Technical considerations in transforaminal endoscopic discectomy with foraminoplasty for the treatment of spondylolisthesis: Case report

Technical considerations in transforaminal endoscopic discectomy with foraminoplasty for the... 1 Introduction</h5> Degenerative lumbar spondylolisthesis is the slipping of one vertebra past its normal alignment to its adjacent vertebra as a result of the degenerative wear of the facet joint that normally helps keep the two vertebrae aligned. The resulting misalignment can result in canal and foraminal narrowing. Patients can complain of mechanical back pain, claudication symptoms, and radicular symptoms. For patients with radicular complaints that result from narrowing of the foramen or a combination of foraminal narrowing and disc bulging the only surgical options have been lumbar laminectomy and lumbar fusion. The authors present here a case report describing an ultra-minimally invasive endoscopic transforaminal technique in an awake patient utilizing a posterolateral approach for (1) removal of the ventral superior articular process (foraminoplasty), (2) transforaminal intracanal access for removal of a lumbar disc herniation, and (3) reduction of the superior endplate to treat lumbar radicular symptoms that resulted from a grade II spondylolisthesis.</P>2 Case report</h5> History . A 62-year-old former National Football League (N.F.L.) player presented complaining of right low back pain radiating to the buttocks, posterior thigh, lateral calf, and top of foot. The patient was noted on physical exam to have a partial right foot http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Clinical Neurology and Neurosurgery Elsevier

Technical considerations in transforaminal endoscopic discectomy with foraminoplasty for the treatment of spondylolisthesis: Case report

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Publisher
Elsevier
Copyright
Copyright © 2014 Elsevier B.V.
ISSN
0303-8467
D.O.I.
10.1016/j.clineuro.2014.01.019
Publisher site
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Abstract

1 Introduction</h5> Degenerative lumbar spondylolisthesis is the slipping of one vertebra past its normal alignment to its adjacent vertebra as a result of the degenerative wear of the facet joint that normally helps keep the two vertebrae aligned. The resulting misalignment can result in canal and foraminal narrowing. Patients can complain of mechanical back pain, claudication symptoms, and radicular symptoms. For patients with radicular complaints that result from narrowing of the foramen or a combination of foraminal narrowing and disc bulging the only surgical options have been lumbar laminectomy and lumbar fusion. The authors present here a case report describing an ultra-minimally invasive endoscopic transforaminal technique in an awake patient utilizing a posterolateral approach for (1) removal of the ventral superior articular process (foraminoplasty), (2) transforaminal intracanal access for removal of a lumbar disc herniation, and (3) reduction of the superior endplate to treat lumbar radicular symptoms that resulted from a grade II spondylolisthesis.</P>2 Case report</h5> History . A 62-year-old former National Football League (N.F.L.) player presented complaining of right low back pain radiating to the buttocks, posterior thigh, lateral calf, and top of foot. The patient was noted on physical exam to have a partial right foot

Journal

Clinical Neurology and NeurosurgeryElsevier

Published: Apr 1, 2014

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