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Microendoscopic Lumbar Posterior Decompression Surgery for Lumbar Spinal Stenosis: Literature Review Microendoscopic Lumbar Posterior Decompression Surgery for Lumbar Spinal Stenosis: Literature Review







Microendoscopic Lumbar Posterior Decompression Surgical operation for Lumbar Spinal Stenosis: Literature Review – PubMed









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Review

. 2022 Mar 4;58(3):384.

doi: 10.3390/medicina58030384.

Microendoscopic Lumbar Posterior Decompression Surgical operation for Lumbar Spinal Stenosis: Literature Review

Affiliations

Review

Microendoscopic Lumbar Posterior Decompression Surgical operation for Lumbar Spinal Stenosis: Literature Review

Akinobu Suzuki et al.

Medicina (Kaunas).


.


Summary

Lumbar spinal stenosis (LSS) is a frequent illness within the aged, largely as a consequence of degenerative adjustments within the lumbar spinal complex. Decompression surgical operation is the popular surgical operation for LSS. Classically, total laminectomy-which involves resection of the spinous process, complete laminae and medial facet-has been the popular decompression methodology; on the different hand, it may perhaps well perhaps cause post-surgical instability. To overcome this pickle, various minimally invasive ways that hang the stabilization structures of the spine were developed, and surgeons comprise begun to re-overview decompression surgical operation from the standpoint of reduced invasiveness and mark. Greater than two a protracted time comprise handed for the explanation that introduction of microendoscopic spine surgical operation, and stories proceed to make clear its advantages and bounds as original details becomes on hand. This text is a memoir review of the on hand literature, along with authors’ experience, regarding the indications, surgical ways, scientific outcomes, and bounds/concerns of microendoscopic decompression for LSS.

Keywords:

lumbar foraminal stenosis; lumbar spinal stenosis; microendoscopic lumbar decompression.

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Figures



Resolve 1

Surgical equipment for tubular microendoscopic decompression surgical operation. (a) Serial tubular dilator and retractor (METRx®). (b) Flexible arm assembly (METRx®). (c) Tubular retractor of the SYNCHA® gadget. The dim arrow signifies the ball link. (d) Scope attachment of the SYNCHA® gadget. The dim arrow signifies the nozzle for air suction, whereas the purple arrow signifies the nozzle for the irrigation of the endoscope surface. (e) Variation of zigzag Kerrison rongeur. (f) Crooked high-hump drill (Midas Rex®).


Resolve 2

Schematic presentation of the room setup.


Resolve 3

Schematic presentation of the (a) paramedian diagram and (b) midline diagram in microendoscopic lumbar decompression.


Resolve 4

Intraoperative microendoscopic photo at some stage in microendoscopic decompression for L4/5 lumbar spinal stenosis the utilization of a paramedian diagram. (a) Sooner than laminotomy (LF; ligamentum flavum, IAP; uncertain articular process). (b) Drilling of the caudal facet of the L4 lamina and medial share of the L4 IAP. (c) Detachment of the LF from the L4 lamina the utilization of a zigzag curette. (d) Drilling of the cranial facet of the L5 lamina. (e) Resection of the medial facet of the L5 superior articular process (SAP) the utilization of Kerrison rongeurs. (f) Drilling of the bottom of the L4 spinous process and contralateral L4 lamina and IAP. (g) Detachment of the LF from the contralateral L4 IAP the utilization of a dissector. (h) Drilling of the bottom of the L5 spinous process and contralateral L5 lamina and SAP. (i) Resection of the contralateral medial facet of the L5 SAP the utilization of Kerrison rongeurs. (j) Elimination of the LF. (okay) Further resection of the leisure LF and medial facet with confirmation of enough decompression of the contralateral facet. (l) Whole decompression after further resection of the ipsilateral remaining LF and medial facet.


Resolve 5

Schematic presentation of the (a) diagram for foraminal stenosis and (b) instance of the decompression dwelling in a case of L5/S foraminal stenosis (dim hatching dwelling, bone removal dwelling in frequent decompression; purple hatching dwelling, further pediculectomy in a case with up-down stenosis).

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References

    1. Jensen R.K., Jensen T.S., Koes B., Hartvigsen J. Incidence of lumbar spinal stenosis in frequent and scientific populations: A systematic review and meta-prognosis. Eur. Backbone J. 2020;29:2143–2163. doi: 10.1007/s00586-020-06339-1.



      DOI



      PubMed

    1. Rudnicka E., Napierała P., Podfigurna A., Męczekalski B., Smolarczyk R., Grymowicz M. The World Successfully being Group (WHO) formulation to wholesome ageing. Maturitas. 2020;139:6–11. doi: 10.1016/j.maturitas.2020.05.018.



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      PubMed

    1. Weinstein J.N., Tosteson T.D., Lurie J.D., Tosteson A.N.A., Hanscom B., Skinner J.S., Abdu W.A., Hilibrand A.S., Boden S.D., Deyo R.A. Surgical vs nonoperative treatment for lumbar disk herniation: The spine affected person outcomes study trial (SPORT): A randomized trial. JAMA. 2006;296:2441–2450. doi: 10.1001/jama.296.20.2441.



      DOI



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      PubMed

    1. Weinstein J.N., Tosteson T.D., Lurie J.D., Tosteson A.N., Blood E., Hanscom B., Herkowitz H., Cammisa F., Albert T., Boden S.D., et al. Surgical versus nonsurgical therapy for lumbar spinal stenosis. N. Engl. J. Med. 2008;358:794–810. doi: 10.1056/NEJMoa0707136.



      DOI



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    1. Weinstein J.N., Lurie J.D., Tosteson T.D., Hanscom B., Tosteson A.N., Blood E.A., Birkmeyer N.J., Hilibrand A.S., Herkowitz H., Cammisa F.P., et al. Surgical versus nonsurgical treatment for lumbar degenerative spondylolisthesis. N. Engl. J. Med. 2007;356:2257–2270. doi: 10.1056/NEJMoa070302.



      DOI



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Microendoscopic Lumbar Posterior Decompression Surgical operation for Lumbar Spinal Stenosis: Literature Review

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On the London Backbone Unit we specialise within the treatment of this situation. The utilization of specialist equipment and anaesthetic ways, our world leading consultants exercise progressed ways that steer clear of the removal of too noteworthy bone and handle spinal stenosis the utilization of modern surgical ways. Our patients on the total hump dwelling on the an identical day after surgical operation ie stroll in and stroll out same day surgical operation.

 

It is seemingly you’ll well perhaps additionally would like to read: Dynamic Backbone Stabilisation Surgical operation

Surgical scheme of spinal stenosis

Day Case Complex Backbone Surgical operation

About day case surgical operation

At Harley Avenue Clinic, we provide day case spinal stenosis surgical operation performed by a extremely qualified team of surgeons. This offers patients with more than one advantages, reminiscent of the following:

-Shorter sanatorium stays. As a result of this and to preventive measures, lower likelihood of contracting COVID-19.

-We practice native anaesthesia, avoiding frequent anaesthesia and its concerns.

-Lower an infection charges.

-Fewer post-surgical operation concerns.

-More cost effective than surgical operation requiring an overnight quit.

 

E book an appointment to get a checkup.

 

What is spinal stenosis?

The spinal stenosis is a narrowing of the spinal canal in the lower part of the spine. This narrowing puts pressure on the spinal cord and/or nerves.

What is the non-surgical treatment of spinal stenosis?

Most cases of spinal stenosis are successfully treated with non-surgical techniques, such as pain relievers and anti-inflammatories. Severe pain can also be treated with corticosteroids that are injected into the lower back (that is, epidural steroid injections). Physical therapy exercises are also prescribed.

What is the surgical treatment of spinal stenosis?

The most common surgery for spinal stenosis is known as a decompressive laminectomy, and it involves removing the lamina (roof) of the vertebra, which increases the space for nerves in the spinal canal. If only part of the lamina needs to be removed, it is known as a laminectomy. If there are herniated discs or bulging discs, they may also be removed (called a discectomy) to increase the space. Sometimes it is also necessary to enlarge the foramen (the area where the nerve roots exit the spinal canal).

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href="https://www.londonspine.com/about-us/clinical-team-doctors/mr-reza-mobasheri-frcsorth/">Mr Reza Mobasheri FRCS</a></li><li id="menu-item-118841" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-118841"><a href="https://www.londonspine.com/about-us/clinical-team-doctors/mr-mohammed-ahmed-frcs/">Mr Mohammed Ahmed FRCS</a></li><li id="menu-item-118842" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-118842"><a href="https://www.londonspine.com/about-us/what-we-do/">What we do</a></li><li id="menu-item-118843" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-118843"><a href="https://www.londonspine.com/department/">Department</a></li></ul></div></div></div></div><div data-particle_enable="false" data-particle-mobile-disabled="false" class="elementor-element elementor-element-d45712d e-con-full e-flex e-con e-child" data-id="d45712d" data-element_type="container"><div class="elementor-element elementor-element-2f36296 elementor-widget elementor-widget-heading" data-id="2f36296" data-element_type="widget" data-widget_type="heading.default"><div class="elementor-widget-container"><h2 class="elementor-heading-title elementor-size-default">Specialist Services</h2></div></div><div class="elementor-element elementor-element-23256fb elementor-widget elementor-widget-wp-widget-nav_menu" data-id="23256fb" data-element_type="widget" id="navmenu99" data-widget_type="wp-widget-nav_menu.default"><div class="elementor-widget-container"><div class="menu-services-container"><ul id="menu-services-1" class="menu"><li class="menu-item menu-item-type-custom menu-item-object-custom menu-item-125872"><a href="https://www.londonspine.com/patient-info/spinal-injections/">Spinal Injections</a></li><li class="menu-item menu-item-type-post_type menu-item-object-page menu-item-123531"><a href="https://www.londonspine.com/treatments/laser-disc-surgery/">Laser Disc Surgery</a></li><li class="menu-item menu-item-type-post_type menu-item-object-page menu-item-123532"><a href="https://www.londonspine.com/keyhole-spinal-surgery-minimally-invasive/">Keyhole Spinal Surgery</a></li><li class="menu-item menu-item-type-post_type menu-item-object-page menu-item-123502"><a href="https://www.londonspine.com/spinal-epiduroscopy-surgery/">Spinal Epiduroscopy</a></li><li class="menu-item menu-item-type-post_type menu-item-object-page menu-item-123504"><a href="https://www.londonspine.com/treatments/spinal-ozone-therapy/">Spinal Ozone Therapy</a></li><li class="menu-item menu-item-type-post_type menu-item-object-page menu-item-123533"><a href="https://www.londonspine.com/patient-info/physical-therapy/">Physical Therapy</a></li><li class="menu-item menu-item-type-post_type menu-item-object-page menu-item-123880"><a href="https://www.londonspine.com/treatments/spinal-tumours-treatment/">Spinal Tumours Treatment</a></li><li class="menu-item menu-item-type-post_type menu-item-object-page menu-item-123881"><a href="https://www.londonspine.com/treatments/non-invasive-pain-management/">Non-Invasive Pain Management</a></li><li class="menu-item menu-item-type-post_type menu-item-object-page menu-item-123882"><a href="https://www.londonspine.com/treatments/disc-replacement-surgery/">Disc Replacement Surgery</a></li><li class="menu-item menu-item-type-post_type menu-item-object-page menu-item-123883"><a href="https://www.londonspine.com/treatments/balloon-kyphoplasty-vertebroplasty/">Balloon Kyphoplasty Vertebroplasty</a></li><li class="menu-item menu-item-type-post_type menu-item-object-page menu-item-125280"><a href="https://www.londonspine.com/lumbar-fusion-surgery/">Lumbar Fusion Surgery Treatment</a></li><li class="menu-item menu-item-type-post_type menu-item-object-page menu-item-125281"><a href="https://www.londonspine.com/advanced-spine-imaging/">Advanced Spine Imaging</a></li></ul></div></div></div></div><div data-particle_enable="false" 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data-id="6800b4d" data-element_type="widget" data-widget_type="text-editor.default"><div class="elementor-widget-container"><p>WEEKDAYS <br />WEEKENDS</p></div></div></div><div data-particle_enable="false" data-particle-mobile-disabled="false" class="elementor-element elementor-element-bb9fe01 e-con-full e-flex e-con e-child" data-id="bb9fe01" data-element_type="container"><div class="elementor-element elementor-element-c224582 elementor-widget elementor-widget-text-editor" data-id="c224582" data-element_type="widget" data-widget_type="text-editor.default"><div class="elementor-widget-container"><p>09:00 AM – 8:00 PM<br />10:00 AM – 4:00 PM</p></div></div></div></div><div class="elementor-element elementor-element-89496de elementor-align-left elementor-tablet-align-left elementor-mobile-align-center elementor-widget elementor-widget-button" data-id="89496de" data-element_type="widget" data-widget_type="button.default"><div class="elementor-widget-container"><div 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