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Transforaminal Endoscopic Lumbar Lateral Recess Decompression for Octogenarian Patients – Lumbar Spinal Stenosis

The article discusses the efficacy of transforaminal endoscopic lumbar lateral recess decompression (TELLRD) in treating radiculopathy in octogenarian patients with lumbar spinal stenosis. Due to the increased incidence of radiculopathy in the aging population, less invasive surgical alternatives are needed for elderly patients who are at higher risk of postoperative complications. The study included 21 octogenarian patients with lumbar foraminal stenosis who underwent TELLRD. The results showed significant improvement in pain scores and functional status during the 24-month follow-up period, with a clinical improvement rate of 95.24%. The procedure was performed under local anesthesia and had no systemic complications. The study concludes that TELLRD is a practical option for treating radiculopathy in octogenarian patients

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : most specialised spinal facility 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….

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J Clin Med. 2024 Jan 17;13(2):515. doi: 10.3390/jcm13020515.ABSTRACTThe 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,

J Clin Med. 2024 Jan 17;13(2):515. doi: 10.3390/jcm13020515.

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.

PMID:38256649 | DOI:10.3390/jcm13020515

The London Spine Unit : most specialised spinal facility in UK

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Transforaminal Endoscopic Lumbar Lateral Recess Decompression for Octogenarian Patients

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J Clin Med. 2024 Jan 17;13(2):515. doi: 10.3390/jcm13020515.ABSTRACTThe 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

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