Extraforaminal Full-Endoscopic Approach for the Treatment of Lateral Compressive Diseases of the Lumbar Spine

The authors conducted a 2-year retrospective follow-up to investigate the efficiency of an extraforaminal full-endoscopic approach with foraminoplasty used to treat lateral compressive diseases of the lumbar spine in 247 patients. The visual analogue scale (VAS), Oswestry disability index (ODI), and...

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Published in:Journal of personalized medicine 2023-02, Vol.13 (3), p.453
Main Authors: Bergamaschi, João Paulo Machado, de Oliveira Teixeira, Kelsen, Soares, Thiago Queiroz, de Araújo, Fernando Flores, Depieri, Gustavo Vitelli, Lugão, Ariel Falbel, de Assis, Rangel Roberto, Graciano, Ricardo Squiapati, Sandon, Luiz Henrique Dias, Bergamaschi, Esthael Cristina Querido Avelar, Costa, Herton Rodrigo Tavares, Defino, Helton Luiz Aparecido
Format: Article
Language:English
Subjects:
Care and treatment
Chronic pain
Endoscopy
Hernias
Methods
Pain
Patient safety
Patients
Postoperative period
Precision medicine
Rehabilitation
Spine (lumbar)
Stenosis
Surgeons
Surgery
Values
Vertebrae
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Summary:The authors conducted a 2-year retrospective follow-up to investigate the efficiency of an extraforaminal full-endoscopic approach with foraminoplasty used to treat lateral compressive diseases of the lumbar spine in 247 patients. The visual analogue scale (VAS), Oswestry disability index (ODI), and MacNab scale were used to analyze the results collected during the preoperative and postoperative periods. The most common diagnosis was disk herniation with lateral recess stenosis, and the most common surgical level among patients was between L4 and L5 on the left side. Pain decreased over time, as determined during sessions held to evaluate pain in the lumbar, gluteal, led, and foot regions. The ODI demonstrated significant enhancement over the evaluation period and the MacNab scale classified the surgery as good or excellent. The most common complication was dysesthesia. An extraforaminal full-endoscopic approach with foraminoplasty can be recommended in cases of lateral herniation or stenosis for patients with symptoms of radiculopathy, and for those who have not responded to conventional rehabilitation treatment or chronic pain management. Few complications arose as a result of this approach, and most of them were treated clinically.
ISSN:2075-4426
2075-4426
DOI:10.3390/jpm13030453