Percutaneous endoscopic lumbar foraminotomy: how I do it
- Authors
- Ahn, Yong; Lee, Sang Gu
- Issue Date
- Mar-2022
- Publisher
- SPRINGER WIEN
- Keywords
- Endoscopy; Foraminal stenosis; Foraminotomy; Lumbar; Percutaneous; Posterolateral
- Citation
- Acta Neurochirurgica, v.164, no.3, pp.933 - 936
- Journal Title
- Acta Neurochirurgica
- Volume
- 164
- Number
- 3
- Start Page
- 933
- End Page
- 936
- URI
- https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/83757
- DOI
- 10.1007/s00701-022-05114-z
- ISSN
- 0001-6268
- 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. © 2022, The Author(s), under exclusive licence to Springer-Verlag GmbH Austria, part of Springer Nature.
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