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Lumbar Lateral Recess Decompression: 2-Dimensional Operative Video.

Publication ,  Journal Article
Khalsa, SSS; Saadeh, YS; Yee, TJ; Strong, MJ; Smith, BW; Oppenlander, ME
Published in: Oper Neurosurg (Hagerstown)
September 15, 2020

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.

Duke Scholars

Published In

Oper Neurosurg (Hagerstown)

DOI

EISSN

2332-4260

Publication Date

September 15, 2020

Volume

19

Issue

4

Start / End Page

E394

Location

United States

Related Subject Headings

  • Spinal Stenosis
  • Middle Aged
  • Male
  • Lumbar Vertebrae
  • Laminectomy
  • Humans
  • Decompression, Surgical
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Khalsa, S. S. S., Saadeh, Y. S., Yee, T. J., Strong, M. J., Smith, B. W., & Oppenlander, M. E. (2020). Lumbar Lateral Recess Decompression: 2-Dimensional Operative Video. Oper Neurosurg (Hagerstown), 19(4), E394. https://doi.org/10.1093/ons/opaa134
Khalsa, Siri Sahib S., Yamaan S. Saadeh, Timothy J. Yee, Michael J. Strong, Brandon W. Smith, and Mark E. Oppenlander. “Lumbar Lateral Recess Decompression: 2-Dimensional Operative Video.Oper Neurosurg (Hagerstown) 19, no. 4 (September 15, 2020): E394. https://doi.org/10.1093/ons/opaa134.
Khalsa SSS, Saadeh YS, Yee TJ, Strong MJ, Smith BW, Oppenlander ME. Lumbar Lateral Recess Decompression: 2-Dimensional Operative Video. Oper Neurosurg (Hagerstown). 2020 Sep 15;19(4):E394.
Khalsa, Siri Sahib S., et al. “Lumbar Lateral Recess Decompression: 2-Dimensional Operative Video.Oper Neurosurg (Hagerstown), vol. 19, no. 4, Sept. 2020, p. E394. Pubmed, doi:10.1093/ons/opaa134.
Khalsa SSS, Saadeh YS, Yee TJ, Strong MJ, Smith BW, Oppenlander ME. Lumbar Lateral Recess Decompression: 2-Dimensional Operative Video. Oper Neurosurg (Hagerstown). 2020 Sep 15;19(4):E394.
Journal cover image

Published In

Oper Neurosurg (Hagerstown)

DOI

EISSN

2332-4260

Publication Date

September 15, 2020

Volume

19

Issue

4

Start / End Page

E394

Location

United States

Related Subject Headings

  • Spinal Stenosis
  • Middle Aged
  • Male
  • Lumbar Vertebrae
  • Laminectomy
  • Humans
  • Decompression, Surgical