Document Type
Original Article
Abstract
Background: Percutaneous endoscopic stenosis lumbar decompression (PESLD) is regarded as a noteworthy therapeutic option for lumber spinal stenosis (LSS), particularly on the contralateral side, in a satisfactory manner. Objective: To evaluate the efficacy and efficiency of PESLD of LSS through a uniportal-contralateral approach. Subjective: This was a prospective observational study. The patients were admitted to the Neurosurgery Department, Damanhour Educational Hospital, El-Behira Governorate, and Al Hussain Hospital Al Azhar University in Cairo. All patients underwent PESLD through a uniportal-contralateral approach.. Results: The pre-operative visual analogue scale (VAS) was 7.3 ± 0.9 and decreased significantly post-operative to 2.4±1.0. Intraoperative data showed that the duration of surgery was 76.4 ± 8.7 minutes, the blood loss was minimal in 69.6%, mild in 21.7%, and moderate in 8.7%. The post-operative claudication was positive in 43.5%. The incidence of complication was found in 6 patients (26.1%) including recurrence, dural tear, and saddle paresthesia. Durotomy was found only in 3 patients (13%). The success rate was 73.9%. Conclusion: The initial findings of the uniportal-bilateral PESLD approach exhibit promising outcomes, and the operation demonstrates a relatively safe profile with a tolerable occurrence of potential problems.
Keywords
Percutaneous; Endoscopic; Bilateral Lumbar Decompression; Uniportal
Subject Area
Neurosurgery
How to Cite This Article
Barakat, Yosouf; El-Hawary, Magdy Asaad; Shokhaiby, Usama Mohamed El; and Abdou, Ahmed Kamal Abdel-Aaty
(2024)
"Endoscopic lumbar stenosis decompression through uniportal bilateral approach,"
Al-Azhar International Medical Journal: Vol. 5:
Iss.
2, Article 5.
DOI: https://doi.org/10.58675/2682-339X.2289
