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Novel Combination of Lateral Interbody Fusion and Endoscopic Ipsi-Contra Decompression for Severe Stenosis From Lumbar Spondylolisthesis: A Case Report – Lumbar Fusion

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The article discusses the rising popularity of minimally invasive surgical approaches to the spine that utilize indirect decompression. While there is a significant amount of literature supporting the efficacy of indirect decompression, some surgeons have concerns about its adequacy in cases of severe stenosis and neurogenic claudication. The article presents a case study of a 58-year-old male who underwent an L4-L5 lateral interbody fusion with an endoscopic ipsi-contra decompression, combining both direct and indirect treatment for severe neuroforaminal and central stenosis. This approach resulted in complete resolution of pre-operative symptoms and allowed the patient to return to work immediately after surgery without significant restrictions. The article concludes that combining the benefits of direct and indirect using an ultra-minimally invasive decompressive approach could offer a potential solution to address these concerns

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : best rated spine hospital in the world

Published article

Minimally invasive surgical approaches to the spine that leverage indirect decompression are gaining increasing popularity. While there is excellent literature on the value of indirect decompression, there are limitations to this procedure. Specifically, in patients with severe stenosis and neurogenic claudication, there is a concern among many surgeons regarding the adequacy of indirect decompression alone. In these cases, the lateral approach is often abandoned in favor of an open posterior or…

Lumbar Fusion Surgery Expert. Best Spinal Surgeon UK
Cureus. 2024 May 12;16(5):e60160. doi: 10.7759/cureus.60160. eCollection 2024 May. ABSTRACT Minimally invasive surgical approaches to the spine that leverage indirect decompression are gaining increasing popularity. While there is excellent literature on the value of indirect decompression, there are limitations to this procedure. Specifically, in patients with severe stenosis and neurogenic claudication, there is a concern,

Cureus. 2024 May 12;16(5):e60160. doi: 10.7759/cureus.60160. eCollection 2024 May.

ABSTRACT

Minimally invasive surgical approaches to the spine that leverage indirect decompression are gaining increasing popularity. While there is excellent literature on the value of indirect decompression, there are limitations to this procedure. Specifically, in patients with severe stenosis and neurogenic claudication, there is a concern among many surgeons regarding the adequacy of indirect decompression alone. In these cases, the lateral approach is often abandoned in favor of an open posterior or posterior minimally invasive approach. Unfortunately, some of the distinct benefits of the direct lateral approach are then lost. Here, we present the case of a 58-year-old male who underwent an L4-L5 lateral interbody fusion with an endoscopic ipsi-contra decompression to achieve both direct and indirect treatment of severe neuroforaminal and central stenosis. From this strategy, this patient had complete pre-operative symptom resolution and was able to return to work immediately after surgery without significant restriction. Combining the benefits of direct and indirect using an ultra-minimally invasive decompressive approach offers a potential solution.

PMID:38868251 | PMC:PMC11166542 | DOI:10.7759/cureus.60160

The London Spine Unit : best rated spine hospital in the world

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Novel Combination of Lateral Interbody Fusion and Endoscopic Ipsi-Contra Decompression for Severe Stenosis From Lumbar Spondylolisthesis: A Case Report

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Cureus. 2024 May 12;16(5):e60160. doi: 10.7759/cureus.60160. eCollection 2024 May. ABSTRACT Minimally invasive surgical approaches to the spine that leverage indirect decompression are gaining increasing popularity. While there is excellent literature on the value of indirect decompression, there are limitations to this procedure. Specifically, in patients with severe stenosis and neurogenic claudication, there is a concern

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