Lumbar Spine

Treatment of Degenerative Lumbar Spondylolisthesis with Endoscopic Decompression of the Lumbar Spinal Canal

Author(s): Zhang Xifeng*, Yan Yuqiu, Yuan Huafeng, Cong Qiang and Wu Shang

Pp: 290-299 (10)

DOI: 10.2174/9789815051537122020020

* (Excluding Mailing and Handling)

Abstract

Degenerative spondylolisthesis is a common problem in the elderly. The
associated spinal stenosis in the central canal and the foramina may cause sciatica-type
claudication symptoms affecting the lower back and extremities. Walking endurance is
typically reduced. Eventually, patients may decide on surgical decompression if
conservative care measures, including spinal injections, physical therapy, activity
modifications, and pain medication, no longer provide relief. In the elderly, extensive
spine surgery is always of concern regarding operation length, blood loss, postoperative
pain management, and medical comorbidities whose management may easily spin out
of control following major spine surgery. In a small subset of spondylolisthesis
patients, decompression alone may suffice, particularly in those where the spinal
motion segment has become rigid due to endstage degenerative disc disease, vertical
collapse, and auto fusion. On the other hand, stenosis is often severe in these types of
patients, for which reason extensive decompression may be necessary, and
postoperative iatrogenic instability may ensue. In this article, the authors present the
technique of endoscopic canal and foraminal decompression in patients with such
advanced spondylolisthesis. They discuss the technical caveats and limitations of the
procedure.


Keywords: Degenerative spondylolisthesis, Endoscopic decompression, Spinal stenosis.

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      • 17. vendor/laravel/framework/src/Illuminate/Routing/ControllerDispatcher.php:43
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      • 11. app/Models/ContentAccess.php:647
      • 12. app/Http/Controllers/ChapterController.php:1465
      • 13. vendor/laravel/framework/src/Illuminate/Routing/Controller.php:54
      • 14. vendor/laravel/framework/src/Illuminate/Routing/ControllerDispatcher.php:43
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      300μsalphaeurekaselec_live_10_06_2022ContentAccess.php#647
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      • 11. app/Models/ContentAccess.php:647
      • 12. app/Http/Controllers/ChapterController.php:1478
      • 13. vendor/laravel/framework/src/Illuminate/Routing/Controller.php:54
      • 14. vendor/laravel/framework/src/Illuminate/Routing/ControllerDispatcher.php:43
      • 15. vendor/laravel/framework/src/Illuminate/Routing/Route.php:260
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      • 13. app/Models/UserAccess/UserAccess.php:1266
      • 14. app/Http/Controllers/ChapterController.php:1518
      • 15. vendor/laravel/framework/src/Illuminate/Routing/Controller.php:54
      • 16. vendor/laravel/framework/src/Illuminate/Routing/ControllerDispatcher.php:43
      • 17. vendor/laravel/framework/src/Illuminate/Routing/Route.php:260
    • (select j.user_access_id,j.volume_id,j.user_id,j.from_ip,j.to_ip,j.type,j.track,"Trial Access" as access_base_text, CASE j.type WHEN 111 THEN true ELSE false END as terms_popup, "S" as content_download_type, null as restricted_user_access_key, null as restricted_user_access_type, CASE j.track WHEN 0 THEN false ELSE true END as tracksAccessByVolume,"chapter" as access_level, j.chapter_id from `user_access_chapter_trail` as `j` inner join `user_access_info` as `info` on `j`.`user_access_id` = `info`.`user_access_id` where ((j.from_ip <= 222027364 and j.to_ip >=222027364 )) and ((j.from_date <= 1739988818 and j.to_date >= 1739988818 and j.perpetual= 0) or (j.from_date is null and j.to_date is null and j.perpetual= 1)) and j.chapter_id = 16891) union (select j.user_access_id,j.volume_id,j.user_id,j.from_ip,j.to_ip,j.type,j.track,"Subscribed" as access_base_text, false as terms_popup, "S" as content_download_type, null as restricted_user_access_key, null as restricted_user_access_type, CASE j.track WHEN 0 THEN false ELSE true END as tracksAccessByVolume,"chapter" as access_level, j.chapter_id from `user_access_chapter_corporate` as `j` inner join `user_access_info` as `info` on `j`.`user_access_id` = `info`.`user_access_id` where ((j.from_ip <= 222027364 and j.to_ip >=222027364 )) and ((j.from_date <= 1739988818 and j.to_date >= 1739988818 and j.perpetual= 0) or (j.from_date is null and j.to_date is null and j.perpetual= 1)) and j.chapter_id = 16891) union (select j.user_access_id,j.volume_id,j.user_id,j.from_ip,j.to_ip,j.type,j.track,"Token Based Access" as access_base_text, false as terms_popup, "R" as content_download_type, j.uc_id as restricted_user_access_key, "v" as restricted_user_access_type, CASE j.track WHEN 0 THEN false ELSE true END as tracksAccessByVolume,"chapter" as access_level, j.chapter_id from `user_access_chapter_token` as `j` inner join `user_access_info` as `info` on `j`.`user_access_id` = `info`.`user_access_id` where ((j.from_ip <= 222027364 and j.to_ip >=222027364 )) and ((j.from_date <= 1739988818 and j.to_date >= 1739988818 and j.perpetual= 0) or (j.from_date is null and j.to_date is null and j.perpetual= 1)) and j.chapter_id = 16891)
      710μsalphaeurekaselec_live_10_06_2022UserAccess.php#1266
      Backtrace
      • 13. app/Models/UserAccess/UserAccess.php:1266
      • 14. app/Http/Controllers/ChapterController.php:1549
      • 15. vendor/laravel/framework/src/Illuminate/Routing/Controller.php:54
      • 16. vendor/laravel/framework/src/Illuminate/Routing/ControllerDispatcher.php:43
      • 17. vendor/laravel/framework/src/Illuminate/Routing/Route.php:260
    • select b.banner_link, b.banner_name, b.banner_script, b.banner_remarks, b.banner_file_name, b.banner_placement, bd.content_type, bd.content_id from `tbl_banner` as `b` inner join `tbl_banner_detail` as `bd` on `bd`.`banner_id` = `b`.`banner_id` inner join `users` as `u` on `u`.`id` = `b`.`updated_by` where `b`.`banner_ebook` = 1 and `bd`.`content_type` = 'B' and `bd`.`content_id` = 3335 and `b`.`banner_from_date` <= 1739988818 and `b`.`banner_to_date` >= 1739988818 and `b`.`banner_status` = 'A' order by `b`.`banner_id` desc
      1.16msalphaeurekaselec_live_10_06_2022Banner.php#95
      Bindings
      • 0: 1
      • 1: B
      • 2: 3335
      • 3: 1739988818
      • 4: 1739988818
      • 5: A
      Backtrace
      • 13. app/Models/Banner.php:95
      • 14. app/Http/helpers.php:404
      • 17. vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
      • 18. vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
      • 19. vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:73
    • select count(*) as aggregate from `uc_cart_products` where cart_id='30de97a21f7de26a82b9d21fe64829af'
      280μsalphaeurekaselec_live_10_06_2022Cart.php#271
      Backtrace
      • 15. app/Models/Cart.php:271
      • 16. view::layouts._header:260
      • 18. vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
      • 19. vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
      • 20. vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:73
    App\Models\Keywords
    3Keywords.php#?
    App\Models\Chapter
    1Chapter.php#?
    App\Models\Ebook
    1Ebook.php#?
        _token
        NTukNe0m50QrFM9kHMEnh6xEE3V5pUD4IlzAHqaC
        uc_cart_id
        30de97a21f7de26a82b9d21fe64829af
        _previous
        array:1 [ "url" => "https://alpha.eurekaselect.com/chapter/16891" ]
        _flash
        array:2 [ "old" => [] "new" => [] ]
        PHPDEBUGBAR_STACK_DATA
        []
        path_info
        /chapter/16891
        status_code
        200
        
        status_text
        OK
        format
        html
        content_type
        text/html; charset=UTF-8
        request_query
        []
        
        request_request
        []
        
        request_headers
        0 of 0
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        request_cookies
        0 of 0
        array:6 [ "_ga" => null "_ga_9F3B5VV3T3" => null "wayfindertarget" => null "fpestid" => null "XSRF-TOKEN" => "NTukNe0m50QrFM9kHMEnh6xEE3V5pUD4IlzAHqaC" "alphaeurekaselectnet_session" => "hYApklbpnhQ9khkpLuXgIOVyKsbSU7eLDtHYyHSE" ]
        response_headers
        0 of 0
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        session_attributes
        0 of 0
        array:5 [ "_token" => "NTukNe0m50QrFM9kHMEnh6xEE3V5pUD4IlzAHqaC" "uc_cart_id" => "30de97a21f7de26a82b9d21fe64829af" "_previous" => array:1 [ "url" => "https://alpha.eurekaselect.com/chapter/16891" ] "_flash" => array:2 [ "old" => [] "new" => [] ] "PHPDEBUGBAR_STACK_DATA" => [] ]
        ClearShow all
        Date ↕MethodURLData
        #12025-02-19 18:13:38GET/chapter/16891112195