Microendoscopic Lumbar Posterior Decompression Surgery for Lumbar Spinal Stenosis: Literature Review - Spinal Stenosis Facts | London Spine Unit | UK's Best Spinal Clinic

Spinal Stenosis

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

Review

doi: 10.3390/medicina58030384.

Affiliations

PMID:

35334560
PMCID:

PMC8954505
DOI:

10.3390/medicina58030384

Free PMC article

Review

Akinobu Suzuki et al.

Medicina (Kaunas).

2022.

Free PMC article

Abstract

Lumbar spinal stenosis (LSS) is a overall disease within the aged, mostly due to degenerative adjustments within the lumbar spinal complicated. Decompression surgical treatment is the regular surgical treatment for LSS. Classically, entire laminectomy-which involves resection of the spinous job, complete laminae and medial facet-has been the regular decompression technique; on the other hand, it can probably location off post-surgical instability. To conquer this downside, assorted minimally invasive ways that hang the stabilization constructions of the spine had been developed, and surgeons like begun to re-hang in thoughts decompression surgical treatment from the standpoint of reduced invasiveness and cost. Extra than two an extended time like passed since the introduction of microendoscopic spine surgical treatment, and compare proceed to shed light on its benefits and barriers as new knowledge turns into available within the market. This article is a yarn evaluation of the available within the market literature, on the side of authors’ expertise, regarding the indications, surgical ways, scientific outcomes, and barriers/complications of microendoscopic decompression for LSS.

Key phrases:

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

Conflict of hobby assertion

The authors picture no struggle of hobby.

Figures

Decide 1

Surgical equipment for tubular microendoscopic decompression surgical treatment. (a) Serial tubular dilator and retractor (METRx^®). (b) Versatile arm meeting (METRx^®). (c) Tubular retractor of the SYNCHA^® machine. The unlit arrow indicates the ball hyperlink. (d) Scope attachment of the SYNCHA^® machine. The unlit arrow indicates the nozzle for air suction, while the crimson arrow indicates the nozzle for the irrigation of the endoscope floor. (e) Variation of twisted Kerrison rongeur. (f) Curved high-tempo drill (Midas Rex^®).

Decide 2

Schematic presentation of the room setup.

Decide 3

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

Decide 4

Intraoperative microendoscopic photograph true through microendoscopic decompression for L4/5 lumbar spinal stenosis the utilization of a paramedian plot. (a) Sooner than laminotomy (LF; ligamentum flavum, IAP; terrifying articular job). (b) Drilling of the caudal facet of the L4 lamina and medial fragment of the L4 IAP. (c) Detachment of the LF from the L4 lamina the utilization of a twisted curette. (d) Drilling of the cranial facet of the L5 lamina. (e) Resection of the medial facet of the L5 apt articular job (SAP) the utilization of Kerrison rongeurs. (f) Drilling of the indecent of the L4 spinous job 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 indecent of the L5 spinous job and contralateral L5 lamina and SAP. (i) Resection of the contralateral medial facet of the L5 SAP the utilization of Kerrison rongeurs. (j) Removal of the LF. (k) Additional resection of the remaining LF and medial facet with confirmation of ample decompression of the contralateral facet. (l) Full decompression after extra resection of the ipsilateral remaining LF and medial facet.

Decide 5

Schematic presentation of the (a) plot for foraminal stenosis and (b) instance of the decompression express in a case of L5/S foraminal stenosis (unlit hatching express, bone removal express in frequent decompression; crimson hatching express, extra pediculectomy in a case with up-down stenosis).

An analogous articles

Microendoscopic decompression for lumbar spinal stenosis precipitated by facet-joint cysts: a new technique with a cyst-dyeing protocol and cohort comparability peek.

Murata S, Minamide A, Takami M, Iwasaki H, Okada S, Nonaka Good adequate, Taneichi H, Schoenfeld AJ, Simpson AK, Yamada H.
Murata S, et al.
J Neurosurg Spine. 2021 Jan 15;34(4): 573-579. doi: 10.3171/2020.8.SPINE201209.
J Neurosurg Spine. 2021.
PMID: 33450739
Effectiveness of posterior decompression ways compared with archaic laminectomy for lumbar stenosis.

Overdevest GM, Jacobs W, Vleggeert-Lankamp C, Thomé C, Gunzburg R, Peul W.
Overdevest GM, et al.
Cochrane Database Syst Rev. 2015 Mar 11;(3):CD010036. doi: 10.1002/14651858.CD010036.pub2.
Cochrane Database Syst Rev. 2015.
PMID: 25760812
Review.
Tubular surgical treatment with the support of endoscopic surgical treatment through a paramedian or midline plot for lumbar spinal canal stenosis on the L4/5 stage.

Komatsu J, Muta T, Nagura N, Iwabuchi M, Fukuda H, Kaneko Good adequate, Shirado O.
Komatsu J, et al.
J Orthop Surg (Hong Kong). 2018 Might perhaps well unbiased-Aug;26(2): 2309499018782546. doi: 10.1177/2309499018782546.
J Orthop Surg (Hong Kong). 2018.
PMID: 29938605
Non permanent results of microendoscopic posterior decompression for lumbar spinal stenosis. Technical display cowl.

Ikuta Good adequate, Arima J, Tanaka T, Oga M, Nakano S, Sasaki Good adequate, Goshi Good adequate, Yo M, Fukagawa S.
Ikuta Good adequate, et al.
J Neurosurg Spine. 2005 Might perhaps well unbiased;2(5): 624-33. doi: 10.3171/spi.2005.2.5.0624.
J Neurosurg Spine. 2005.
PMID: 15945442
Scientific Trial.
Minimally invasive lumbar decompression: a treatment for lumbar spinal stenosis.

Lawrence MM, Hayek SM.
Lawrence MM, et al.
Curr Opin Anaesthesiol. 2013 Oct;26(5): 573-9. doi: 10.1097/01.aco.0000432520.24210.54.
Curr Opin Anaesthesiol. 2013.
PMID: 23963231
Review.

References

1. Jensen R.Good adequate., Jensen T.S., Koes B., Hartvigsen J. Incidence of lumbar spinal stenosis assuredly and scientific populations: A scientific evaluation and meta-evaluation. Eur. Spine J. 2020;29: 2143–2163. doi: 10.1007/s00586-020-06339-1.
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1. Rudnicka E., Napierała P., Podfigurna A., Męczekalski B., Smolarczyk R., Grymowicz M. The World Health Organization (WHO) technique to wholesome rising older. Maturitas. 2020;139:6–11. doi: 10.1016/j.maturitas.2020.05.018.
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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 patient outcomes compare trial (SPORT): A randomized trial. JAMA. 2006;296: 2441–2450. doi: 10.1001/jama.296.20.2441.
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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 treatment for lumbar spinal stenosis. N. Engl. J. Med. 2008;358: 794–810. doi: 10.1056/NEJMoa0707136.
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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.
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Review doi: 10.3390/medicina58030384. Affiliations Affiliation 1 Division of Orthopaedic Surgery, Osaka City University Graduate College of Treatment, Osaka 545-8585, Japan. PMID: 35334560 PMCID: PMC8954505 DOI: 10.3390/medicina58030384 Free PMC article Review Akinobu Suzuki et al. Medicina (Kaunas). 2022. Free PMC article doi: 10.3390/medicina58030384. Affiliation 1 Division of Orthopaedic Surgery, Osaka City University Graduate College of Treatment, Osaka…

At the London Spine Unit we specialize within the treatment of this situation. The utilization of specialist equipment and anaesthetic ways, our world leading experts exhaust evolved ways that steer certain of the removal of an excessive amount of bone and kind out spinal stenosis the utilization of progressive surgical ways. Our sufferers assuredly scuttle dwelling on the identical day after surgical treatment ie stroll in and stroll out same day surgical treatment.

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You would furthermore furthermore desire to learn: Dynamic Spine Stabilisation Surgery

Surgical design of spinal stenosis

Day Case Advanced Spine Surgery

About day case surgical treatment

At Harley Avenue Sanatorium, we provide day case spinal stenosis surgical treatment conducted by a extremely superior group of surgeons. This affords sufferers with more than one benefits, similar to the next:

-Shorter scientific institution stays. As a consequence of this and to preventive measures, decrease threat of contracting COVID-19.

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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).

Truspilot Reviews

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Fabulous service Fabulous service. Mr Akmal truly cares about his patients and how he can improve their quality of life. I would recommend him to anyone with any kind of spinal issue.

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2022-06-08

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Sciatica My mother was in absolute agony for more than 3 months due to sciatica. It just came out of nowhere and took her out of action. From working full time she went straight to being bed bound and unable to carry out simplest of actions.The pain was 9/10 and she was bed bound for those three months. Multiple trips to A&E and GP and they wouldn't class it as an emergency therefore they wouldn't do anything about it other than upgrading the painkillers which did next to nothing for my mother. I couldn't bear to watch my mother sleeping on A&E bench in pain for 7 hours, just to be told by doctors that she wouldn't be kept in. I remember her joining her hands and begging the doctors to stop the pain which broke my heart. I then started doing research on google and London spine unit came up with Dr Mo AKMAL's profile and review. First meeting with Dr AKMAL was via ZOOM as my mother was bed bound. Dr AKMAL spoke to me and my mom and told us that this is nothing to worry about and that the pain would be 100% gone.Dr AKMAL assured us to visit the hospital so he could physically inspect my mother and give us the best solution. One trip to the london spine unit and Dr AKMAL advised us that the best solution would be to carry out Minimally invasive disectomy. Dr AKMAL advised that due to my mother being bed bound for a while, steroid injection might not give the result that my mother wishes. Dr AKMAL was very confident and showed us some videos from other patients who had gone through the same ordeal. The biggest thing i noticed between before and after was the smile on the patients face. Dr AKMAL was constantly assuring my mother throughout the meeting that he would take care of her pain and gave her 100% confidence that the result would be delivered.He promised her that she would be walking pain free the same day after the operation. Before the operation Dr GURUNG was consulted multiple times and he also was very helpful. Right after the surgery, as Dr AKMAL promised, my mother was walking and the biggest thing was that the pain was gone. My mother had forgotten to smile for three months and there i saw her smiling again. Dr AKMAL and Dr GURUNG gave us brilliant aftercare and informed us that just give them a ring if there was any issue. Its been several weeks now and my mother is heading towards complete recovery without any issues. The pain is completely gone and anyone who is reading this going through the same horrible sciatica pain you must come and see Dr AKMAL. Thank you Dr AKMAL and your whole team for helping my mom achieve this pain free life.

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2022-05-18

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Luke O'Brien

2022-05-18

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2022-04-22

I had a massive bulging disk on my back… I had a massive bulging disk on my back compressing my nerve for three years. It caused me excruciating pain and almost left me disabled. I was on both crutches and completely homebound due to the severity of pain and mobility limitations. I had my lumber surgery two weeks ago and walked out of hospital within a few hours pain free on my right leg that was almost paralysing prior to surgery. The disk was shaved off releasing the nerve completely. Two days after surgery I had excruciating pain on my head that is unexplained as I had CT scan and MRI which were all fine. Dr Akmal has suggested it could be from the anaesthetic. I am extremely grateful to Dr Akmal and his very welcoming and cari g team. I would highly recommend his clinic as I have had excellent recovery.

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2022-03-22

Amazing service and an amazing treatment! I can't thank Mr Akmal and team at the London Spine Unit enough for their help. I had a herniated disc in my back which was causing pain and restrictions. Compared to other offers of surgery (e.g. several nights in hospital), the day surgery and minimally invasive procedure were hugely appealing. I am now 3 weeks post surgery, have no pain and am recovering incredibly quickly if I compare myself to friends who have had a similar procedure. it was truly remarkable, straightforward and the team were kind, friendly and always helpful. very highly recommended!

customer

2022-03-17

Great service and painless procedure Great service and painless procedure. Definitely alleviated the pain

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