Related Experiment Video
Updated: Mar 23, 2026
Full-Endoscopic Interlaminar Approach for Decompression of Lateral Recess Stenosis
Published on: February 24, 2023
Minimally invasive space shuttle laminotomy for degenerative lumbar spinal canal stenosis
Shunji Asamoto1, Jun Muto2, Hiroyuki Jimbo3
1Department of Neurosurgery, Mita Hospital, International University of Health and Welfare, Otawara, Japan.
Study Design:
Technical note.
Objectives:
To show microsurgical technique, considering the meticulous anatomy of the ligamentum flavum (LF).
Background:
Different methods are available for treating lumbar spinal canal stenosis (LSCS). A minimally invasive surgery, namely, space shuttle laminotomy, has recently been proposed. Here, we describe the surgical method for this novel technique. To conduct this surgery accurately, surgeons must have perfect knowledge of anatomy, especially regarding the LF.
Materials And Methods And Results:
We use this interlaminectomy technique for all cases of LSCS. All patients with LSCS recovered from their neurological deficits in shorter hoslital stays than regular laminectomy.
Conclusion:
Minimally invasive space shuttle laminotomy (MISSL), which involves a microsurgical technique, is a safe, complication-free procedure.
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