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Case: Three elderly men presented with thoracic radiculopathy secondary to bony thoracic foraminal stenosis. Conservative treatment was unsuccessful, so each underwent posterolateral full-endoscopic thoracic foraminotomy under local anesthesia. Surgical steps included drilling of the lateral part of the facet, clearing of soft tissues in the foramen, and adequate decompression of the exiting nerve root. There were no intraoperative complications, and all patients reported complete resolution of symptoms on follow-up.
Conclusion: Thoracic foraminal stenosis is a rare cause of thoracic radiculopathy. Posterolateral full-endoscopic thoracic foraminotomy can be a safe and effective surgical option for the treatment of these cases upon failure of conservative treatment.
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http://dx.doi.org/10.2106/JBJS.CC.24.00544 | DOI Listing |
JBJS Case Connect
July 2025
Department of Neurosurgery, Cheongdam Wooridul Spine Hospital, Seoul, South Korea.
Case: Three elderly men presented with thoracic radiculopathy secondary to bony thoracic foraminal stenosis. Conservative treatment was unsuccessful, so each underwent posterolateral full-endoscopic thoracic foraminotomy under local anesthesia. Surgical steps included drilling of the lateral part of the facet, clearing of soft tissues in the foramen, and adequate decompression of the exiting nerve root.
View Article and Find Full Text PDFJBJS Case Connect
July 2025
Department of Neurosurgery, Wooridul Spine Hospital, Seoul, South Korea.
Case: A 44-year-old woman presented with radiculopathy due to pinching of the L5 nerve between enlarged transverse process (TP) and sacral ala in lumbosacral transitional vertebra (LSTV) (far-out syndrome). On failure of conservative treatment, the patient underwent posterolateral full-endoscopic extraforaminal decompression under local anesthesia. Under endoscopic visualization, the enlarged TP was seen stenosing the extraforaminal area.
View Article and Find Full Text PDFJ Vis Exp
June 2025
Department of Orthopaedic Surgery, New Taipei Municipal Tucheng Hospital;
Uniportal full endoscopic posterolateral lumbar interbody fusion (FE-TLIF) has recently shown promising results. However, beginners may face challenges in mastering the technical skills required to overcome the learning curve for a more efficient and safer procedure. The goals of this study are to provide a detailed FE-TLIF procedure and provide a step-by-step explanation of all methods, as well as to use written text to describe key techniques and precautions for ensuring a safer and more efficient procedure.
View Article and Find Full Text PDFNMC Case Rep J
April 2025
Department of Orthopaedic Surgery, Iwai Orthopaedic Hospital, Tokyo, Japan.
Surgical treatment of thoracic disc herniation is challenging for spinal surgeons because of the kyphotic structure of the thoracic spine and the obstruction caused by the ribs and lungs during the lateral approach. In particular, highly migrating thoracic disc herniation requires the removal of surrounding structures, including the ribs, pedicles, and vertebral body. We present a case in which an upward-migrating T11/12 thoracic disc herniation was safely removed using full-endoscopic spine surgery.
View Article and Find Full Text PDFWorld Neurosurg
September 2024
Achieve Spine And Orthopaedic Centre, Mount Elizabeth Hospital, Singapore, Singapore; National University Health Systems, Juronghealth Campus, Orthopaedic Surgery, Singapore, Singapore.
Remarkable innovations in spinal endoscopic surgery have broadened its applications over the past 20 years. Full-endoscopic fusions have been widely reported, and several full-endoscopic approaches for interbody fusion have been published. In general, full-endoscopic lumbar interbody fusion (LIF) is called Endo-LIF, and facet-preserving Endo-LIF through the transforaminal route is called trans-Kambin's triangle LIF, which has a relatively longer history than facet-sacrificing Endo-LIF via the posterolateral route.
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