Intradiscal Expandable Balloon Distraction Throughout Transforaminal Decompression for Lumbar Foraminal and Lateral Recess Stenosis.
Surg Innov. 2018 Jan 01;:1553350617753243
Authors: Lewandrowski KU, Ostergren M, de Carvalho PST
Superior videoendoscopic gear (akin to motorized drills, chisels, and rongeurs) facilitates using trendy decompression instruments by way of the inside working channel of the spinal endoscope utilizing the transforaminal method. Postoperative dysesthetic leg ache, nonetheless, is frequent due to irritation of the dorsal root ganglion. This text presents a novel surgical method using an expandable balloon positioned into the hole intervertebral house in sufferers with none practical disc tissue to distract the stenotic movement phase. This method improves visualization, facilitates elimination of bone in the course of the decompression, and minimizes intraoperative manipulation of the exiting and traversing nerve roots. In a research of 52 focused sufferers with symptomatic spinal stenosis at 60 ranges (L2/Three-1, L3/Four-9, L4/5-28, and L5/S1-22) resulting from superior degenerative adjustments of the intervertebral disc and side joint advanced contributing to each foraminal and lateral recess stenosis, solely 2 of the 52 sufferers complained of postoperative dysesthetic leg ache (Three.85%) after present process this novel process. On the closing 2-year follow-up, 80.9% of sufferers confirmed Wonderful and Good outcomes in keeping with modified Macnab standards.
PMID: 29375000 [PubMed – as supplied by publisher]