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Navigation-guided endoscopic lumbar decompression on foramen and lateral recess in advanced scoliosis – Lumbar Spinal Stenosis

The article discusses a case of an 84-year-old woman with left leg radiating pain and severe scoliosis, who underwent navigation-guided endoscopic lumbar decompression for neural compression at the left L3-4 level. The patient had a good outcome and maintained clinical improvement at the three-year follow-up. The video highlights the use of this technique in addressing neural compression in patients with advanced scoliosis, and encourages further research to establish its long-term efficacy. The full video can be accessed at the provided link

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
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Published article

An 84-year-old woman presented with left leg radiating pain for 18 months and a numeric rating scale score of 8. From examination, motoric on left knee extension was grade 4, with dysesthesia and numbness along the left anterolateral thigh. Imaging showed left L3-4 foraminal and lateral recess stenosis with severe-degree scoliosis. The patient underwent navigation-guided endoscopic transforaminal foraminotomy and lateral recess decompression on the left L3-4 level with a good outcome….

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Neurosurg Focus Video. 2024 Apr 1;10(2):V4. doi: 10.3171/2024.1.FOCVID23195. eCollection 2024 Apr. ABSTRACT An 84-year-old woman presented with left leg radiating pain for 18 months and a numeric rating scale score of 8. From examination, motoric on left knee extension was grade 4, with dysesthesia and numbness along the left anterolateral thigh. Imaging showed left L3-4,

Neurosurg Focus Video. 2024 Apr 1;10(2):V4. doi: 10.3171/2024.1.FOCVID23195. eCollection 2024 Apr.

ABSTRACT

An 84-year-old woman presented with left leg radiating pain for 18 months and a numeric rating scale score of 8. From examination, motoric on left knee extension was grade 4, with dysesthesia and numbness along the left anterolateral thigh. Imaging showed left L3-4 foraminal and lateral recess stenosis with severe-degree scoliosis. The patient underwent navigation-guided endoscopic transforaminal foraminotomy and lateral recess decompression on the left L3-4 level with a good outcome. Three-years’ follow-up showed a well-maintained clinical outcome and coronal sagittal balance. This video explores navigation-guided endoscopic lumbar decompression for neural compression in advanced scoliosis. Further research is encouraged to establish long-term efficacy. The video can be found here: https://stream.cadmore.media/r10.3171/2024.1.FOCVID23195.

PMID:38616902 | PMC:PMC11013331 | DOI:10.3171/2024.1.FOCVID23195

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Navigation-guided endoscopic lumbar decompression on foramen and lateral recess in advanced scoliosis

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Neurosurg Focus Video. 2024 Apr 1;10(2):V4. doi: 10.3171/2024.1.FOCVID23195. eCollection 2024 Apr. ABSTRACT An 84-year-old woman presented with left leg radiating pain for 18 months and a numeric rating scale score of 8. From examination, motoric on left knee extension was grade 4, with dysesthesia and numbness along the left anterolateral thigh. Imaging showed left L3-4
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