Clinical case

Advanced spine surgery. Case of success

The patient we present to you today came to us suffering from severe pain in his lower limbs which, like many of the patients who rely on us every day, prevents him from carrying out his daily life and even walking normally.

Preoperative

This patient finds it impossible to walk just 15 meters without having to stop due to neurogenic claudication.

In addition to suffering severe pain while walking, it is quite difficult and painfully traumatic for him to remain standing for a long time. For all this, it is impossible for him to carry out a normal daily life.

After the relevant tests and the exhaustive study of your case, you are indicated the need for spinal surgery with our personal method of minimally invasive Advanced Spine Endoscopy so that you can recover your life and forget about the pain.

Operation

After sedation, a posterior interlaminar approach is performed on the patient through a small incision, just 3mm, in the skin through which the area where the lesion is located will be accessed.

The yellow ligament is opened bilaterally and the hypertrophied part that compresses and closes the canal is removed, causing the patient severe stenosis and pain that prevents him from walking and standing.

A hemilaminectomy is performed until the adequate release of the neurological structures that run through the vertebral canal is verified.

Once it has been verified that the canal has sufficient space and that all the atrophied parts have been removed, part of the TIP is removed from the ascending facet to avoid compression of the neurological structures again.

Postoperative

After two hours of surgery, which passed without any complications, the postoperative period passed without incident and the patient soon began to walk normally and without noticing pain.

He himself reported the progressive disappearance of the pain he suffered in both legs, allowing him to stand and walk as he would have done before the compression process. The patient can progressively return to his or her normal life, leaving the hospital with a prescribed treatment of mild medication that will be taken orally.