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Acta Neurochirurgica

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01-01-2020 | Laminotomy | How I Do it - Spine degenerative

How I do it? Interlaminar contralateral endoscopic lumbar foraminotomy assisted with the O-arm navigation

Authors: Kuo-Tai Chen, Myung-Soo Song, Jin-Sung Kim

Published in: Acta Neurochirurgica | Issue 1/2020

Abstract

Background

The interlaminar contralateral endoscopic lumbar foraminotomy (ICELF) provides access to the foraminal pathology with less violation to facet than the ipsilateral approach. However, it is technically challenging even for an experienced surgeon.

Methods

We introduce the step-by-step workflow of the interlaminar contralateral endoscopic lumbar foraminotomy assisted with O-arm navigation system.

Conclusion

The ICELF assisted with O-arm navigation is safe, accurate, and efficient for the treatment of lumbar foraminal stenosis. The CT-based navigation reshapes the learning curve of the advanced endoscopic technique, reducing the risk of facet joint violation, and minimizes radiation exposure to surgeons.

Available only for authorised users

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Hwang JH, Park WM, Park CW (2017) Contralateral interlaminar keyhole percutaneous endoscopic lumbar surgery in patients with unilateral radiculopathy. World Neurosurg 101:33–41. https://doi.org/10.1016/j.wneu.2017.01.079 CrossRefPubMed

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Kim HS, Patel R, Paudel B, Jang JS, Jang IT, Oh SH, Park JE, Lee S (2017) Early outcomes of endoscopic contralateral foraminal and lateral recess decompression via an interlaminar approach in patients with unilateral radiculopathy from unilateral foraminal stenosis. World Neurosurg 108:763–773. https://doi.org/10.1016/j.wneu.2017.09.018 CrossRefPubMed

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Sairyo K, Sakai T, Higashino K, Inoue M, Yasui N, Dezawa A (2010) Complications of endoscopic lumbar decompression surgery. Minim Invasive Neurosurg 53:175–178. https://doi.org/10.1055/s-0030-1262814 CrossRefPubMed

Title: How I do it? Interlaminar contralateral endoscopic lumbar foraminotomy assisted with the O-arm navigation
Authors: Kuo-Tai Chen
Myung-Soo Song
Jin-Sung Kim
Publication date: 01-01-2020
Publisher: Springer Vienna
Keywords: Laminotomy
Epidural Hematoma
Published in: Acta Neurochirurgica / Issue 1/2020
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI: https://doi.org/10.1007/s00701-019-04104-y

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

How I do it? Interlaminar contralateral endoscopic lumbar foraminotomy assisted with the O-arm navigation

Abstract

Background

Methods

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Methods

Conclusion

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