Journal
OPERATIVE ORTHOPADIE UND TRAUMATOLOGIE
Volume 25, Issue 1, Pages 31-46Publisher
URBAN & VOGEL
DOI: 10.1007/s00064-012-0195-2
Keywords
Spinal stenosis; Recess stenosis; Surgical decompression; Endoscopic surgical procedures; Microsurgery
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Decompression in lumbar recess stenosis in a full-endoscopic technique using an interlaminar approach. Lumbar recess stenosis due to ligamentous, osseous, discogenic compression, and/or juxta-facet cysts. Pure back pain, instability/deformity requiring correction, pure foraminal stenosis. Introduction of a surgical sleeve to the intralaminar window. Endoscopic resection of compressing bony/ligamentary structures and also of osteophytes or parts of annulus. Immediate mobilization, isometric/coordination exercises, functional exercises from week 3, building up strength from week 6. A total of 192 patients underwent full-endoscopic surgery or microsurgery and were followed up over a minimum of 2 years. A significant improvement was revealed. Serious complications occurred in 5% and were significantly reduced in the endoscopic group. Five patients were revised with decompression and/or fusion. Eighty-nine percent would undergo the operation again.
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