{"title":"Uniportal endoscopic lumbar decompression: Interlaminar and transforaminal techniques and outcomes","authors":"Dean C. Perfetti , Peter B. Derman","doi":"10.1016/j.semss.2024.101080","DOIUrl":null,"url":null,"abstract":"<div><h3>Objective</h3><p>While there is increasing interest in endoscopic lumbar decompression, widespread adoption has been slowed in part due to the steep learning curve and lack of exposure in many formalized training programs. The objective of this article is to familiarize surgeons with the indications, surgical technique, and outcomes for uniportal endoscopic lumbar decompression via the interlaminar and transforaminal approaches.</p></div><div><h3>Findings</h3><p>Uniportal endoscopic techniques are growing in popularity as the literature demonstrates that they are safe and effective. Endoscopic approaches allow for rapid functional recovery with reduced morbidity compared to open and MIS techniques.</p></div><div><h3>Conclusions</h3><p>Endoscopic interlaminar and transforaminal techniques are safe and effective with at least non-inferior long-term outcomes and faster recovery compared to traditional open and MIS counterparts.</p></div>","PeriodicalId":39884,"journal":{"name":"Seminars in Spine Surgery","volume":"36 1","pages":"Article 101080"},"PeriodicalIF":0.0000,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Seminars in Spine Surgery","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1040738324000030","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
Abstract
Objective
While there is increasing interest in endoscopic lumbar decompression, widespread adoption has been slowed in part due to the steep learning curve and lack of exposure in many formalized training programs. The objective of this article is to familiarize surgeons with the indications, surgical technique, and outcomes for uniportal endoscopic lumbar decompression via the interlaminar and transforaminal approaches.
Findings
Uniportal endoscopic techniques are growing in popularity as the literature demonstrates that they are safe and effective. Endoscopic approaches allow for rapid functional recovery with reduced morbidity compared to open and MIS techniques.
Conclusions
Endoscopic interlaminar and transforaminal techniques are safe and effective with at least non-inferior long-term outcomes and faster recovery compared to traditional open and MIS counterparts.
期刊介绍：
Seminars in Spine Surgery is a continuing source of current, clinical information for practicing surgeons. Under the direction of a specially selected guest editor, each issue addresses a single topic in the management and care of patients. Topics covered in each issue include basic anatomy, pathophysiology, clinical presentation, management options and follow-up of the condition under consideration. The journal also features "Spinescope," a special section providing summaries of articles from other journals that are of relevance to the understanding of ongoing research related to the treatment of spinal disorders.
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