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Transforaminal Endoscopic Lumbar Lateral Recess Decompression For Octogenarian Patients London Spine Lumbar Stenosis

This article discusses the efficacy of transforaminal endoscopic lumbar lateral recess decompression (TELLRD) in treating radiculopathy in octogenarian patients. The study included 21 patients aged 80 years and above with lumbar foraminal stenosis who underwent TELLRD. The procedure involved percutaneous transforaminal endoscopic lateral canal decompression under local anesthesia. Over a 24-month follow-up period, the patients experienced significant improvement in pain scores and functional status. The clinical improvement rate was 95.24% with no systemic complications. The study concludes that TELLRD is a practical and effective surgical alternative for treating radiculopathy in octogenarian patients

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : innovative day surgery spinal centre in UK

Published article

The incidence of radiculopathy due to lumbar spinal stenosis has been on the increase in the aging population. However, patients aged ≥ 80 years hesitate to undergo conventional open surgery under general anesthesia because of the risk of postoperative morbidity and adverse events. Therefore, less invasive surgical alternatives are required for the elderly or medically handicapped patients. Transforaminal endoscopic lumbar lateral recess decompression (TELLRD) may be helpful for those patients….

Spine Lumbar Spinal Stenosis Expert. Best Spinal Surgeon UK
Abstract The incidence of radiculopathy due to lumbar spinal stenosis has been on the increase in the aging population. However, patients aged ≥ 80 years hesitate to undergo conventional open surgery under general anesthesia because of the risk of postoperative morbidity and adverse events. Therefore, less invasive surgical alternatives are required for the elderly or,

Abstract

The incidence of radiculopathy due to lumbar spinal stenosis has been on the increase in the aging population. However, patients aged ≥ 80 years hesitate to undergo conventional open surgery under general anesthesia because of the risk of postoperative morbidity and adverse events. Therefore, less invasive surgical alternatives are required for the elderly or medically handicapped patients. Transforaminal endoscopic lumbar lateral recess decompression (TELLRD) may be helpful for those patients. This study aimed to demonstrate the efficacy of TELLRD for treating radiculopathy in octogenarian patients. A total of 21 consecutive octogenarian patients with lumbar foraminal stenosis underwent TELLRD between January 2017 and January 2021. The inclusion criterion was unilateral radiculopathy, which stemmed from lumbar lateral recess stenosis. The pain source was verified using imaging studies and selective nerve blocks. Full-scale lateral canal decompression was performed using a percutaneous transforaminal endoscopic approach under local anesthesia. We found the pain scores and functional status improved significantly during the 24-month follow-up period. The clinical improvement rate was 95.24% (20 of 21 patients) with no systemic complication. In conclusion, endoscopic lateral recess decompression via the transforaminal approach is practical for octogenarian patients.

Keywords: endoscopic; lateral recess; lumbar stenosis; octogenarians; radiculopathy; transforaminal.

The London Spine Unit : innovative day surgery spinal centre in UK

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Transforaminal Endoscopic Lumbar Lateral Recess Decompression for Octogenarian Patients

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