Lumbar Endoscopic Unilateral Laminotomy for Bilateral Decompression Outside-In Approach: A Proctorship Guideline With 12 Steps of Effectiveness and Safety
Minimally invasive spinal surgery in particular lumbar endoscopic unilateral laminotomy with bilateral decompression becomes popular as it can be performed with regional anesthesia, soft tissue damages are minimized as endoscopic visualization and instruments can be brought close to operating area b...
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| Format: | Article |
| Language: | English |
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Korean Spinal Neurosurgery Society
2020-07-01
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| Series: | Neurospine |
| Subjects: | |
| Online Access: | http://www.e-neurospine.org/upload/pdf/ns-2040078-039.pdf |
| _version_ | 1797330703412625408 |
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| author | Hyeun-Sung Kim Pang Hung Wu Il-Tae Jang |
| author_facet | Hyeun-Sung Kim Pang Hung Wu Il-Tae Jang |
| author_sort | Hyeun-Sung Kim |
| collection | DOAJ |
| description | Minimally invasive spinal surgery in particular lumbar endoscopic unilateral laminotomy with bilateral decompression becomes popular as it can be performed with regional anesthesia, soft tissue damages are minimized as endoscopic visualization and instruments can be brought close to operating area bypassing much of the intervening soft tissues for sufficient spinal decompression with ligamentum flavum resection despite less bony resection compared to open surgery. Overall, when well executed, it preserves spinal stability. Outside-in technique of decompression is also known as over the top decompression in minimally invasive literature. It involves maintaining deep layer of ligamentum flavum integrity till satisfactory bony decompression is achieved. Deep layer of ligamentum flavum is removed as final step of decompression. Preservation of the deep layer of ligamentum flavum protects the neural elements, allowing drills and sharp equipment to be used safely to perform bony decompression.In this study, we demonstrate the technical details of outside-in approach lumbar endoscopic unilateral laminotomy with bilateral decompression (LE-ULBD). LE-ULBD Outside-in Technique is an effective and safe procedure in relieving lumbar spinal stenosis with favorable results with a follow-up for more than 1 year. |
| first_indexed | 2024-03-08T07:24:32Z |
| format | Article |
| id | doaj.art-a3a5f5d81cd349589c0810d56973e15c |
| institution | Directory Open Access Journal |
| issn | 2586-6583 2586-6591 |
| language | English |
| last_indexed | 2024-03-08T07:24:32Z |
| publishDate | 2020-07-01 |
| publisher | Korean Spinal Neurosurgery Society |
| record_format | Article |
| series | Neurospine |
| spelling | doaj.art-a3a5f5d81cd349589c0810d56973e15c2024-02-02T22:28:26ZengKorean Spinal Neurosurgery SocietyNeurospine2586-65832586-65912020-07-0117Suppl 1S99S10910.14245/ns.2040078.0391047Lumbar Endoscopic Unilateral Laminotomy for Bilateral Decompression Outside-In Approach: A Proctorship Guideline With 12 Steps of Effectiveness and SafetyHyeun-Sung Kim0Pang Hung Wu1Il-Tae Jang2 Nanoori Gangnam Hospital, Spine Surgery, Seoul, Korea Nanoori Gangnam Hospital, Spine Surgery, Seoul, Korea Nanoori Gangnam Hospital, Spine Surgery, Seoul, KoreaMinimally invasive spinal surgery in particular lumbar endoscopic unilateral laminotomy with bilateral decompression becomes popular as it can be performed with regional anesthesia, soft tissue damages are minimized as endoscopic visualization and instruments can be brought close to operating area bypassing much of the intervening soft tissues for sufficient spinal decompression with ligamentum flavum resection despite less bony resection compared to open surgery. Overall, when well executed, it preserves spinal stability. Outside-in technique of decompression is also known as over the top decompression in minimally invasive literature. It involves maintaining deep layer of ligamentum flavum integrity till satisfactory bony decompression is achieved. Deep layer of ligamentum flavum is removed as final step of decompression. Preservation of the deep layer of ligamentum flavum protects the neural elements, allowing drills and sharp equipment to be used safely to perform bony decompression.In this study, we demonstrate the technical details of outside-in approach lumbar endoscopic unilateral laminotomy with bilateral decompression (LE-ULBD). LE-ULBD Outside-in Technique is an effective and safe procedure in relieving lumbar spinal stenosis with favorable results with a follow-up for more than 1 year.http://www.e-neurospine.org/upload/pdf/ns-2040078-039.pdfdegenerative spineendoscopic spine surgeryspinal stenosislumbar endoscopic unilateral laminotomyinterlaminar spinal endoscopyminimally invasive spine surgery |
| spellingShingle | Hyeun-Sung Kim Pang Hung Wu Il-Tae Jang Lumbar Endoscopic Unilateral Laminotomy for Bilateral Decompression Outside-In Approach: A Proctorship Guideline With 12 Steps of Effectiveness and Safety Neurospine degenerative spine endoscopic spine surgery spinal stenosis lumbar endoscopic unilateral laminotomy interlaminar spinal endoscopy minimally invasive spine surgery |
| title | Lumbar Endoscopic Unilateral Laminotomy for Bilateral Decompression Outside-In Approach: A Proctorship Guideline With 12 Steps of Effectiveness and Safety |
| title_full | Lumbar Endoscopic Unilateral Laminotomy for Bilateral Decompression Outside-In Approach: A Proctorship Guideline With 12 Steps of Effectiveness and Safety |
| title_fullStr | Lumbar Endoscopic Unilateral Laminotomy for Bilateral Decompression Outside-In Approach: A Proctorship Guideline With 12 Steps of Effectiveness and Safety |
| title_full_unstemmed | Lumbar Endoscopic Unilateral Laminotomy for Bilateral Decompression Outside-In Approach: A Proctorship Guideline With 12 Steps of Effectiveness and Safety |
| title_short | Lumbar Endoscopic Unilateral Laminotomy for Bilateral Decompression Outside-In Approach: A Proctorship Guideline With 12 Steps of Effectiveness and Safety |
| title_sort | lumbar endoscopic unilateral laminotomy for bilateral decompression outside in approach a proctorship guideline with 12 steps of effectiveness and safety |
| topic | degenerative spine endoscopic spine surgery spinal stenosis lumbar endoscopic unilateral laminotomy interlaminar spinal endoscopy minimally invasive spine surgery |
| url | http://www.e-neurospine.org/upload/pdf/ns-2040078-039.pdf |
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