title: Endoscopic thoracic laminoforaminoplasty for the treatment of thoracic radiculopathy: report of 12 cases.
abstract: BACKGROUND
  Spinal stenosis of the thoracic spine is less common than that of the cervical and lumbar regions. Due to the close proximity to thoracic and abdominal organs, surgical operations can be difficult and carry a greater risk of complications. The most efficacious intervention for thoracic stenosis, whether central or foraminal, refractory to conservative management is uncertain. We aimed to evaluate the efficacy of endoscopic laminoforaminoplasty (ELFP) in the treatment of thoracic radiculopathy.
  
  
  METHODS
  Twelve patients with radicular pain involving the lower thoracic levels (at or below T6) were treated with ELFP.
  
  
  RESULTS
  Seven of twelve patients showed marked improvement in pain scores. Average follow-up scores were 2.9 and 12.08 on the Visual Analog Scale (VAS) and Oswestry Disability Index, respectively. The significance was 0.005 between the pre and post surgical data. One patient with moderate symptoms, two with severe symptoms, and two with crippling symptoms did not report significant improvement on VAS or Oswestry. No complications were encountered.
  
  
  CONCLUSIONS
  Endoscopic laminoforaminoplasty offers an alternative to fusion or conventional laminotomy with similar success rates. Patients additionally benefit from a decrease risk of complications, short hospital stay, and faster recovery.
authors.affiliation: MicroSpine and Healthmark Regional Medical Center, Florida 32435, USA. Haufe@MicroSpine.com
authors.forename: Scott M W
authors.initials: SM
authors.lastname: Haufe
authors.forename: Ryan A
authors.initials: RA
authors.lastname: Baker
authors.forename: Morgan L
authors.initials: ML
authors.lastname: Pyne
mesh_terms: D000368:Aged; D004724:Endoscopy / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000379:methods*; D011843:Radiculopathy / Q000473:pathology / Q000601:surgery*; D013130:Spinal Stenosis / Q000473:pathology / Q000601:surgery*; D016896:Treatment Outcome