar 

  14. Ruetten S, Komp M, Merk H, Godolias G. Recurrent lumbar disc herniation following conventional discectomy: a prospective, randomized study comparing full-endoscopic interlaminar and transforaminal versus microsurgical revision. J Spinal Disord Tech. 2009;22:122–9.

    Article  PubMed  Google Scholar 

  15. Ruetten S, Komp M, Merk H, Godolias G. Full-endoscopic anterior decompression versus conventional anterior decompression and fusion in cervical disc herniations. Int Orthop. 2008;33:1677. https://doi.org/10.1007/s00264-008-0684-y.

    Article  PubMed  PubMed Central  Google Scholar 

  16. Ruetten S, Komp M, Merk H, Godolias G. Full-endoscopic cervical posterior foraminotomy for the operation of lateral disc herniations using 5.9-mm endoscopes: a prospective, randomized, controlled study. Spine. 2008;33:940–8.

    Article  PubMed  Google Scholar 

  17. Ruetten S, Komp M, Merk H, Godolias G. Full-endoscopic interlaminar and transforaminal lumbar discectomy versus conventional microsurgical technique: a prospective, randomized, controlled study. Spine. 2008;33:931–9.

    Article  PubMed  Google Scholar 

  18. Ruetten S, Komp M, Merk H, Godolias G. A new full-endoscopic technique for cervical posterior foraminotomy in the treatment of lateral disc herniations using 6.9-mm endoscopes: prospective 2-year results of 87 patients. Minim Invas Neurosur. 2007;50:219–26.

    Article  CAS  Google Scholar 

  19. Ruetten S, Komp M, Merk H, Godolias G. Use of newly developed instruments and endoscopes: full-endoscopic resection of lumbar disc herniations via the interlaminar and lateral transforaminal approach. J Neurosurg Spine. 2007;6:521–30.

    Article  PubMed  Google Scholar 

  20. Ruetten S, Komp M, Godolias G. A new full-endoscopic technique for the interlaminar operation of lumbar disc herniations using 6 mm endoscopes: prospective 2-year results of 331 patients. Minim Invasive Neurosur. 2006;49:80–7.

    Article  CAS  Google Scholar 

  21. Ruetten S, Komp M, Godolias G. An extreme lateral access for the surgery of lumbar disc herniations inside the spinal canal using the full-endoscopic uniportal transforaminal approach. – technique and prospective results of 463 patients. Spine. 2005;30:2570–8.

    Article  PubMed  Google Scholar 

  22. McCulloch JA. Microsurgery for lateral zone stenosis. In: McCulloch JA, Young PA, editors. Essentials of spinal microsurgery. Philadelphia, PA: Lippincott-Raven; 1998. p. 453–86.

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Center for Spine Surgery and Pain Therapy, Center for Orthopaedics and Traumatology of the St. Elisabeth Group-Catholic Hospitals Rhein-Ruhr, St. Anna Hospital Herne, Marien Hospital Herne Universityhospital, Marien Hospital Witten, Herne, Germany

    Martin Komp & Sebastian Ruetten

Authors
  1. Martin Komp
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Sebastian Ruetten
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Martin Komp .

Editor information

Editors and Affiliations

  1. Department of Neurosurgery, Seoul St Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seocho gu, Seoul, Korea (Republic of)

    Jin-Sung Kim

  2. Department of Neurosurgery, Kyung Hee University Medical Center, Seoul, Korea (Republic of)

    Jun Ho Lee

  3. Department of Neurosurgery, Gachon University Gil Medical Center, Incheon, Korea (Republic of)

    Yong Ahn

Rights and permissions

Reprints and permissions

Copyright information

© 2020 Springer Nature Singapore Pte Ltd.

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Komp, M., Ruetten, S. (2020). Full-Endoscopic Bilateral Decompression of Central Lumbar Spinal Stenosis with a Unilateral Interlaminar Approach. In: Kim, JS., Lee, J., Ahn, Y. (eds) Endoscopic Procedures on the Spine. Springer, Singapore. https://doi.org/10.1007/978-981-10-3905-8_18

Download citation

  • DOI: https://doi.org/10.1007/978-981-10-3905-8_18

  • Published:

  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-10-3904-1

  • Online ISBN: 978-981-10-3905-8

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation