Secondary foraminal stenosis after lumbar fusion, spinal endoscopy to "break the game"!
author：Orthopedics Online
Author: Duan Liqun
Hospital: The First Affiliated Hospital of University of Science and Technology of China (Anhui Provincial Hospital)
Introduction:
After more than 100 years of development, lumbar fusion has become the gold standard for the treatment of lumbar degenerative diseases, and has achieved good clinical results, but some patients still continue to suffer from low back and leg pain after surgery, and secondary lumbar foraminal stenosis is one of the main reasons.
The following is a detailed sharing of the mechanism, clinical characteristics, key points of diagnosis and treatment strategies of secondary foraminal stenosis after lumbar fusion from the First Affiliated Hospital of the University of Science and Technology of China (Anhui Provincial Hospital).
Secondary foraminal stenosis after lumbar fusion, spinal endoscopy to "break the game"!
Secondary foraminal stenosis after lumbar fusion, spinal endoscopy to "break the game"!
Secondary foraminal stenosis after lumbar fusion, spinal endoscopy to "break the game"!
Secondary foraminal stenosis after lumbar fusion, spinal endoscopy to "break the game"!
Secondary foraminal stenosis after lumbar fusion, spinal endoscopy to "break the game"!
Secondary foraminal stenosis after lumbar fusion, spinal endoscopy to "break the game"!
Secondary foraminal stenosis after lumbar fusion, spinal endoscopy to "break the game"!
Secondary foraminal stenosis after lumbar fusion, spinal endoscopy to "break the game"!
Secondary foraminal stenosis after lumbar fusion, spinal endoscopy to "break the game"!
Secondary foraminal stenosis after lumbar fusion, spinal endoscopy to "break the game"!
Secondary foraminal stenosis after lumbar fusion, spinal endoscopy to "break the game"!
Secondary foraminal stenosis after lumbar fusion, spinal endoscopy to "break the game"!
Secondary foraminal stenosis after lumbar fusion, spinal endoscopy to "break the game"!
Secondary foraminal stenosis after lumbar fusion, spinal endoscopy to "break the game"!
Secondary foraminal stenosis after lumbar fusion, spinal endoscopy to "break the game"!
Secondary foraminal stenosis after lumbar fusion, spinal endoscopy to "break the game"!
Secondary foraminal stenosis after lumbar fusion, spinal endoscopy to "break the game"!
Secondary foraminal stenosis after lumbar fusion, spinal endoscopy to "break the game"!
Secondary foraminal stenosis after lumbar fusion, spinal endoscopy to "break the game"!
Secondary foraminal stenosis after lumbar fusion, spinal endoscopy to "break the game"!
Secondary foraminal stenosis after lumbar fusion, spinal endoscopy to "break the game"!
Secondary foraminal stenosis after lumbar fusion, spinal endoscopy to "break the game"!
Secondary foraminal stenosis after lumbar fusion, spinal endoscopy to "break the game"!
Secondary foraminal stenosis after lumbar fusion, spinal endoscopy to "break the game"!
Secondary foraminal stenosis after lumbar fusion, spinal endoscopy to "break the game"!
Secondary foraminal stenosis after lumbar fusion, spinal endoscopy to "break the game"!
Secondary foraminal stenosis after lumbar fusion, spinal endoscopy to "break the game"!
Secondary foraminal stenosis after lumbar fusion, spinal endoscopy to "break the game"!
Secondary foraminal stenosis after lumbar fusion, spinal endoscopy to "break the game"!
Secondary foraminal stenosis after lumbar fusion, spinal endoscopy to "break the game"!
Summary:
The application of lumbar fusion surgery and internal fixation leads to the change of vertebral body position, resulting in the reduction of the anterior and posterior diameter of the intervertebral foramen and the unsatisfactory recovery of the height of the intervertebral space, which is the main cause of secondary lumbar foraminal stenosis. Detailed preoperative reading to assess whether there is abnormal hyperplasia and hypertrophy of the superior articular process, especially in patients with degenerative lumbar spondylolisthesis, it is necessary to pay more attention to the morphology of the intervertebral foramina, and partial resection of the upper articular process can well prevent the occurrence of secondary foramina stenosis. Transforaminal approach to endoscopic articular articulation and outlet root release can obtain good clinical efficacy, which is a safe and effective minimally invasive treatment.
About the Author
Secondary foraminal stenosis after lumbar fusion, spinal endoscopy to "break the game"!
Duan Liqun
Deputy Chief Physician of the Department of Spine Surgery, The First Affiliated Hospital of University of Science and Technology of China (Anhui Provincial Hospital).
He is a standing member of the Spine Minimally Invasive Expert Committee of the China Association of Traditional Chinese Medicine
Secretary of the Orthopedic Surgeon Branch of Anhui Medical Doctor Association
He mainly studies the clinical application of spine microscopy and spinal endoscopic minimally invasive surgery, and has carried out more than 4,000 cases of spinal endoscopic surgery and more than 800 cases of spinal microscopic surgery.
Disclaimer: The content and pictures of this article are provided by the contributor and are only for learning and exchange, and do not represent the views of Orthopedics Online.
