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Full-endoscopic bilateral over-the-top decompression in lumbar central stenosis: surgical technique and outcomes – Lumbar Spinal Stenosis

The article discusses the use of microsurgical decompression in the treatment of spinal stenosis, which is a common procedure in spine surgery. It highlights the advantages of microsurgical techniques, such as smaller incisions, reduced tissue damage, and lower infection rates. The article also introduces the concept of full-endoscopic surgical techniques as a further advancement in reducing the invasiveness of surgical interventions. Specifically, it focuses on the Lumbar Endoscopic Unilateral Laminotomy for Bilateral Decompression (LE-ULBD) technique and provides an overview of the current literature on this subject. The aim of the article is to provide context and comparison with other decompression techniques currently available in the field

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
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Published article

Decompression of spinal stenosis represents one of the most commonly performed procedures in spine surgery. With constantly increasing patient age and changing demographics, reducing the invasiveness of surgical procedures has become increasingly important. Over the past decades, microsurgical decompression has been established as a gold standard technique for the surgical treatment of spinal stenosis. In comparison with open techniques or surgeries that were performed with loop lenses, which…

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Eur Spine J. 2023 Jul 11. doi: 10.1007/s00586-023-07750-0. Online ahead of print.ABSTRACTDecompression of spinal stenosis represents one of the most commonly performed procedures in spine surgery. With constantly increasing patient age and changing demographics, reducing the invasiveness of surgical procedures has become increasingly important. Over the past decades, microsurgical decompression has been established as a,

Eur Spine J. 2023 Jul 11. doi: 10.1007/s00586-023-07750-0. Online ahead of print.

ABSTRACT

Decompression of spinal stenosis represents one of the most commonly performed procedures in spine surgery. With constantly increasing patient age and changing demographics, reducing the invasiveness of surgical procedures has become increasingly important. Over the past decades, microsurgical decompression has been established as a gold standard technique for the surgical treatment of spinal stenosis. In comparison with open techniques or surgeries that were performed with loop lenses, which required larger skin incisions, and which consecutively raised the access-related collateral damage, the microscope served to significantly reduce the invasiveness of the decompression interventions. Advantages included smaller skin incisions, reduced collateral tissue damage, less blood loss, lower infection rates and wound healing problems, shorter hospital stay, and multiple others, as widely known across various MIS techniques. For the same reasons as outlined above, the introduction of full-endoscopic surgical techniques aims to further reduce the invasiveness of surgical interventions. The present manuscript provides a delineation of the surgical technique of LE-ULBD (Lumbar Endoscopic Unilateral Laminotomy for Bilateral Decompression), gives an overview on the current state of literature, and aims to put this surgery into context with other currently available decompression techniques.

PMID:37432601 | DOI:10.1007/s00586-023-07750-0

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Full-endoscopic bilateral over-the-top decompression in lumbar central stenosis: surgical technique and outcomes

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Eur Spine J. 2023 Jul 11. doi: 10.1007/s00586-023-07750-0. Online ahead of print.ABSTRACTDecompression of spinal stenosis represents one of the most commonly performed procedures in spine surgery. With constantly increasing patient age and changing demographics, reducing the invasiveness of surgical procedures has become increasingly important. Over the past decades, microsurgical decompression has been established as a

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