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Two-Level Minimally Invasive Lumbar Laminectomy and Foraminotomy: 2-Dimensional Operative Video.

Publication ,  Journal Article
Srinivasan, ES; Crutcher, CL; Wang, TY; Grossi, PM; Than, KD
Published in: Oper Neurosurg (Hagerstown)
August 16, 2021

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.

Duke Scholars

Published In

Oper Neurosurg (Hagerstown)

DOI

EISSN

2332-4260

Publication Date

August 16, 2021

Volume

21

Issue

3

Start / End Page

E237

Location

United States

Related Subject Headings

  • Male
  • Laminectomy
  • Humans
  • Foraminotomy
 

Citation

APA
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ICMJE
MLA
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Srinivasan, E. S., Crutcher, C. L., Wang, T. Y., Grossi, P. M., & Than, K. D. (2021). Two-Level Minimally Invasive Lumbar Laminectomy and Foraminotomy: 2-Dimensional Operative Video. Oper Neurosurg (Hagerstown), 21(3), E237. https://doi.org/10.1093/ons/opab134
Srinivasan, Ethan S., Clifford L. Crutcher, Timothy Y. Wang, Peter M. Grossi, and Khoi D. Than. “Two-Level Minimally Invasive Lumbar Laminectomy and Foraminotomy: 2-Dimensional Operative Video.Oper Neurosurg (Hagerstown) 21, no. 3 (August 16, 2021): E237. https://doi.org/10.1093/ons/opab134.
Srinivasan ES, Crutcher CL, Wang TY, Grossi PM, Than KD. Two-Level Minimally Invasive Lumbar Laminectomy and Foraminotomy: 2-Dimensional Operative Video. Oper Neurosurg (Hagerstown). 2021 Aug 16;21(3):E237.
Srinivasan, Ethan S., et al. “Two-Level Minimally Invasive Lumbar Laminectomy and Foraminotomy: 2-Dimensional Operative Video.Oper Neurosurg (Hagerstown), vol. 21, no. 3, Aug. 2021, p. E237. Pubmed, doi:10.1093/ons/opab134.
Srinivasan ES, Crutcher CL, Wang TY, Grossi PM, Than KD. Two-Level Minimally Invasive Lumbar Laminectomy and Foraminotomy: 2-Dimensional Operative Video. Oper Neurosurg (Hagerstown). 2021 Aug 16;21(3):E237.
Journal cover image

Published In

Oper Neurosurg (Hagerstown)

DOI

EISSN

2332-4260

Publication Date

August 16, 2021

Volume

21

Issue

3

Start / End Page

E237

Location

United States

Related Subject Headings

  • Male
  • Laminectomy
  • Humans
  • Foraminotomy