Asian Spine J.  2014 Oct;8(5):667-674. 10.4184/asj.2014.8.5.667.

Trumpet Laminectomy Microdecompression for Lumbal Canal Stenosis

• Henky J
• Yasuda M
• Arifin MZ
• Takayasu M
• Faried A

• KMID: 2270250
• DOI: http://doi.org/10.4184/asj.2014.8.5.667

Abstract

Microsurgery techniques are useful innovations towards minimizing the insult of canal stenosis. Here, we describe the trumpet laminectomy microdecompression (TLM) technique, advantages and disadvantages. Sixty-two TLM patients with lumbar disc herniation, facet hypertrophy or yellow ligament or intracanal granulation tissue. The symptoms are low back pain, dysesthesia and severe pain on both legs. Spine levels operated Th11-S1; the patients who had trumpet-type fenestration, 62.9% had hypertrophy of the facet joint, 11.3% had intracanal granulation tissue, 79.1% had hypertrophy of the yellow ligament and 64.5% had disc herniation. The average of procedure duration was 68.9 min and intraoperative blood loss was 47.4 mL. Intraoperative complications were found in 3.2% of patients, with dural damage but without cerebrospinal fluid leakage. The TLM can be performed for all ages and all levels of spinal canal stenosis, without the complication of spondilolistesis. The TLM has a shorter duration, with minimal intraoperative blood loss.

Keyword

Disc herniation; Facet joint hypertrophy; Intracanal granulation tissue; Lumbal canal stenosis; Trumpet laminectomy microdecompressionn

MeSH Terms

Cerebrospinal Fluid
Constriction, Pathologic*
Granulation Tissue
Humans
Hypertrophy
Intraoperative Complications
Laminectomy*
Leg
Ligaments
Low Back Pain
Microsurgery
Paresthesia
Spinal Canal
Spine
Zygapophyseal Joint