Contraindications and Complications of Full Endoscopic Lumbar Decompression for Lumbar Spinal Stenosis: A Systematic Review

Ju, Chang Il; Kim, Pius; Ha, Sang-woo; Kim, Seok-Won; Lee, Seung-Myung

doi:10.1016/j.wneu.2022.07.066

Cited by 12 publications

(10 citation statements)

References 59 publications

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“…Ju et al 63 reported a systematic review article of contraindications and complications of full endoscopic lumbar decompression for lumbar spinal stenosis. In this study, considering the contraindications of transforaminal and interlaminar lumbar decompression, the transforaminal approach can be successful in the ipsilateral extraforaminal, foraminal, lateral recess, and central spinal canal.…”

Section: Discussionmentioning

confidence: 99%

“…In this study, the incidence of different types of complications was 9.76% (72 of 738). The complications and occurrence rates were as follows: 2.30% (17 of 738) of recurrence, 3.79% (28 of 738) of 63 reported a study of narrative analysis, comparing the complications of the transforaminal and interlaminar approaches. They found that dural tears are overwhelmingly common (2.19%) in interlaminar decompression followed by epidural hematoma (0.76%) and transient dysesthesia, whereas in transforaminal decompression, dysesthesia (1.46%) was the most common, followed by untreated pain (1.20%) and dural tearing.…”

Section: Complications Of Endoscopic Lumbar Spinal Surgerymentioning

confidence: 99%

“…Ju et al 63 reported that dysesthesia and untreated pain are relatively common complications of the transforaminal approach after decompressing ipsilateral foraminal and lateral recess stenosis.…”

Section: ) Postoperative Dysesthesiamentioning

confidence: 99%

“…For the prevention of postoperative dysesthesia, the foraminoplasty is performed to expand the safety zone without causing an exiting nerve root irritation. 63,[82][83][84] Foraminoplasty is not always needed during the endoscopic transforaminal approach to prevent postoperative dysesthesia. However, it is an especially useful method for widening the safety zone in cases of narrowed intervertebral foramina, such as facet hypertrophy or superior articular process overriding.…”

Section: ) Postoperative Dysesthesiamentioning

confidence: 99%

“…Postoperative instructions like lumbar muscle exercise, proper weight burden, and appropriate sitting posture are essential to decrease the possibility of LDH recurrence. 63…”

Section: ) Recurrence Of Disc Herniationmentioning

confidence: 99%

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Complications and Management of Endoscopic Spinal Surgery

Lee

2023

Neurospine

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In the past, the use of endoscopic spine surgery was limited to intervertebral discectomy; however, it has recently become possible to treat various spinal degenerative diseases, such as spinal stenosis and foraminal stenosis, and the treatment range has also expanded from the lumbar spine to the cervical and thoracic regions. However, as endoscopic spine surgery develops and its indications widen, more diverse and advanced surgical techniques are being introduced, and the complications of endoscopic spine surgery are also increasing accordingly. We searched the PubMed/MEDLINE databases to identify articles on endoscopic spinal surgery, and key words were set as “endoscopic spinal surgery,” “endoscopic cervical foramoinotomy,” “PECD,” “percutaneous transforaminal discectomy,” “percutaneous endoscopic interlaminar discectomy,” “PELD,” “PETD,” “PEID,” “YESS” and “TESSYS.” We analyzed the evidence level and classified the prescribed complications according to the literature. Endoscopic lumbar surgery was divided into full endoscopic interlaminar and transforaminal approaches and a unilateral biportal approach. We performed a comprehensive review of available literature on complications of endoscopic spinal surgery. This study particularly focused on the prevention of complications. Regardless of the surgical methods, the most common complications related to endoscopic spinal surgery include dural tears and perioperative hematoma. transient dysesthesia, nerve root injury and recurrence. However, Endoscopic spinal surgery, including full endoscopic transforaminal and interlaminar and unilateral biportal approaches, is a safe and effective a treatment for lumbar as well as cervical and thoracic spinal diseases such as disc herniation, lumbar spinal stenosis, foraminal stenosis and recurrent disc herniation.

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Section: Discussionmentioning

confidence: 99%

Section: Complications Of Endoscopic Lumbar Spinal Surgerymentioning

confidence: 99%

Section: ) Postoperative Dysesthesiamentioning

confidence: 99%

Section: ) Postoperative Dysesthesiamentioning

confidence: 99%

“…Postoperative instructions like lumbar muscle exercise, proper weight burden, and appropriate sitting posture are essential to decrease the possibility of LDH recurrence. 63…”

Section: ) Recurrence Of Disc Herniationmentioning

confidence: 99%

See 3 more Smart Citations