Technical Considerations in Endoscopic Lumbar Decompression

With technical development and evolution of endoscopic instruments, endoscopic spinal surgery has become one of the standard treatments for various lumbar spinal diseases ranging from a simple contained disc to complicated cases such as highly migrated disc herniation and other pathology combined wi...

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Bibliographic Details
Published in:World neurosurgery 2021-01, Vol.145, p.663-669
Main Authors: Lee, Chul-Woo, Yoon, Kang-Jun
Format: Article
Language:English
Subjects:
Decompression
Lumbar stenosis
Minimally invasive
Percutaneous endoscopic
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Summary:With technical development and evolution of endoscopic instruments, endoscopic spinal surgery has become one of the standard treatments for various lumbar spinal diseases ranging from a simple contained disc to complicated cases such as highly migrated disc herniation and other pathology combined with bony degeneration to produce foraminal and canal stenosis. Favorable clinical results of endoscopic decompression for lumbar stenotic disease were reported by several authors. However, studies have also reported limitations, such as steep learning curves and a relatively high complication rate compared with conventional techniques. The endoscopic lumbar decompression technique consists of many essential skills to manage different endoscopic anatomic structures of the spine. From the perspective of surgical completion and safety, this article discusses issues related to technical considerations in endoscopic lumbar decompression.
ISSN:1878-8750
1878-8769
DOI:10.1016/j.wneu.2020.07.065