Clinical case

Successful Spine Endoscopy Surgery

On this occasion, we meet a patient who goes to medical consultations for a severe pain in the legs.

Preoperative

This pain causes the patient functional impotence and the inability to hold a prolonged standing position.

The patient suffers severe cramps in both calves and a severe pain when walking lasts more than 5 minutes. After which a paresthesia continues in the third, fourth and fifth toes of the foot, which makes it impossible for him to continue walking.

Operation

Minimally invasive advanced spinal endoscopy surgery is carried out in about two hours through a portal of about 3mm, located in the back of the spine:

Firstly, we proceed to identify the yellow ligament and identify the upper and lower lamina that limit the interlaminar window.
A partial laminectomy is performed on the upper lamina until the tip of the descending phase is identified, checking its adequate release of the neurological structures on the right side.
Subsequently, the compression in the spinal canal is identified and the removal of the yellow ligament from the central region begins to decompress the neurological structures.
The contralateral side is accessed through the same right posterior portal to release the neurological structures on the left side, checking for adequate release and decompression.
The exposed wound is covered using lioplan.
An infiltration with local corticosteroids is performed.

Postoperative

After a surgery that passed without incident or complications, the postoperative period is marked by a considerable improvement in the patient's lower back pain and a liberating sensation in the legs that the 30 minutes after leaving the operating room he walks normally and without incidentJust three hours after the intervention, the patient leaves the hospital having been discharged.

A new success story for the Spine Institute.