[Decompression of lumbar lateral spinal stenosis: full-endoscopic, interlaminar technique].
OBJECTIVE
Decompression in lumbar recess stenosis in a full-endoscopic technique using an interlaminar approach.


METHODS
Lumbar recess stenosis due to ligamentous, osseous, discogenic compression, and/or juxta-facet cysts.


METHODS
Pure back pain, instability/deformity requiring correction, pure foraminal stenosis.


METHODS
Introduction of a surgical sleeve to the intralaminar window. Endoscopic resection of compressing bony/ligamentary structures and also of osteophytes or parts of annulus.


METHODS
Immediate mobilization, isometric/coordination exercises, functional exercises from week 3, building up strength from week 6.


RESULTS
A total of 192 patients underwent full-endoscopic surgery or microsurgery and were followed up over a minimum of 2 years. A significant improvement was revealed. Serious complications occurred in 5% and were significantly reduced in the endoscopic group. Five patients were revised with decompression and/or fusion. Eighty-nine percent would undergo the operation again.
Zentrum für Wirbelsäulenchirurgie und Schmerztherapie, Zentrum für Orthopädie und Unfallchirurgie der St. Vincenz Gruppe Ruhr, St. Anna Hospital Herne/Marien-Hospital Witten, Hospitalstr. 19, 44649, Herne, Deutschland. info@s-ruetten.com
S
S
Ruetten
M
M
Komp
P
P
Hahn
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S
Oezdemir
D000328:Adult; D000368:Aged; D015984:Causality; D015897:Comorbidity; D019299:Decompression, Surgical / Q000379:methods / Q000706:statistics & numerical data*; D004724:Endoscopy / Q000379:methods / Q000706:statistics & numerical data*; D005260:Female; D005858:Germany / Q000453:epidemiology; D006801:Humans; D007796:Laminectomy / Q000379:methods / Q000706:statistics & numerical data*; D008159:Lumbar Vertebrae / Q000473:pathology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology*; D015995:Prevalence; D012307:Risk Factors; D013130:Spinal Stenosis / Q000453:epidemiology* / Q000473:pathology / Q000601:surgery*; D016896:Treatment Outcome