Our Summary

This study looks at a type of minimally invasive spine surgery called Full Endoscopic Transforaminal Decompression Surgery (FETDS). It’s been used recently to treat a condition called Symptomatic Lumbar Spinal Stenosis (SLSS), which is a narrowing of the spaces within your spine, in older adults.

Between June 2015 and September 2016, the study followed 56 older adults who underwent FETDS. The results were positive: the surgery was found to be safe and effective, with low rates of complications.

Before the surgery, patients rated their leg pain at an average of 6.54 out of 10. After the surgery, this dropped to an average of 1.39. However, the surgery didn’t significantly affect low back pain: before surgery, patients rated their low back pain at an average of 2 out of 10, and after surgery, this increased slightly to an average of 2.23.

The patients’ ability to carry out everyday activities also improved after surgery. Before surgery, their average disability rating was 69.30 out of 100. After surgery, this dropped to an average of 24.57.

In conclusion, the study suggests that FETDS is a good option for older adults with SLSS, as it’s safe, effective, and doesn’t put a big strain on the body. However, thorough assessments and preparations before the surgery are crucial.

FAQs

  1. What is Full Endoscopic Transforaminal Decompression Surgery (FETDS)?
  2. How effective is FETDS in treating Symptomatic Lumbar Spinal Stenosis (SLSS) in older adults?
  3. What impact does FETDS have on leg pain, low back pain, and the ability to carry out everyday activities?

Doctor’s Tip

The doctor might tell the patient that spinal decompression surgery, such as FETDS, can be a safe and effective option for treating conditions like lumbar spinal stenosis. It can help reduce leg pain and improve overall function. However, it’s important to undergo thorough assessments and preparations before the surgery to ensure the best possible outcome. Additionally, patients should follow post-operative care instructions and attend any recommended physical therapy sessions to maximize the benefits of the surgery.

Suitable For

Patients who are typically recommended spinal decompression surgery include those with conditions such as lumbar spinal stenosis, herniated discs, degenerative disc disease, facet joint syndrome, sciatica, and other forms of chronic back pain. The surgery is often recommended for patients who have not found relief from conservative treatments such as physical therapy, medication, or injections. Older adults with symptomatic lumbar spinal stenosis, in particular, may benefit from minimally invasive spine surgeries like FETDS.

Timeline

Before spinal decompression surgery, a patient may experience symptoms such as severe leg pain, difficulty walking, and limited mobility due to spinal stenosis. They may have tried conservative treatments such as physical therapy, medication, or injections without success.

After spinal decompression surgery, the patient typically experiences a significant reduction in leg pain and improvement in their ability to perform everyday activities. The surgery is considered safe and effective, with low rates of complications. However, it may not have a significant impact on low back pain. Overall, the patient’s quality of life and mobility are improved post-surgery.

What to Ask Your Doctor

Some questions a patient should ask their doctor about spinal decompression surgery include:

  1. What specific type of spinal decompression surgery will be performed and how does it work?
  2. What are the potential risks and complications associated with the surgery?
  3. What is the success rate of this surgery for patients with my specific condition?
  4. What is the expected recovery time and rehabilitation process after the surgery?
  5. Are there any alternative treatments or therapies that could be considered before opting for surgery?
  6. How many times have you performed this type of surgery before and what is your experience with it?
  7. Will I need to make any lifestyle changes or precautions after the surgery to ensure the best outcome?
  8. What is the long-term outlook for my condition after undergoing spinal decompression surgery?
  9. Are there any specific factors about my health history or current condition that could affect the success of the surgery?
  10. Can you provide me with any references or testimonials from previous patients who have undergone similar procedures?

Reference

Authors: Yang J, Wu H, Kong Q, Wang Y, Peng Z, Zhang L, Yan Y, Guo C, Zhang D. Journal: World Neurosurg. 2019 Jul;127:e449-e459. doi: 10.1016/j.wneu.2019.03.171. Epub 2019 Mar 25. PMID: 30922895