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Related Experiment Video

Updated: Apr 26, 2026

Transforaminal Full-Endoscopic Lumbar Foraminotomy Under Local Anesthesia for L5/S1 Adjacent Segment Foraminal Stenosis
07:44

Transforaminal Full-Endoscopic Lumbar Foraminotomy Under Local Anesthesia for L5/S1 Adjacent Segment Foraminal Stenosis

Published on: October 17, 2025

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Partial facetectomy for lumbar foraminal stenosis.

Kevin Kang1, Juan Carlos Rodriguez-Olaverri1, Frank Schwab2

  • 1Maimonides Medical Center, Department of Orthopaedic Surgery, 927 49th Street, Brooklyn, NY 11219, USA.

Advances in Orthopedics
|August 12, 2014
PubMed
Summary

Partial facetectomy effectively decompresses lumbar nerve root foramina, relieving radicular pain without causing spinal instability. This minimally invasive approach offers a safe alternative for patients with lumbar foraminal stenosis.

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Area of Science:

  • Neurosurgery
  • Orthopedic Surgery
  • Spinal Surgery

Background:

  • Lumbar nerve root impingement causes pain and disability.
  • Inadequate decompression can lead to failed back surgery syndrome.
  • Aggressive decompression may cause spinal instability or necessitate fusion.

Purpose of the Study:

  • To describe a novel partial facetectomy technique for lumbar nerve root decompression.
  • To evaluate the effectiveness of this technique in relieving radicular symptoms.

Main Methods:

  • Partial facetectomy involving removal of the medial portion of the superior facet was performed.
  • 47 patients with lumbar foraminal stenosis, neurogenic claudication, and failed conservative management were included.
  • Patients were followed for an average of 3.9 years.

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Main Results:

  • 57% of patients reported no back pain or functional limitations.
  • 17% reported moderate pain without functional limitations.
  • 11% required additional surgery.

Conclusions:

  • Partial facetectomy is an effective method for lumbar nerve root foramen decompression.
  • The procedure effectively relieved radicular symptoms.
  • Partial facetectomy did not lead to spinal instability.