Transforaminal Endoscopic Decompression of the Lumbar Spine for Stable Degenerative Spondylolisthesis as the Least Invasive Surgical Treatment Using the YESS Surgery Technique

Yeung, Anthony T.; Kotheeranurak, Vit

doi:10.4172/2165-7939.1000407

Cited by 3 publications

(1 citation statement)

References 8 publications

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“…These patients were offered the endoscopic transforaminal decompressive procedure if they received significant relief with diagnostic and therapeutic steroid blocks. 1,2 The patients also had spine consultations that opined that, after translaminar decompression, a fusion was the accepted surgical protocol. These patients had to be satisfied with the results of the diagnostic and therapeutic injections before they were offered endoscopic surgery.…”

Section: Introductionmentioning

confidence: 99%

Transforaminal Endoscopic Decompression of the Lumbar Spine for Stable Isthmic Spondylolisthesis as the Least Invasive Surgical Treatment Using the YESS Surgery Technique

Yeung

Kotheeranurak²

2018

Int J Spine Surg

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The first author's series has reported and published his 5-to 10-year results in a preliminary review of endoscopic transforaminal decompression for degenerative and isthmic spondylolisthesis causing sciatica and back pain. This study was initiated due to favorable results in relieving both back and leg pain after a spine surgeon with isthmic spondylolisthesis who wanted to avoid fusion requested consideration for an endoscopic procedure for his own isthmic spondylolisthesis condition. After listening to the first author's podium presentation on selective endoscopic discectomy and foraminal decompression under local anesthesia in 1995, he requested consideration for transforaminal endoscopic decompression for recent onset of progressive sciatica from his isthmic spondylolisthesis. He was the first patient to undergo endoscopic decompression in our series of 55 patients from January 2002 to December 2012 that served as the database for a clinical case series review of selective endoscopic discectomy and foraminoplasty in patients with degenerative spondylolisthesis who specifically chose to stage the author's endoscopic transforaminal decompressive trademarked procedure over fusion. The patients were evaluated and considered for the endoscopic procedure specifically at their request, even though they were informed about the traditional ''gold standard'' fusion for surgical intervention. At that time the medical field did not have the database to study outcomes other than the favorable clinical results found in patients who underwent selective endoscopic discectomy and foraminoplasty for degenerative spondylolisthesis. These patients were accepted for endoscopic spine surgery in a shared clinical decision after full disclosure. The patients opted specifically for the Yeung Endoscopic Spine Surgery (YESS) technique that included foraminoplasty and dorsal endoscopic rhizotomy from the author's evolving clinical experience of 10,000 cases over 27 years.

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Section: Introductionmentioning

confidence: 99%

Transforaminal Endoscopic Decompression of the Lumbar Spine for Stable Isthmic Spondylolisthesis as the Least Invasive Surgical Treatment Using the YESS Surgery Technique

Yeung

Kotheeranurak²

2018

Int J Spine Surg

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Evidence Based Medicine versus Personalized Treatment of Symptomatic Conditions of the Spine Under Local Anesthesia: the Role of Endoscopic versus Spinal Fusion Surgery as a “Disruptive” Technique

Yeung

Lewandrowski

2022

Contemporary Endoscopic Spine Surgery

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Runaway cost for surgical spine care has led to increased scrutiny on its medical necessity. Consequently, the beaurocracy involved in determining coverage for these services has grown. The call for high-grade clinical evidence dominates the debate on whether endoscopic surgery has a place in treating painful conditions of the aging spine. The cost-effectiveness and durability of the endoscopic treatment benefit are questioned every time technology advances prompt an expansion of its clinical indications. The authors of this chapter introduce the concept of early-staged management of spine pain and make the case for personalized spine care focused on predominant pain generators rather than image-based necessity criteria for surgery often applied in population-based management strategies. The authors stipulate that future endoscopic spine care will likely bridge the gap between interventional pain management and open spine surgery. This emerging field of interventional endoscopic pain surgery aims to meet the unanswered patient demand for less burdensome treatments under local anesthesia and sedation. The very young and old patients often are ignored because their conditions are either not bad enough or too advanced for a successful outcome with traditional spine care. In this watershed area of spine care, the authors predict endoscopic spine surgery will thrive and carve out accepted surgical indications in direct competition with pain management and traditional open spine fusion protocols.

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The Yeung Percutaneous Endoscopic Lumbar Decompressive Technique (YESSTM)

Yeung¹

2018

J Spine

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Transforaminal Endoscopic Decompression of the Lumbar Spine for Stable Degenerative Spondylolisthesis as the Least Invasive Surgical Treatment Using the YESS Surgery Technique

Cited by 3 publications

References 8 publications

Transforaminal Endoscopic Decompression of the Lumbar Spine for Stable Isthmic Spondylolisthesis as the Least Invasive Surgical Treatment Using the YESS Surgery Technique

Transforaminal Endoscopic Decompression of the Lumbar Spine for Stable Isthmic Spondylolisthesis as the Least Invasive Surgical Treatment Using the YESS Surgery Technique

Evidence Based Medicine versus Personalized Treatment of Symptomatic Conditions of the Spine Under Local Anesthesia: the Role of Endoscopic versus Spinal Fusion Surgery as a “Disruptive” Technique

The Yeung Percutaneous Endoscopic Lumbar Decompressive Technique (YESSTM)

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