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Research ArticleEndoscopic Minimally Invasive Surgery

Transforaminal Endoscopic Decompression of the Lumbar Spine for Stable Isthmic Spondylolisthesis as the Least Invasive Surgical Treatment Using the YESS Surgery Technique

ANTHONY YEUNG and VIT KOTHEERANURAK
International Journal of Spine Surgery June 2018, 12 (3) 408-414; DOI: https://doi.org/10.14444/5048
ANTHONY YEUNG
1Neurosurgery Department, University of New Mexico School of Medicine, Albuquerque, New Mexico and Desert Institute for Spine Care, Phoenix, Arizona
MD
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VIT KOTHEERANURAK
2Spine Unit, Orthopedic Department, Queen Savang Vadhana Memorial Hospital, Sri Racha, Chonburi, Thailand
MD
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    Figure 1

    Life-table method of survival analysis: degenerative and isthmic spondylolisthesis following selective endoscopic discectomy and foraminal decompression.

  • Figure 2
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    Figure 2

    Evolving trajectories to access the patho-anatomy. The YESS approach targeting the patho-anatomy in isthmic spondylolisthesis.

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    Figure 3

    Symptoms: sciatica > back pain.

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    Figure 4

    Mechanical decompression at L5-S1. Trephines inside the walls of the cannula, trephines, kerrisons, and lasers are important endoscopic tools to facilitate surgery.

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    Figure 5

    Trephine of the pars pseudo arthrosis impinging on the exiting nerve causing sciatica in a young person with isthmic spondylosis. Sciatica worsens with narrowing from disc degeneration and aging, demonstrating disc narrowing and spondylolisthesis.

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    Figure 6

    Endoscopic visualization of the decompressed pars pseudoarthrosis impinging on the exiting nerve. Back pain in tall discs with pars defects are well tolerated until aging causes symptomatic lumbar spondylosis, treatable with subsequent dorsal rhizotomy as a staged separate procedure or as a hybrid procedure.

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    Figure 7

    Endoscopic visualized rhizotomy. The branches of the dorsal ramus innervating the facet joints can be found in the foramen ventral to the intertransverse ligament during foraminoplasty as well as crossing the transverse process during dorsal endoscopic rhizotomy. A hybrid procedure to ablate the branches of the dorsal ramus provides the best surgical treatment for facet pain.

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International Journal of Spine Surgery
Vol. 12, Issue 3
1 Jun 2018
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Transforaminal Endoscopic Decompression of the Lumbar Spine for Stable Isthmic Spondylolisthesis as the Least Invasive Surgical Treatment Using the YESS Surgery Technique
ANTHONY YEUNG, VIT KOTHEERANURAK
International Journal of Spine Surgery Jun 2018, 12 (3) 408-414; DOI: 10.14444/5048

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Transforaminal Endoscopic Decompression of the Lumbar Spine for Stable Isthmic Spondylolisthesis as the Least Invasive Surgical Treatment Using the YESS Surgery Technique
ANTHONY YEUNG, VIT KOTHEERANURAK
International Journal of Spine Surgery Jun 2018, 12 (3) 408-414; DOI: 10.14444/5048
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  • Durotomy- and Irrigation-Related Serious Adverse Events During Spinal Endoscopy: Illustrative Case Series and International Surgeon Survey
  • Clinical Outcomes of Interlaminar Percutaneous Endoscopic Uniportal Pars Decompression for Lumbar Spondylolysis
  • Durotomy- and Irrigation-Related Serious Adverse Events During Spinal Endoscopy: Illustrative Case Series and International Surgeon Survey
  • Clinical Outcomes of Interlaminar Percutaneous Endoscopic Uniportal Pars Decompression for Lumbar Spondylolysis
  • Differential Agnostic Effect Size Analysis of Lumbar Stenosis Surgeries
  • Durability of Endoscopes Used During Routine Lumbar Endoscopy: An Analysis of Use Patterns, Common Failure Modes, Impact on Patient Care, and Contingency Plans
  • The Intrathecal Morphine for Percutaneous Endoscopic Lumbar Discectomy (IMPELD) Study: Rationale and Protocol for a Double-blinded Randomized Placebo-controlled Trial
  • Minimal Clinically Important Difference in Patient-Reported Outcome Measures with the Transforaminal Endoscopic Decompression for Lateral Recess and Foraminal Stenosis
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More in this TOC Section

  • Patient Perspectives on Awake Transforaminal Endoscopic Decompression Surgery Outcomes
  • Endoscopic Spine Surgery: A French National Survey on Practices, Motivations, and Challenges
  • Effective Biportal Endoscopic Spine Surgery Technique With Better Facet Joint Preserving for Lumbar Lateral Recess Stenosis
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