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- Title
Transforaminal 360° lumbar endoscopic foraminotomy in postfusion patients: technical note and case series.
- Authors
Telfeian, Albert E; Veeramani, Ashwin; Zhang, Andrew S; Quinn, Matthew S; Daniels, Alan H
- Abstract
<bold>Objective: </bold>This report describes a minimally invasive lumbar foraminotomy technique that can be applied in patients who underwent complex spine decompression procedures or in patients with severe foraminal stenosis.<bold>Methods: </bold>Awake, endoscopic decompression surgery was performed in 538 patients over a 5-year period between 2014 and 2019. Transforaminal endoscopic foraminal decompression surgery using a high-speed endoscopic drill was performed in 34 patients who had previously undergone fusions at the treated level.<bold>Results: </bold>At 2-year follow-up, the mean (± SD) preoperative visual analog scale score for leg pain and the Oswestry Disability Index improved from 7.1 (± 1.5) and 40.1% (± 12.1%) to 2.1 (± 1.9) and 13.6% (± 11.1%).<bold>Conclusions: </bold>A minimally invasive, awake procedure is presented for the treatment of severe lumbar foraminal stenosis in patients with lumbar radiculopathy after lumbar fusion.
- Publication
Journal of Neurosurgery: Spine, 2021, p1
- ISSN
1547-5654
- Publication type
journal article
- DOI
10.3171/2021.3.SPINE21206