[Research Progress of Different Minimally Invasive Spinal Decompression in Lumbar Spinal Stenosis]

Overview

Journal Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi

Specialty General Surgery

Date 2023 Jul 17

PMID 37460188

Authors

Tao Shu

Diqiu Wu

Mao Shen

Affiliations

Soon will be listed here.

Abstract

Objective: To review the application and progress of different minimally invasive spinal decompression in the treatment of lumbar spinal stenosis (LSS).

Methods: The domestic and foreign literature on the application of different minimally invasive spinal decompression in the treatment of LSS was extensively reviewed, and the advantages, disadvantages, and complications of different surgical methods were summarized.

Results: At present, minimally invasive spinal decompression mainly includes microscopic bilateral decompression, microendoscopic decompression, percutaneous endoscopic lumbar decompression, unilateral biportal endoscopy, and so on. Compared with traditional open surgery, different minimally invasive spinal decompression techniques can reduce the operation time, intraoperative blood loss, and postoperative pain of patients, thereby reducing hospital stay and saving treatment costs.

Conclusion: The indications of different minimally invasive spinal decompression are different, but there are certain advantages and disadvantages. When patients have clear surgical indications, individualized treatment plans should be formulated according to the symptoms and signs of patients, combined with imaging manifestations.

References

Pan M, Li Q, Li S, Mao H, Meng B, Zhou F . Percutaneous Endoscopic Lumbar Discectomy: Indications and Complications. Pain Physician. 2020; 23(1):49-56. View

Yin G, Huang B, Wang C, Liu S . Therapeutic effects of full endoscopic spine surgery via transforaminal approach in elderly patients with lumbar spinal stenosis: A retrospective clinical study. Acta Orthop Traumatol Turc. 2021; 55(2):166-170. PMC: 11229625. DOI: 10.5152/j.aott.2021.20076. View

Komp M, Hahn P, Oezdemir S, Giannakopoulos A, Heikenfeld R, Kasch R . Bilateral spinal decompression of lumbar central stenosis with the full-endoscopic interlaminar versus microsurgical laminotomy technique: a prospective, randomized, controlled study. Pain Physician. 2015; 18(1):61-70. View

Yadav Y, Parihar V, Kher Y, Bhatele P . Endoscopic inter laminar management of lumbar disease. Asian J Neurosurg. 2016; 11(1):1-7. PMC: 4732235. DOI: 10.4103/1793-5482.145377. View

Nomura K, Yoshida M . Assessment of the Learning Curve for Microendoscopic Decompression Surgery for Lumbar Spinal Canal Stenosis through an Analysis of 480 Cases Involving a Single Surgeon. Global Spine J. 2017; 7(1):54-58. PMC: 5400167. DOI: 10.1055/s-0036-1583943. View

Yeung A, Roberts A, Zhu L, Qi L, Zhang J, Lewandrowski K . Treatment of Soft Tissue and Bony Spinal Stenosis by a Visualized Endoscopic Transforaminal Technique Under Local Anesthesia. Neurospine. 2019; 16(1):52-62. PMC: 6449822. DOI: 10.14245/ns.1938038.019. View

Ruetten S, Komp M, Godolias G . A New full-endoscopic technique for the interlaminar operation of lumbar disc herniations using 6-mm endoscopes: prospective 2-year results of 331 patients. Minim Invasive Neurosurg. 2006; 49(2):80-7. DOI: 10.1055/s-2006-932172. View

Lv Z, Jin L, Wang K, Chen Z, Li F, Zhang Y . Comparison of Effects of PELD and Fenestration in the Treatment of Geriatric Lumbar Lateral Recess Stenosis. Clin Interv Aging. 2020; 14:2187-2194. PMC: 6924588. DOI: 10.2147/CIA.S226295. View

Hua W, Liao Z, Chen C, Feng X, Ke W, Wang B . Clinical Outcomes of Uniportal and Biportal Lumbar Endoscopic Unilateral Laminotomy for Bilateral Decompression in Patients with Lumbar Spinal Stenosis: A Retrospective Pair-Matched Case-Control Study. World Neurosurg. 2022; 161:e134-e145. DOI: 10.1016/j.wneu.2022.01.079. View

10.

Yeung A, Tsou P . Posterolateral endoscopic excision for lumbar disc herniation: Surgical technique, outcome, and complications in 307 consecutive cases. Spine (Phila Pa 1976). 2002; 27(7):722-31. DOI: 10.1097/00007632-200204010-00009. View

11.

Kim N, Jung S . Percutaneous Unilateral Biportal Endoscopic Spine Surgery Using a 30-Degree Arthroscope in Patients With Severe Lumbar Spinal Stenosis: A Technical Note. Clin Spine Surg. 2019; 32(8):324-329. PMC: 6791497. DOI: 10.1097/BSD.0000000000000876. View

12.

Song Q, Hai B, Zhao W, Huang X, Liu K, Zhu B . Full-Endoscopic Foraminotomy with a Novel Large Endoscopic Trephine for Severe Degenerative Lumbar Foraminal Stenosis at L S Level: An Advanced Surgical Technique. Orthop Surg. 2021; 13(2):659-668. PMC: 7957400. DOI: 10.1111/os.12924. View

13.

Yu K . [Brief history, global trends, and Chinese mission of unilateral biportal endoscopy technique]. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2022; 36(10):1181-1185. PMC: 9626272. DOI: 10.7507/1002-1892.202207009. View

14.

Kong F, Zhou Q, Qiao Y, Wang W, Zhang C, Pan Q . [Comparison of unilateral biportal endoscopic transforaminal lumbar interbody fusion versus minimally invasive tubular transforaminal lumbar interbody fusion for lumbar degenerative disease]. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2022; 36(5):592-599. PMC: 9108640. DOI: 10.7507/1002-1892.202201005. View

15.

Forsth P, Olafsson G, Carlsson T, Frost A, Borgstrom F, Fritzell P . A Randomized, Controlled Trial of Fusion Surgery for Lumbar Spinal Stenosis. N Engl J Med. 2016; 374(15):1413-23. DOI: 10.1056/NEJMoa1513721. View

16.

Young S, Veerapen R, Olaoire S . Relief of lumbar canal stenosis using multilevel subarticular fenestrations as an alternative to wide laminectomy: preliminary report. Neurosurgery. 1988; 23(5):628-33. DOI: 10.1227/00006123-198811000-00014. View

17.

Choi C . Biportal endoscopic spine surgery (BESS): considering merits and pitfalls. J Spine Surg. 2020; 6(2):457-465. PMC: 7340825. DOI: 10.21037/jss.2019.09.29. View

18.

Arts M, Brand R, van den Akker M, Koes B, Bartels R, Peul W . Tubular diskectomy vs conventional microdiskectomy for sciatica: a randomized controlled trial. JAMA. 2009; 302(2):149-58. DOI: 10.1001/jama.2009.972. View

19.

Hoogland T, Schubert M, Miklitz B, Ramirez A . Transforaminal posterolateral endoscopic discectomy with or without the combination of a low-dose chymopapain: a prospective randomized study in 280 consecutive cases. Spine (Phila Pa 1976). 2006; 31(24):E890-7. DOI: 10.1097/01.brs.0000245955.22358.3a. View

20.

Kalichman L, Cole R, Kim D, Li L, Suri P, Guermazi A . Spinal stenosis prevalence and association with symptoms: the Framingham Study. Spine J. 2009; 9(7):545-50. PMC: 3775665. DOI: 10.1016/j.spinee.2009.03.005. View