Abstract |
Transforaminal full-endoscopic lumbar diskectomy became established early in the 21st century. It can be performed under local anesthesia and requires only an 8-mm skin incision, making it the least invasive disk surgery method available. The full-endoscopic technique has recently been used to treat lumbar spinal canal stenosis. Here, we describe the outcome of simultaneous bilateral decompression of lumbar lateral recess stenosis via a transforaminal approach under local anesthesia in a 60-year-old man. The patient presented with a complaint of bilateral leg pain that was preventing him from standing and walking, and he had been able to continue his work as a dentist by treating patients while seated. Imaging studies revealed bilateral lumbar lateral recess stenosis with central herniated nucleus pulposus at L4/5. We performed simultaneous bilateral transforaminal full-endoscopic lumbar lateral recess decompression (TE-LRD) under local anesthesia. Both decompression and diskectomy were successfully completed without complications. Five days after TE-LRD, he was able to return to work, and 3 months after the surgery, he resumed playing golf. Full-endoscopic surgery under local anesthesia can be very effective in patients who need to return to work as soon as possible after surgery.
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Authors | Kosuke Sugiura, Kazuta Yamashita, Hiroaki Manabe, Yoshihiro Ishihama, Fumitake Tezuka, Yoichiro Takata, Toshinori Sakai, Toru Maeda, Koichi Sairyo |
Journal | Journal of neurological surgery. Part A, Central European neurosurgery
(J Neurol Surg A Cent Eur Neurosurg)
Vol. 82
Issue 3
Pg. 289-293
(May 2021)
ISSN: 2193-6323 [Electronic] Germany |
PMID | 33352609
(Publication Type: Case Reports, Journal Article)
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Copyright | Thieme. All rights reserved. |
Topics |
- Anesthesia, Local
(methods)
- Decompression, Surgical
(methods)
- Endoscopy
(methods)
- Humans
- Intervertebral Disc Displacement
(surgery)
- Lumbar Vertebrae
(surgery)
- Lumbosacral Region
(surgery)
- Male
- Middle Aged
- Return to Work
- Spinal Stenosis
(surgery)
- Treatment Outcome
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