lumbar_endoscopic_unilateral_laminotomy

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lumbar_endoscopic_unilateral_laminotomy [2022/07/05 22:23] administradorlumbar_endoscopic_unilateral_laminotomy [2022/07/05 22:25] (current) administrador
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 ====== Lumbar Endoscopic Unilateral Laminotomy ====== ====== Lumbar Endoscopic Unilateral Laminotomy ======
  
-[[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. The 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. A 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 the outside-in approach to lumbar endoscopic unilateral laminotomy with bilateral decompression (LE-ULBD). LE-ULBD Outside-in Technique is an effective and safe procedure for relieving [[lumbar spinal stenosis]] with favorable results with a follow-up for more than 1 year+[[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 [[instrument]]s 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]]. The 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. A 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 the outside-in approach to lumbar endoscopic unilateral laminotomy with bilateral decompression (LE-ULBD). LE-ULBD Outside-in Technique is an effective and safe procedure for relieving [[lumbar spinal stenosis]] with favorable results with a follow-up for more than 1 year
 ((Kim HS, Wu PH, Jang IT. Lumbar Endoscopic Unilateral Laminotomy for Bilateral Decompression Outside-In Approach: A Proctorship Guideline With 12 Steps of Effectiveness and Safety. Neurospine. 2020 Jul;17(Suppl 1):S99-S109. doi: 10.14245/ns.2040078.039. Epub 2020 Jul 31. PMID: 32746523; PMCID: PMC7410378.)). ((Kim HS, Wu PH, Jang IT. Lumbar Endoscopic Unilateral Laminotomy for Bilateral Decompression Outside-In Approach: A Proctorship Guideline With 12 Steps of Effectiveness and Safety. Neurospine. 2020 Jul;17(Suppl 1):S99-S109. doi: 10.14245/ns.2040078.039. Epub 2020 Jul 31. PMID: 32746523; PMCID: PMC7410378.)).
  
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