Percutaneous Stenoscopic Lumbar Decompression with Paramedian Approach for Foraminal/Extraforaminal Lesions
- Author:
Han Ga Wi NAM
1
;
Hyung Suk KIM
;
Dong Keun LEE
;
Chun Kun PARK
;
Kang Taek LIM
Author Information
- Publication Type:Case Report
- Keywords: Spinal stenosis; Foraminal stenosis; Percutaneous stenoscopic lumbar decompression; Endoscopic spinal surgery; Paramedian approach
- MeSH: Constriction, Pathologic; Decompression; Humans; Hypertrophy; Ion Transport; Spinal Stenosis; Spondylolisthesis; Surgical Procedures, Operative; Zygapophyseal Joint
- From:Asian Spine Journal 2019;13(4):672-681
- CountryRepublic of Korea
- Language:English
- Abstract: The lumbar foramen is affected by different degenerative diseases, including extraforaminal disc herniation, foraminal stenosis (FS), and degenerative or spondylolytic spondylolisthesis. The purpose of this study was to describe percutaneous stenoscopic lumbar decompression with a paramedian approach (para-PSLD) for foraminal/extraforaminal lesions. All operative procedures were performed using a complete uniportal endoscopic instrument system. The para-PSLD can be easily applied to patients with FS and narrow disc space or facet joint hypertrophy. The anatomical view of a para-PSLD is similar to that of a conventional open surgery and allows for good visualization of the foraminal/extraforaminal areas. We suggest that para-PSLD is an alternative and minimally invasive procedure to treat degenerative lumbar foraminal/extraforaminal stenoses.
