Seyit Kağan Başarslan, Cüneyt Göçmez
1.360 345


Lumbar spinal stenosis is a common condition in elderly patients and may lead to progressive back and leg pain, muscular weakness, sensory disturbance, and mainly problems with ambulation. Multiple studies suggest that surgical decompression is an effective therapy for patients with symptomatic lumbar stenosis. Although traditional lumbar decompression is a time honored procedure, minimally invasive procedures are now available which can achieve the goals of decompression with many advantages such as less bleeding, smaller incisions, little muscle distraction and quicker patient recovery. This paper will review the techniques of performing ipsilateral or bilateral decompressions using some microsurgical instruments (microscope, endoscope) and Kit (mild).
Key Words: Lumbar stenosis, spine, minimal invasive

Anahtar kelimeler

Lumbar stenosis, spine, minimal invasive

Tam metin:



R. A. Deyo, D. C. Cherkin, J. D. Loeser, S. J. Bigos, and M. A. Ciol, “Morbidity and mortality

in association with operations on the lumbar spine. The influence of age, diagnosis, and procedure,”

Journal of Bone and Joint Surgery Series A, vol. 74, no. 4, pp. 536–543, 1992.

D. S. Rosen, J. E. O'Toole, K. M. Eichholz et al., “Minimally invasive lumbar spinal

decompression in the elderly: outcomes of 50 patients aged 75 years and older,” Neurosurgery, vol.

, no. 3, pp. 503–509, 2007.

Z. H. Arinzon, B. Fredman, E. Zohar et al., “Surgical management of H. Hurri, P. Slätis, J.

Soini et al., “Lumbar spinal stenosis: assessment of long-term outcome 12 years after operative and

conservative treatment,” Journal of Spinal Disorders, vol. 11, no. 2, pp. 110–115, 1998.

spinal stenosis: a comparison of immediate and long term outcome in two geriatric patient

populations,” Archives of Gerontology and Geriatrics, vol. 36, no. 3, pp. 273–279, 2003.

B. Fredman, Z. Arinzon, E. Zohar et al., “Observations on the safety and efficacy of surgical

decompression for lumbar spinal stenosis in geriatric patients,” European Spine Journal, vol. 11, no. 6,

pp. 571–574, 2002.

J. N. Katz, G. Stucki, S. J. Lipson, A. H. Fossel, L. J. Grobler, and J. N. Weinstein, “Predictors

of surgical outcome in degenerative lumbar spinal stenosis,” Spine, vol. 24, no. 21, pp. 2229–2233,

S. J. Atlas, R. B. Keller, D. Robson, R. A. Deyo, and D. E. Singer, “Surgical and nonsurgical

management of lumbar spinal stenosis: four-year outcomes from the Maine lumbar spine study,”

Spine, vol. 25, no. 5, pp. 556–562, 2000.

F. Postacchini, “Surgical management of lumbar spinal stenosis,” Spine, vol. 24, no. 10, pp.

–1047, 1999.

L. Bresnahan, A. T. Ogden, R. N. Natarajan, and R. G. Fessler, “A biomechanical evaluation

of graded posterior element removal for treatment of lumbar stenosis: comparison of a minimally

invasive approach with two standard laminectomy techniques,” Spine, vol. 34, no. 1, pp. 17–23, 2009.

F. Asgarzadie and L. T. Khoo, “Minimally invasive operative management for lumbar spinal

stenosis: overview of early and long-term outcomes,” Orthopedic Clinics of North America, vol. 38,

no. 3, pp. 387–399, 2007.

S. Palmer, R. Turner, and R. Palmer, “Bilateral decompression of lumbar spinal stenosis

involving a unilateral approach with microscope and tubular retractor system,” Journal of

Neurosurgery, vol. 97, no. 2, pp. 213–217, 2002.

McCulloch JA, Young PH. Essentials of spinal microsurgery, Philadelphia, Pennsylvania.


McCulloch JA, Snook D, Kruse CF. Advantages of the operating microscope in lumbar spine

surgery. Instr Course Lect. 2002;51:243–245. 40.

Timothy R.Deer, Nagy Mekhail, Gabriel Lopez, Kasra Amirdelfan. Minimally innvasive

lumbar deconpression for spinal stenosis. JNR 2011; 1(S1): 29-32

Chopko B, Caraway DL: MiDAS I (mild Decompression Alternative to Open Surgery): a

preliminary report of a prospective, multi- center clinical study. Pain Physician 13:369-378, 2010.

Oertel JM, Mondorf Y, Gaab MR. A new endoscopic spine system: The first results with

"Easy GO". Acta Neurochir (Wien) 2009;151:1027-33.

5. Lingreen R, Grider JS: Retrospective review of patient self-reported improvement and

postprocedure findings for mild (minimally invasive lumbar decompression). Pain Physician 13:555-

, 2010

Chiu JC. Endoscopic assisted lumbar microdecompressive spinal surgery with a new SMART

endoscopic spine system. Surg Technol Int 2006;15:234-41

Nellensteijn J, Ostelo R, Bartels R, Peul W, van Royen B, van Tulder M. Transforaminal

endoscopic surgery for lumbar stenosis: A systematic review. Eur Spine J 2010;19:879-86.

Xu BS, Tan QS, Xia Q, Ji N, Hu YC. Bilateral decompression via unilateral fenestration using

mobile microendoscopic discectomy technique for lumbar spinal stenosis. Orthop Surg 2010;2:106-

Wada K, Sairyo K, Sakai T, Yasui N. Minimally invasive endoscopic bilateral decompression

with a unilateral approach (endo-BiDUA) for elderly patients with lumbar spinal canal stenosis.

Minim Invasive Neurosurg 2010;53:65-8.

Deer TR, Kapural L: New image-guided ultra-minimally invasive lumbar decompression

method: the mild procedure. Pain Physician 13:35-41, 2010.

Deyo RA, Mirza SK, Martin BI, Kreuter W, Goodman DC, Jarvik JG: Trends, major medical

complications, and charges associated with surgery for lumbar spinal stenosis in older adults. JAMA

:1259-1265, 2010.

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