ID | 114032 |
Title Alternative | TE-LUL for lumbar central canal stenosis
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Author |
Sairyo, Koichi
Tokushima University
Tokushima University Educator and Researcher Directory
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Ishihama, Yoshihiro
Tokushima University
Sugiura, Kosuke
Tokushima University
Tokushima University Educator and Researcher Directory
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Sakai, Toshinori
Tokushima University
Tokushima University Educator and Researcher Directory
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Omichi, Yasuyuki
Tokushima University
Takamatsu, Nobutoshi
Tokushima University
Hashimoto, Ayaka
Tokushima University
Maeda, Toru
Tokushima University
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Keywords | transforaminal full-endoscopic lumbar decompression
central stenosis
undercutting laminectomy
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Content Type |
Journal Article
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Description | Full-endoscopic spinal surgery was first developed for the lumbar herniated nucleus pulposus. Mainly, there are two types in the full-endoscopic lumbar surgery : i.e., transforaminal (TF) and interlaminar approach. The surgery can be done under the local anesthesia for the TF approach ; therefore, we need to further develop the TF approach to variety of the spinal disorders. Recently, the TF full-endoscopic surgery has been applied for the spinal canal stenosis. First, transforaminal full-endoscopic lumbar foraminoplasty for the foraminal stenosis ; then, transforaminal lumbar lateral recess decompression for the lateral recess stenosis has been developed. Finally, we have developed the surgical technique to decompress the central stenosis via TF approach under the local anesthesia. Prior to initiate the clinical case, we have attempted the lumbar undercutting laminectomy using a fresh cadaveric spine. After we technically confirmed that the transforaminal full-endoscopic lumbar undercutting laminectomy (TE-LUL) is possible, we applied the technique to the patient whose lung capacity did not allow general anesthesia. The 72 years old female patient with central canal stenosis could be improved her left leg pain and muscle weakness after TE-LUL under the local anesthesia. In this paper, we introduce the surgical technique of the TE-LUL and discuss of the efficacy of the TE-LUL.
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Journal Title |
The Journal of Medical Investigation
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ISSN | 13496867
13431420
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NCID | AA12022913
AA11166929
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Publisher | Tokushima University Faculty of Medicine
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Volume | 66
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Issue | 3-4
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Start Page | 224
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End Page | 229
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Sort Key | 224
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Published Date | 2019-08
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EDB ID | |
DOI (Published Version) | |
URL ( Publisher's Version ) | |
FullText File | |
language |
eng
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TextVersion |
Publisher
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departments |
Medical Sciences
University Hospital
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