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Interspinous endoscopic lumbar decompression: technical note

  
@article{ACR5197,
	author = {Paul Houle and Albert E. Telfeian and Ralf Wagner and Junseok Bae},
	title = {Interspinous endoscopic lumbar decompression: technical note},
	journal = {AME Case Reports},
	volume = {3},
	number = {0},
	year = {2019},
	keywords = {},
	abstract = {Lumbar stenosis is a very common degenerative spine condition that can result in radicular and claudication symptoms. Here we describe our experience with a novel midline interspinous process endoscopic decompression procedure that can be performed in awake patients as an outpatient procedure. An interspinous endoscopic lumbar laminectomy and bilateral foraminotomy technique is presented here. A step-by-step technique for accessing the lumbar central canal and bilateral foramina from a midline interspinous approach is presented. A Jamshidi needle, reamers, and side shaving manual drill are used to create an access channel for a 11.5 mm outer diameter tubular retractor. The Joimax rigid laminoscope with a 10 mm diameter and 6 mm working channel was then used to visualize the decompression procedure. The unique technical steps presented here make it possible to safely insert a 11.5 mm outer diameter tubular retractor for a “large” working channel endoscope. The procedure is so minimally invasive, it can be performed with the patient awake.},
	url = {http://acr.amegroups.com/article/view/5197}
}