scholarly journals A novel surgical concept of transforaminal full-endoscopic lumbar undercutting laminectomy (TE-LUL) for central canal stenosis of the lumbar spine with local anesthesia : A case report and literature review

2019 ◽  
Vol 66 (3.4) ◽  
pp. 224-229 ◽  
Author(s):  
Koichi Sairyo ◽  
Kazuta Yamashita ◽  
Hiroaki Manabe ◽  
Yoshihiro Ishihama ◽  
Kosuke Sugiura ◽  
...  
Keyword(s):  
Case Report ◽  
Lumbar Spine ◽  
Literature Review ◽  
Local Anesthesia ◽  
Central Canal ◽  
Canal Stenosis ◽  
Central Canal Stenosis

scholarly journals Surgical decompression via the unilateral intervertebral foraminal approach with local anesthesia for treating elderly patients with lumbar central canal stenosis

2021 ◽  
Vol 51 (6) ◽  
pp. E5
Author(s):  
Weibo Pan ◽  
Boqing Ruan
Keyword(s):  
Elderly Patients ◽  
Local Anesthesia ◽  
Evaluation Method ◽  
Central Canal ◽  
Surgical Decompression ◽  
Walking Distance ◽  
Canal Stenosis ◽  
Interlaminar Approach ◽  
Central Canal Stenosis

OBJECTIVE Surgical decompression via a posterior interlaminar approach is widely used for treating lumbar central canal stenosis (LCCS). However, this surgical approach poses a challenge for elderly patients with comorbidities. Thus, the authors tried a new surgical decompression via the unilateral intervertebral foraminal approach with local anesthesia to treat such patients. The aim of this study was to evaluate the safety and effectiveness of surgical decompression via the unilateral intervertebral foraminal approach with local anesthesia for patients with LCCS. METHODS Patients with LCCS who underwent surgical decompression, performed by a single surgeon, between January 2016 and March 2019 were retrospectively analyzed. All patients received decompression via the unilateral intervertebral foraminal approach with local anesthesia. Visual analog scale (VAS) scores, Oswestry Disability Index (ODI) scores, modified Macnab criteria, walking distance, and Schizas classification were used as outcome predictors. Additionally, a decompression evaluation method was designed for use after spinal endoscopic surgery. RESULTS Overall, 23 patients with a mean age of 69 years were included in this study, with a mean follow-up of 28 months. Low-back and leg pain were significantly improved after decompression surgery. Postoperative ODI scores and walking distances were statistically significantly better than before surgery. Postoperatively, the Schizas classification for all patients was improved by at least 1 grade compared with the preoperative grade. No complications occurred during the follow-up period. According to the novel decompression evaluation method, all patients had at least achieved decompression in part 123+B. CONCLUSIONS Surgical decompression via the unilateral intervertebral foraminal approach with local anesthesia showed promising outcomes in the treatment of elderly patients with LCCS. Additionally, a proposed postoperative decompression evaluation method can help guide surgical decompression.

scholarly journals Clinical validity of two different grading systems for lumbar central canal stenosis: Schizas and Lee classification systems

PLoS ONE ◽  
2020 ◽  
Vol 15 (5) ◽  
pp. e0233633 ◽  
Author(s):  
Yeon-jee Ko ◽  
Eugene Lee ◽  
Joon Woo Lee ◽  
Chi Young Park ◽  
Jungheum Cho ◽  
...  
Keyword(s):  
Central Canal ◽  
Classification Systems ◽  
Clinical Validity ◽  
Canal Stenosis ◽  
Grading Systems ◽  
Central Canal Stenosis

Outcome analysis of lumbar endoscopic unilateral laminotomy for bilateral decompression in patients with degenerative lumbar central canal stenosis

2021 ◽  
Vol 21 (1) ◽  
pp. 122-133
Author(s):  
Meng-Huang Wu ◽  
Po-Chien Wu ◽  
Ching-Yu Lee ◽  
Yen-Kuang Lin ◽  
Tsung-Jen Huang ◽  
...  
Keyword(s):  
Central Canal ◽  
Outcome Analysis ◽  
Canal Stenosis ◽  
Central Canal Stenosis

scholarly journals Chondromyxoid fibroma of the lumbar spine: case report and literature review

2011 ◽  
Vol 21 (S4) ◽  
pp. 458-462 ◽  
Author(s):  
Raquel Gutiérrez-González ◽  
Laura De Reina ◽  
Anwar Saab ◽  
José Jiménez-Heffernan ◽  
José García-Uría
Keyword(s):  
Case Report ◽  
Lumbar Spine ◽  
Literature Review ◽  
Chondromyxoid Fibroma ◽  
Spine Case
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