Abstract
Transforaminal endoscopic treatment has been reported to be an effective treatment option in patients with lumbar disc herniation. However, it is rarely performed for spinal stenosis because of the limitation of endoscopic working mobility due to the exiting nerve root and foraminous bony structure. We describe a transforaminal endoscopic decompression technique for spinal stenosis in this chapter. Transforaminal endoscopic decompression under local anesthesia could be an effective treatment method for the selected group of patients with spinal stenosis.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Weinstein JN, Lurie JD, Tosteson TD, Hanscom B, Tosteson AN, Blood EA, et al. Surgical versus nonsurgical treatment for lumbar degenerative spondylolisthesis. N Engl J Med. 2007;356(22):2257–70.
Weinstein JN, Lurie JD, Tosteson TD, Zhao W, Blood EA, Tosteson AN, et al. Surgical compared with nonoperative treatment for lumbar degenerative spondylolisthesis. Four-year results in the Spine Patient Outcomes Research Trial (SPORT) randomized and observational cohorts. J Bone Joint Surg Am. 2009;91(6):1295–304.
Kleeman TJ, Hiscoe AC, Berg EE. Patient outcomes after minimally destabilizing lumbar stenosis decompression: the “Port-Hole” technique. Spine. 2000;25(7):865–70.
Poletti CE. Central lumbar stenosis caused by ligamentum flavum: unilateral laminotomy for bilateral ligamentectomy: preliminary report of two cases. Neurosurgery. 1995;37(2):343–7.
Schöller K, Alimi M, Cong GT, Christos P, Härtl R. Lumbar spinal stenosis associated with degenerative lumbar spondylolisthesis: a systematic review and meta-analysis of secondary fusion rates following open vs minimally invasive decompression. Neurosurgery. 2017;80(3):355–67.
Spetzger U, Bertalanffy H, Naujokat C, von Keyserlingk DG, Gilsbach JM. Unilateral laminotomy for bilateral decompression of lumbar spinal stenosis. Part I: anatomical and surgical considerations. Acta Neurochir (Wien). 1997;139(5):392–6.
Ahn Y, Lee SH, Park WM, Lee HY, Shin SW, Kang HY. Percutaneous endoscopic lumbar discectomy for recurrent disc herniation: surgical technique, outcome, and prognostic factors of 43 consecutive cases. Spine. 2004;29:E326–32.
Shin SH, Hwang BW, Keum HJ, Lee SJ, Park SJ, Lee SH. Epidural steroids after a percutaneous endoscopic lumbar discectomy. Spine. 2015;40(15):E859–65.
Watters WC 3rd, Bono CM, Gilbert TJ, Kreiner DS, Mazanec DJ, Shaffer WO, et al. An evidence-based clinical guideline for the diagnosis and treatment of degenerative lumbar spondylolisthesis. Spine J. 2009;9(7):609–14.
Shin SH, Bae JS, Lee SH, Keum HJ, Kim HJ, Jang WS. Transforaminal endoscopic decompression for lumbar spinal stenosis: a novel surgical technique and clinical outcomes. World Neurosurg. 2018;114:E873–82.
Choi KC, Lee JH, Kim JS. Unsuccessful percutaneous endoscopic lumbar discectomy: a single-center experience of 10228 cases. Neurosurgery. 2015;76:372–81.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
1 Electronic Supplementary Material
(a) Vertical foraminal widening. (b) Removal of ligamentum flavum in lateral portion. (c) Removal of ligamentum flavum in dorsal portion. (d) Confirmation of decompression following the full course of the traversing nerve root (MP4 6226 kb)
Rights and permissions
Copyright information
© 2023 The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd.
About this chapter
Cite this chapter
Shin, SH. (2023). Transforaminal Endoscopic Lumbar Lateral Recess Decompression. In: Ahn, Y., Park, JK., Park, CK. (eds) Core Techniques of Minimally Invasive Spine Surgery. Springer, Singapore. https://doi.org/10.1007/978-981-19-9849-2_8
Download citation
DOI: https://doi.org/10.1007/978-981-19-9849-2_8
Published:
Publisher Name: Springer, Singapore
Print ISBN: 978-981-19-9848-5
Online ISBN: 978-981-19-9849-2
eBook Packages: MedicineMedicine (R0)