Two-Level Minimally Invasive Lumbar Laminectomy and Foraminotomy: 2-Dimensional Operative Video.
Journal Article (Journal Article)
Minimally invasive lumbar laminectomies utilize tubular retractors to minimize tissue disturbance, blood loss, and hospital length of stay compared to open operations. Here, we highlight the operative treatment of a 68-yr-old male entailing a 2-level minimally invasive lumbar laminectomy and foraminotomy at L2-L3 and L3-L4. The patient initially presented with symptoms of treatment-refractory lower extremity numbness and limited ambulation. His imaging demonstrated coronal scoliosis and severe lumbar central and foraminal stenosis at L2-L3 and L3-L4, with enlarged spinous processes, laminae, and facets. The patient consented to the procedure and publication of their image. The operation proceeded with the patient in a prone position with paramedian dissection to the lamina through a minimally invasive tubular retractor. Laminectomies and foraminotomies were performed at each level with high-speed drill and a Kerrison rongeur, with care to identify and protect the relevant spinal nerve roots. Postoperatively, the patient reported significantly reduced numbness and improved ambulation, with a well-healed surgical incision notably smaller than those produced in an open operation.
Full Text
Duke Authors
Cited Authors
- Srinivasan, ES; Crutcher, CL; Wang, TY; Grossi, PM; Than, KD
Published Date
- August 16, 2021
Published In
Volume / Issue
- 21 / 3
Start / End Page
- E237 -
PubMed ID
- 33956988
Electronic International Standard Serial Number (EISSN)
- 2332-4260
Digital Object Identifier (DOI)
- 10.1093/ons/opab134
Language
- eng
Conference Location
- United States