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Decompression in lumbar recess stenosis in a full-endoscopic technique using an interlaminar approach.Lumbar recess stenosis due to ligamentous, osseous, discogenic compression, and/or juxta-facet cysts.Pure back pain, instability/deformity requiring correction, pure foraminal stenosis.Introduction of a surgical sleeve to the intralaminar window. Endoscopic resection of compressing bony/ligamentary structures and also of osteophytes or parts of annulus.Immediate mobilization, isometric/coordination exercises, functional exercises from week 3, building up strength from week 6.A total of 192 patients underwent full-endoscopic surgery or microsurgery and were followed up over a minimum of 2 years. A significant improvement was revealed. Serious complications occurred in 5% and were significantly reduced in the endoscopic group. Five patients were revised with decompression and/or fusion. Eighty-nine percent would undergo the operation again. |
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