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Ten-Step Minimally Invasive Slalom Unilateral Laminotomy For Bilateral Decompression (SULBD) With Navigation London Spine Lumbar Stenosis

The article discusses the use of a surgical technique called unilateral laminotomy for bilateral decompression (ULBD) in the treatment of lumbar spinal stenosis (LSS). ULBD is a minimally invasive procedure that offers effective decompression and long-term resolution of symptoms compared to traditional open laminectomy. The article outlines ten technical steps for achieving a slalom unilateral laminotomy for bilateral decompression (sULBD) with navigation. In a retrospective case series, the authors found that all patients experienced resolution of symptoms after the procedure, with a reduction in pain and improved functionality. The sULBD with navigation is considered a safe and efficient procedure that provides anatomic localization without radiation exposure to staff, resulting in a higher safety profile and faster workflow

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : most advanced spinal hospital in London

Published article

The sULBD with navigation is a safe and effective MIS surgical procedure and achieves the resolution of symptoms in patients presenting with multi-segmental LSS. Herein, we demonstrate the ten key steps required to perform the sULBD technique. Compared to the standard sULBD technique, the incorporation of navigation provides anatomic localization without exposure to radiation to staff for a higher safety profile along with a fast and efficient workflow.

Spine Lumbar Spinal Stenosis Expert. Best Spinal Surgeon UK
Abstract Background: Unilateral laminotomy for bilateral decompression (ULBD) is a MIS surgical technique that offers safe and effective decompression of lumbar spinal stenosis (LSS) with a long-term resolution of symptoms. Advantages over conventional open laminectomy include reduced expected blood loss, muscle damage, mechanical instability, and less postoperative pain. The slalom technique combined with navigation is,

Abstract

Background: Unilateral laminotomy for bilateral decompression (ULBD) is a MIS surgical technique that offers safe and effective decompression of lumbar spinal stenosis (LSS) with a long-term resolution of symptoms. Advantages over conventional open laminectomy include reduced expected blood loss, muscle damage, mechanical instability, and less postoperative pain. The slalom technique combined with navigation is used in multi-segmental LSS to improve the workflow and effectiveness of the procedure.

Methods: We outline ten technical steps to achieve a slalom unilateral laminotomy for bilateral decompression (sULBD) with navigation. In a retrospective case series, we included patients with multi-segmental LSS operated in our institution using the sULBD between 2020 and 2022. The primary outcome was a reduction in pain measured by Visual Analogue Scale (VAS) for back pain and leg pain and Oswestry Disability Index (ODI).

Results: In our case series (N = 7), all patients reported resolution of initial symptoms on an average follow-up of 20.71 ± 9 months. The average operative time and length of hospital stay were 196.14 min and 1.67 days, respectively. On average, VAS (back pain) was 4.71 pre-operatively and 1.50 on long-term follow-up of an average of 19.05 months. VAS (leg pain) decreased from 4.33 to 1.21. ODI was reported as 33% pre-operatively and 12% on long-term follow-up.

The sULBD with navigation is a safe and effective MIS surgical procedure and achieves the resolution of symptoms in patients presenting with multi-segmental LSS. Herein, we demonstrate the ten key steps required to perform the sULBD technique. Compared to the standard sULBD technique, the incorporation of navigation provides anatomic localization without exposure to radiation to staff for a higher safety profile along with a fast and efficient workflow.

Keywords: Laminotomy; Lumbar spinal stenosis; Microdiscectomy; Minimally invasive spinal surgery; Navigation; Tubular decompression; Unilateral laminotomy for bilateral decompression.

The London Spine Unit : most advanced spinal hospital in London

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Ten-step minimally invasive slalom unilateral laminotomy for bilateral decompression (sULBD) with navigation

Doctors Specialising in Dynamic Spine Stabilisation Surgery
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Abstract Background: Unilateral laminotomy for bilateral decompression (ULBD) is a MIS surgical technique that offers safe and effective decompression of lumbar spinal stenosis (LSS) with a long-term resolution of symptoms. Advantages over conventional open laminectomy include reduced expected blood loss, muscle damage, mechanical instability, and less postoperative pain. The slalom technique combined with navigation is

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