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Prompt Return to Work after Bilateral Transforaminal Full-endoscopic Lateral Recess Decompression under Local Anesthesia: A Case Report.

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.
AuthorsKosuke Sugiura, Kazuta Yamashita, Hiroaki Manabe, Yoshihiro Ishihama, Fumitake Tezuka, Yoichiro Takata, Toshinori Sakai, Toru Maeda, Koichi Sairyo
JournalJournal 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
PMID33352609 (Publication Type: Case Reports, Journal Article)
CopyrightThieme. 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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