International Journal of Medical Sciences

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13 December 2017

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Int J Med Sci 2009; 6(4):224-226. doi:10.7150/ijms.6.224

Research Paper

Endoscopic thoracic laminoforaminoplasty for the treatment of thoracic radiculopathy: report of 12 cases

Scott M.W. Haufe1,2 ✉, Ryan A. Baker3, Morgan L. Pyne3

1. Chief of Pain Medicine and Anesthesiology
2. MicroSpine and Healthmark Regional Medical Center, Florida, USA
3. University of South Florida, Florida, USA

Abstract

Background: Spinal stenosis of the thoracic spine is less common than that of the cervical and lumbar regions. Due to the close proximity to thoracic and abdominal organs, surgical operations can be difficult and carry a greater risk of complications. The most efficacious intervention for thoracic stenosis, whether central or foraminal, refractory to conservative management is uncertain. We aimed to evaluate the efficacy of endoscopic laminoforaminoplasty (ELFP) in the treatment of thoracic radiculopathy.

Methods: Twelve patients with radicular pain involving the lower thoracic levels (at or below T6) were treated with ELFP.

Results: Seven of twelve patients showed marked improvement in pain scores. Average follow-up scores were 2.9 and 12.08 on the Visual Analog Scale (VAS) and Oswestry Disability Index, respectively. The significance was 0.005 between the pre and post surgical data. One patient with moderate symptoms, two with severe symptoms, and two with crippling symptoms did not report significant improvement on VAS or Oswestry. No complications were encountered.

Conclusions: Endoscopic laminoforaminoplasty offers an alternative to fusion or conventional laminotomy with similar success rates. Patients additionally benefit from a decrease risk of complications, short hospital stay, and faster recovery.

Keywords: thoracic, radiculopathy, laminoforaminoplasty, minimally invasive, endoscopic, spinal stenosis

This is an open access article distributed under the terms of the Creative Commons Attribution (CC BY-NC) License. See http://ivyspring.com/terms for full terms and conditions.
How to cite this article:
Haufe SMW, Baker RA, Pyne ML. Endoscopic thoracic laminoforaminoplasty for the treatment of thoracic radiculopathy: report of 12 cases. Int J Med Sci 2009; 6(4):224-226. doi:10.7150/ijms.6.224. Available from http://www.medsci.org/v06p0224.htm