Endoscopic Lumbar Decompression.

The most common causes of degenerative narrowing of the spinal canal are disc herniations and spinal canal stenosis. The standard surgical procedure for lumbar spinal canal stenosis today is microsurgical, microscope-assisted decompression. Full-endoscopic decompression is now also technically feasible and more widespread because of the development of surgical access techniques and instruments.

[The trend towards full-endoscopic decompression : Current possibilities and limitations in disc herniation and spinal stenosis].

Background: The most frequent causes of degenerative constrictions of the spinal canal are disk herniations and spinal stenoses. The lumbar and cervical spine is the most affected.

Surgical Procedures: After conservative treatments have been exhausted, surgical intervention may be necessary.

[Decompression of lumbar lateral spinal stenosis: full-endoscopic, interlaminar technique].

Objective: Decompression in lumbar recess stenosis in a full-endoscopic technique using an interlaminar approach.

Indications: Lumbar recess stenosis due to ligamentous, osseous, discogenic compression, and/or juxta-facet cysts.

Contraindications: Pure back pain, instability/deformity requiring correction, pure foraminal stenosis.