Microscopy-assisted interspinous tubular approach for lumbar spinal stenosis

Various minimally invasive techniques have been reported as an alternative to conventional lumbar decompression. The major advantage of these minimally invasive procedures lies in their reduction of unnecessary exposure and tissue trauma. Our objective was to describe a minimally invasive procedure...

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Bibliographic Details
Published in:	Journal of spine surgery (Hong Kong) Vol. 3; no. 1; pp. 64 - 70
Main Authors:	Soriano-Sánchez, José-Antonio, Quillo-Olvera, Javier, Soriano-Solis, Sergio, Soriano-Lopez, Miroslava-Elizabeth, Covarrubias-Rosas, Claudia-Angélica, Quillo-Reséndiz, Javier, Gutiérrez-Partida, Carlos-Francisco, Rodríguez-García, Manuel
Format:	Journal Article
Language:	English
Published:	AME Publishing Company 01-03-2017
Subjects:	Review
Online Access:	Get full text
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Summary:	Various minimally invasive techniques have been reported as an alternative to conventional lumbar decompression. The major advantage of these minimally invasive procedures lies in their reduction of unnecessary exposure and tissue trauma. Our objective was to describe a minimally invasive procedure for lumbar spinal stenosis decompression by enlarging the lumbar interspinous space, approaching it with a tubular retractor, and assisting with microscopy. Thoracolumbar fascia and paravertebral muscles are preserved throughout the whole procedure. Iatrogenic instability of the spine can be avoided if during the procedure both joints are just undercut in order to decompress the subarticular space. The approach described in this manuscript could be used as an alternate minimally invasive surgical procedure for the treatment of central and lateral lumbar spinal stenosis.
Bibliography:	Contributions: (I) Conception and design: JA Soriano-Sánchez, J Quillo-Olvera; (II) Administrative support: JA Soriano-Sánchez; (III) Provision of study materials or patients: JA Soriano-Sánchez; (IV) Collection and assembly of data: JA Soriano-Sánchez, J Quillo-Olvera, S Soriano-Solis, ME Soriano-Lopez, CA Covarrubias-Rosas; (V) Data analysis and interpretation: JA Soriano-Sánchez, J Quillo-Olvera, S Soriano-Solis, ME Soriano-Lopez, J Quillo-Reséndiz, CF Gutiérrez-Partida, M Rodríguez-García; (VI) Manuscript writing: All authors; (VII) Final approval of manuscript: All authors.
ISSN:	2414-469X 2414-4630
DOI:	10.21037/jss.2017.02.07