Lumbar Lateral Recess Decompression: 2-Dimensional Operative Video.

Journal Article (Journal Article)

Lateral recess stenosis is a common cause of lumbar radiculopathy in adults. A lumbar nerve root travels in the lateral recess prior to exiting the spinal canal via the neural foramen. In the lateral recess, the traversing nerve root is susceptible to compression by the degenerative hypertrophy of the medial facet in addition to hypertrophied ligamentum flavum and herniated intervertebral disc.1 These degenerative changes are also typically associated with neural foraminal stenosis. Surgical treatment in unilateral cases consists of hemilaminectomy, medial facetectomy, foraminotomy, and, if applicable, microdiscectomy. In this video, we present a case of a 64-yr-old male presenting with progressive left L5 radiculopathy refractory to conservative management, with magnetic resonance imaging (MRI) findings of left L4-5 foraminal and lateral recess stenosis. We demonstrate the operative steps to complete a left L4-5 hemilaminectomy, medial facetectomy, foraminotomy, and microdiscectomy. Appropriate patient consent was obtained.

Full Text

Duke Authors

Cited Authors

  • Khalsa, SSS; Saadeh, YS; Yee, TJ; Strong, MJ; Smith, BW; Oppenlander, ME

Published Date

  • September 15, 2020

Published In

Volume / Issue

  • 19 / 4

Start / End Page

  • E394 -

PubMed ID

  • 32445564

Electronic International Standard Serial Number (EISSN)

  • 2332-4260

Digital Object Identifier (DOI)

  • 10.1093/ons/opaa134

Language

  • eng

Conference Location

  • United States