Lumbar foraminal stenosis surgery approaches

• Clinical efficacy of robot-assisted single-position OLIF with lateral plate combined with posterior unilateral fixation for single-segment lumbar spinal stenosis
• Comparison of the early and medium term efficacy of oblique lateral interbody fusion combined lateral fixation and transforaminal lumbar interbody fusion in lumbar spinal stenosis
• Y-Style Unilateral Biportal Endoscopic Far-Lateral Approach for L5S1 Foraminal Stenosis
• Effectiveness and Safety of Transforaminal Spinal Endoscopy: Analysis of 1000 Clinical Cases
• Magnetic Resonance Imaging Predictors of Surgical Difficulty in Transforaminal Endoscopic Lumbar Discectomy for Far-Lateral Disc Herniation Under Local Anesthesia
• Oblique lateral interbody fusion with O-arm navigation for lumbar hemivertebra in an adult: A technical case report
• Biportal Endoscopic Decompression with Maximized Facet Joint Preservation for Central to Extraforaminal Lumbar Stenosis
• Rates of achieving meaningful outcomes after undergoing minimally-invasive far lateral tubular decompression

Items that factor into consideration when choosing which procedure to use include:

1. consider indirect decompression (lateral interbody fusion (e.g.XLIF® or DLIF®), ALIF, interspinous decompression (e.g. X-Stop):

a) when foraminal stenosis appears to be the dominant problem (e.g. with loss of disc space height, facet hypertrophy, on the concave side of a scoliotic curve)

b) previous spine surgery that might make exposure of the nerves more

Minimally invasive lateral retroperitoneal transpsoas interbody fusion.

Minimally invasive transforaminal lumbar interbody fusion MIS-TLIF

Unilateral transforaminal lumbar interbody fusion

see also Percutaneous endoscopic lumbar foraminotomy.

Percutaneous transforaminal endoscopic surgery (PTES)