Lumbar foraminal stenosis in the extra foraminal zone is best directly visualized with the outside‐in transformational endoscopic technique. The biportal endoscopic (BE) technique is a newly emerging minimally invasive spine surgical modality. This study evaluates the clinical outcome and complications of endoscopic trans‐foraminal lumbar spinal surgery. A total of 50 patients who underwent trans‐foraminal endoscopic lumbar surgery during the study period were enrolled. Data were prospectively collected and compiled. The position of the patients was prone and procedure is performed under local anesthesia under all aseptic precautions. All patients post operatively follow up for determine the any complications. The Mean age of the patients was 54.69 years, majority of them (66%) were male. The most affected disc levels were L4‐L5 (62%). The mean ASA score was 1.84±0.36. Interlaminar approached (74%) was commonly used. The mean operation time was 50.86±94.45 minutes, average estimated blood loss was 94.63 ml and mean length of hospital stay was 4.41 days. VAS score was significantly differ before and after spine surgery (p<0.05). The common complications were reherniation (14%), incomplete decompression (6%) and dural tear in 4% cases. Post operative outcomes of the endoscopic spinal surgery were Spinal headaches (26%), Poor pain control (20%), Central and lateral recess stenosis (10%). Endoscopic spinal surgery is a novel method to lumbar spine stenosis. Common complications are reherniation, dural tear, spinal headache and pain. Clinical outcomes demonstrate the effectiveness and efficiency of surgery.
Ranjeet Kumar Jha and Kumar Deepak. Clinical Outcomes and Complications After Endoscopic Lumber Spine Surgery.
DOI: https://doi.org/10.36478/10.59218/makrjms.2024.4.266.270
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2024.4.266.270