• S Ruetten, M Komp, P Hahn, and S Oezdemir.
• Zentrum für Wirbelsäulenchirurgie und Schmerztherapie, Zentrum für Orthopädie und Unfallchirurgie der St. Vincenz Gruppe Ruhr, St. Anna Hospital Herne/Marien-Hospital Witten, Hospitalstr. 19, 44649, Herne, Deutschland. info@s-ruetten.com
• Oper Orthop Traumatol. 2013 Feb 1; 25 (1): 31-46.

ObjectiveDecompression in lumbar recess stenosis in a full-endoscopic technique using an interlaminar approach.IndicationsLumbar recess stenosis due to ligamentous, osseous, discogenic compression, and/or juxta-facet cysts.ContraindicationsPure back pain, instability/deformity requiring correction, pure foraminal stenosis.Surgical TechniqueIntroduction of a surgical sleeve to the intralaminar window. Endoscopic resection of compressing bony/ligamentary structures and also of osteophytes or parts of annulus.Postoperative ManagementImmediate mobilization, isometric/coordination exercises, functional exercises from week 3, building up strength from week 6.ResultsA total of 192 patients underwent full-endoscopic surgery or microsurgery and were followed up over a minimum of 2 years. A significant improvement was revealed. Serious complications occurred in 5% and were significantly reduced in the endoscopic group. Five patients were revised with decompression and/or fusion. Eighty-nine percent would undergo the operation again.

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