Navigation-guided endoscopic lumbar decompression on foramen and lateral recess in advanced scoliosis

An 84-year-old woman presented with left leg radiating pain for 18 months and a numeric rating scale score of 8. From examination, motoric on left knee extension was grade 4, with dysesthesia and numbness along the left anterolateral thigh. Imaging showed left L3-4 foraminal and lateral recess steno...

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Bibliographic Details
Published in:Neurosurgical Focus: Video 2024-04, Vol.10 (2), p.V4-V4
Main Authors: Setiawan, Dimas Rahman, Giordan, Enrico, Lee, Changik, Park, Chan Woong, Pholprajug, Phattareeya, Kim, Jin-Sung
Format: Article
Language:English
Online Access:Get full text
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Summary:An 84-year-old woman presented with left leg radiating pain for 18 months and a numeric rating scale score of 8. From examination, motoric on left knee extension was grade 4, with dysesthesia and numbness along the left anterolateral thigh. Imaging showed left L3-4 foraminal and lateral recess stenosis with severe-degree scoliosis. The patient underwent navigation-guided endoscopic transforaminal foraminotomy and lateral recess decompression on the left L3-4 level with a good outcome. Three-years' follow-up showed a well-maintained clinical outcome and coronal sagittal balance. This video explores navigation-guided endoscopic lumbar decompression for neural compression in advanced scoliosis. Further research is encouraged to establish long-term efficacy. The video can be found here: https://stream.cadmore.media/r10.3171/2024.1.FOCVID23195.
ISSN:2643-5217
2643-5217
DOI:10.3171/2024.1.FOCVID23195