Published in:
01-03-2022 | Endoscopy | How I Do it - Spine degenerative
Percutaneous endoscopic lumbar foraminotomy: how I do it
Authors:
Yong Ahn, Sang Gu Lee
Published in:
Acta Neurochirurgica
|
Issue 3/2022
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Abstract
Background
Percutaneous endoscopic lumbar foraminotomy (PELF) is a good alternative for foraminal stenosis. The steep learning curve and lack of a practical manual can make this technique challenging.
Method
We describe a step-by-step technique based on the literature review and our experience in actual practice: (1) posterolateral foraminal landing, (2) bony unroofing of the superior articular process, and (3) full-scale soft tissue decompression. Technical tips for preventing complications are also discussed.
Conclusion
PELF may be effective and minimally invasive. Standardized surgical techniques are essential for clinical success.