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Updated: Oct 10, 2025

Spinal Hernia Repair and Cauda Equina Repositioning After Lumbar Decompression under Three-Dimensional Microscopy: A Case Report and Literature Review

Spinal Hernia Repair and Cauda Equina Repositioning After Lumbar Decompression under Three-Dimensional Microscopy: A Case Report and Literature Review

Published on: November 8, 2024

[Posterior Lumbar Decompression:Variations and Pitfalls].

Yukoh Ohara¹, Takeshi Hara, Eiji Abe

¹Department of Neurosurgery, Juntendo University.

No Shinkei Geka. Neurological Surgery

|December 8, 2021

Summary

This summary is machine-generated.

Minimally invasive lumbar decompression surgery effectively treats spinal stenosis. Understanding unilateral versus midline approaches is crucial for optimal surgical outcomes and avoiding revision surgery for conditions like spondylolisthesis.

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Spinal Hernia Repair and Cauda Equina Repositioning After Lumbar Decompression under Three-Dimensional Microscopy: A Case Report and Literature Review

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Author Spotlight: Scope of LE-ULBD as a Safe, Effective, and Minimally Invasive Approach to Treat Lumbar Spinal Stenosis

Author Spotlight: Scope of LE-ULBD as a Safe, Effective, and Minimally Invasive Approach to Treat Lumbar Spinal Stenosis

Published on: February 9, 2024

Area of Science:

Neurosurgery
Orthopedic Surgery

Background:

Lumbar spinal stenosis is a frequent cause of spinal degeneration.
Surgical intervention is considered for patients unresponsive to conservative management.

Purpose of the Study:

To discuss the varieties of lumbar decompressive methods.
To highlight the pitfalls of decompression procedures.

Main Methods:

Comparison of unilateral and midline minimally invasive approaches for lumbar decompression.
Analysis of techniques aimed at preserving midline structures, facet joints, and paravertebral muscles.

Main Results:

Both unilateral and midline approaches offer effective surgical treatment for lumbar spinal stenosis.
Specific patient conditions dictate the suitability of each approach.
Potential need for revision surgery in cases of spondylolisthesis following initial decompression.

Conclusions:

Careful consideration of the advantages and disadvantages of unilateral and midline decompression is essential.
Understanding procedural nuances can optimize surgical results and minimize complications.