The Internet Journal of Minimally Invasive Spinal Technology™ ISSN: 1937-8254

The Internet Journal of Minimally Invasive Spinal Technology is the official online journal of ISMISS/SICOT (International Society of Minimally Invasive Spinal Surgery, affiliate of SICOT) and AAMISMS (American Academy of Minimally Invasive Spine Surgery and Medicine)

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Endoscopic surgery of lumbar spinal stenosis. About 145 cases.

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Jean Destandau

Citation: J. Destandau : Endoscopic surgery of lumbar spinal stenosis. About 145 cases.. The Internet Journal of Minimally Invasive Spinal Technology. 2009 Supplement II - to IJMIST Vol III No 4

Abstract

Study Design: Endoscopic technique has been used by the author since 1993 for lumbar discectomy and since 2001 for spinal stenosis. The technique is described and the results of 145 patients are presented. Material and Methods: The device (Endospine, Karl Storz GmbH, Tuttlingen, Germany) is composed of three tubes: one for the endoscope, one for suction and the largest one for classical surgical instruments. Since 2001 this endoscopic technique has been used in spinal stenosis performing a bilateral decompression through a posterior approach from the left side or from the side of predominant signs. From February 2001 to September 2007, 145 patients have been operated on with this technique. In 83% surgery was a single level decompression and in 16% there was an associated spondylolisthesis. Prolo�s criteria were used.Results: 104 questionnaires (72%) were returned showing excellent results in 94 cases (90%) and poor in 9 (8,7%). With an average delay of 3 weeks, 94 patients (90%) returned to a normal life. Four patients (4%) needed a second operation with an average delay of 5 months. The complications observed were: dural tear in 12 (8,3%); nerve root lesion in 3 (2%); resection of articular process in 7 4,8%); wrong level decompression in 2 (1,4%); and 1 compressive hematoma. In answer to the questions on global satisfaction and on the accuracy of the information given before surgery, 97% responded as satisfied and 95% felt the information given to be accurate. Conclusions: This minimally invasive technique is mainly used in single level spinal stenosis even with associated spondylolisthesis, but can be also used in several levels decompression. The good results and the fast resumption of normal activities explain that this endoscopic technique could become the gold standard in spinal stenosis, pathology that will increase with the lifespan extension

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	The Internet Journal of Minimally Invasive Spinal Technology™ ISSN: 1937-8254 \| Home \| Editors \| Current Issue \| Archives \| Instructions for Authors \| Disclaimer \| Share with others \| The Internet Journal of Minimally Invasive Spinal Technology is the official online journal of ISMISS/SICOT (International Society of Minimally Invasive Spinal Surgery, affiliate of SICOT) and AAMISMS (American Academy of Minimally Invasive Spine Surgery and Medicine) Endoscopic surgery of lumbar spinal stenosis. About 145 cases. Read printer friendly Subscribe in a reader Share with others Jean Destandau Citation: J. Destandau : Endoscopic surgery of lumbar spinal stenosis. About 145 cases.. The Internet Journal of Minimally Invasive Spinal Technology. 2009 Supplement II - to IJMIST Vol III No 4 Abstract Study Design: Endoscopic technique has been used by the author since 1993 for lumbar discectomy and since 2001 for spinal stenosis. The technique is described and the results of 145 patients are presented. Material and Methods: The device (Endospine, Karl Storz GmbH, Tuttlingen, Germany) is composed of three tubes: one for the endoscope, one for suction and the largest one for classical surgical instruments. Since 2001 this endoscopic technique has been used in spinal stenosis performing a bilateral decompression through a posterior approach from the left side or from the side of predominant signs. From February 2001 to September 2007, 145 patients have been operated on with this technique. In 83% surgery was a single level decompression and in 16% there was an associated spondylolisthesis. Prolo�s criteria were used.Results: 104 questionnaires (72%) were returned showing excellent results in 94 cases (90%) and poor in 9 (8,7%). With an average delay of 3 weeks, 94 patients (90%) returned to a normal life. Four patients (4%) needed a second operation with an average delay of 5 months. The complications observed were: dural tear in 12 (8,3%); nerve root lesion in 3 (2%); resection of articular process in 7 4,8%); wrong level decompression in 2 (1,4%); and 1 compressive hematoma. In answer to the questions on global satisfaction and on the accuracy of the information given before surgery, 97% responded as satisfied and 95% felt the information given to be accurate. Conclusions: This minimally invasive technique is mainly used in single level spinal stenosis even with associated spondylolisthesis, but can be also used in several levels decompression. The good results and the fast resumption of normal activities explain that this endoscopic technique could become the gold standard in spinal stenosis, pathology that will increase with the lifespan extension This article was last modified on Fri, 03 Jul 09 14:16:50 -0500 This page was generated on Sat, 20 Mar 10 17:19:28 -0500, and may be cached.
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