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Updated: May 14, 2026

Full-Endoscopic Interlaminar Approach for Decompression of Lateral Recess Stenosis
Published on: February 24, 2023
[Decompression of lumbar lateral spinal stenosis: full-endoscopic, interlaminar technique]
1Zentrum 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
Objective:
Decompression in lumbar recess stenosis in a full-endoscopic technique using an interlaminar approach.
Indications:
Lumbar recess stenosis due to ligamentous, osseous, discogenic compression, and/or juxta-facet cysts.
Contraindications:
Pure back pain, instability/deformity requiring correction, pure foraminal stenosis.
Surgical Technique:
Introduction of a surgical sleeve to the intralaminar window. Endoscopic resection of compressing bony/ligamentary structures and also of osteophytes or parts of annulus.
Postoperative Management:
Immediate mobilization, isometric/coordination exercises, functional exercises from week 3, building up strength from week 6.
Results:
A 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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