Endoscopic inter laminar management of lumbar disease

Asian Journal of Neurosurgery
Yad Ram YadavPushp Raj Bhatele

Abstract

Discectomy for lumbar disc provides faster relief in acute attack than does conservative management. Long-term results of open, microscopy-, and endoscopy-assisted discectomy are same. Early results of endoscopy-assisted surgery are better as compared to that of open surgery in terms of better visualization, smaller incision, reduced hospital stay, better education, lower cost, less pain, early return to work, and rehabilitation. Although microscopic discectomy also has comparable advantages, endoscopic-assisted technique better addresses opposite side pathology. Inter laminar technique (ILT) and trans foraminal technique (TFT) are two main endoscopic approaches for lumbar pathologies. Endoscopy-assisted ILT can be performed in recurrent, migrated, and calcified discs. All lumbar levels including L5-S1 level, intracanalicular, foraminal disc, lumbar canal and lateral recess stenosis, multiple levels, and bilateral lesions can be managed by ILT. Migrated, calcified discs, L5-S1 pathology, lumbar canal, and lateral recess stenosis can be better approached by ILT than by TFT. Most spinal surgeons are familiar with anatomy of ILT. It can be safely performed in foramen stenosis and in uncooperative and anxious patients. There is les...Continue Reading

Citations

Aug 10, 2016·Clinical Neurology and Neurosurgery·Stefan LinslerJoachim Oertel
Apr 10, 2017·World Neurosurgery·Joachim M Oertel, Benedikt W Burkhardt
Dec 5, 2020·Surgical Neurology International·Sherif Elsayed Elkheshin, Ahmed Y Soliman

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