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Lumbar Foraminal Stenosis Combined with Disc Herniation

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Transforaminal Endoscopy for Lumbar Spine
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Abstract

Lumbar foraminal stenosis is a condition seen in degenerative lumbar spines defined as the narrowing of the bony exit of the nerve root. In some cases, foraminal stenosis coexists with disc herniation causing a wide compression. Usually, these cases were treated with facetectomy and fusion but the incidence of adjacent segment disease increases. With the evolution of endoscopic surgery techniques and instruments, new surgical options were offered to treat lumbar foraminal stenosis combined with lumbar disc herniation. Endoscopic foraminoplasty is a foraminal widening technique that helps surgeons not only decompress foraminal stenosis but also allow widened safe working zone to safely access disc space for further discectomy.

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References

  1. Lee S, Lee J, Yeom J, Kim K, Kim H, Chung S, Kang H. A practical MRI grading system for lumbar foraminal stenosis. Am J Roentgenol. 2010;194(4):1095–8.

    Article  Google Scholar 

  2. Jenis L, An H. Spine update. Spine. 2000;25(3):389–94.

    Article  CAS  PubMed  Google Scholar 

  3. Sairyo K, Chikawa T, Nagamachi A. State-of-the-art transforaminal percutaneous endoscopic lumbar surgery under local anesthesia: discectomy, foraminoplasty, and ventral facetectomy. J Orthop Sci. 2018;23(2):229–36.

    Article  PubMed  Google Scholar 

  4. Wu P, Kim H, Jang I. How I do it? Uniportal full endoscopic contralateral approach for lumbar foraminal stenosis with double crush syndrome. Acta Neurochir. 2019;162(2):305–10.

    Article  PubMed  Google Scholar 

  5. Choi K, Shim H, Park C, Lee D, Park C. Usefulness of percutaneous endoscopic lumbar foraminoplasty for lumbar disc herniation. World Neurosurg. 2017;106:484–92.

    Article  PubMed  Google Scholar 

  6. Kim HS, Mayer M, Heo DH, Park CW, editors. Advanced techniques of endoscopic lumbar spine surgery. Singapore: Springer Verlag; 2021. p. 103–13.

    Google Scholar 

  7. Ratish S, Gao Z, Prasad H, Pei Z, Bijendra D. Percutaneous endoscopic lumbar spine surgery for lumbar disc herniation and lumbar spine stenosis: emphasizing on clinical outcomes of transforaminal technique. Surg Sci. 2018;09(02):63–84.

    Article  Google Scholar 

  8. Wu B, Zhan G, Tian X, Fan L, Jiang C, Deepti B, Cao H, Li J, Lian Q, Huang X, Xu F. Comparison of transforaminal percutaneous endoscopic lumbar discectomy with and without foraminoplasty for lumbar disc herniation: a 2-year follow-up. Pain Res Manag. 2019;2019:1–12.

    Article  Google Scholar 

  9. Ju C. Technical considerations of the transforaminal approach for lumbar disk herniation. World Neurosurg. 2021;145:597–611.

    Article  PubMed  Google Scholar 

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Correspondence to Kang Suk Moon .

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Moon, K.S., Jeong, M. (2023). Lumbar Foraminal Stenosis Combined with Disc Herniation. In: Lee, SH., Shin, SH., Bae, J., Park, SJ. (eds) Transforaminal Endoscopy for Lumbar Spine. Springer, Singapore. https://doi.org/10.1007/978-981-19-8971-1_15

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  • DOI: https://doi.org/10.1007/978-981-19-8971-1_15

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  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-19-8970-4

  • Online ISBN: 978-981-19-8971-1

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