Spinal Stenosis Surgery

Before surgery, your doctor will examine you thoroughly. He will ask you about your complaints and will do some diagnostic imaging. In general, this will be a magnetic resonance image (MRI) or sometimes also a computed tomography (CT) scan.

Chiropractic Adjustment, Massage Therapist, Massaging, Shoulder, Recovery

Indications for Surgical Intervention

Few patients with spinal stenosis need surgery – most patients can be treated with conservative therapy such as physiotherapy. Surgery may only be considered if the symptoms do not improve after at least 3 months with these measures. The best results are achieved when individuals are struggling most with their neurological symptoms in the legs.

If back pain is the prominent symptom, however, the operation often does not lead to the desired success. In recent years, very gentle, minimally invasive procedures have been developed.

The joimax® Approach

With our advanced surgical procedure, the iLESSYS® method, surgeons use modern, technically-sophisticated instruments and devices working through a „keyhole“ approach.

An incision only a few millimeters long is made. The tissue is carefully moved aside (stretched); it is not dissected, so ligaments, muscles and bones remain intact. The risk of infection is also significantly reduced.

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Benefits of the joimax® Approach1-6

  • Minimal damage to the stabilizing structures of the spine – ligaments, muscles and bones
  • Minimal risk of infection
  • Less scars, wound and muscle pain
  • Faster return to everyday life

Bibliography

  1. Kim HS, Wu PH, Jang IT. Current and Future of Endoscopic Spine Surgery: What are the Common Procedures we Have Now and What Lies Ahead? World Neurosurg. 2020;140:642-653. doi:10.1016/j.wneu.2020.03.111
  2. Pan L, Zhang P, Yin Q. Comparison of tissue damages caused by endoscopic lumbar discectomy and traditional lumbar discectomy: A randomised controlled trial. Int J Surg. 2014;12(5):534-537. doi:10.1016/j.ijsu.2014.02.015
  3. Muthu S, Ramakrishnan E, Chellamuthu G. Is Endoscopic Discectomy the Next Gold Standard in the Management of Lumbar Disc Disease? Systematic Review and Superiority Analysis. Glob Spine J. Published online September 16, 2020:2192568220948814. doi:10.1177/2192568220948814
  4. Lee CW, Yoon KJ, Ha SS. Comparative Analysis between Three Different Lumbar Decompression Techniques (Microscopic, Tubular, and Endoscopic) in Lumbar Canal and Lateral Recess Stenosis: Preliminary Report. Bio-
    Med Res Int. 2019;2019:6078469. doi:10.1155/2019/6078469
  5. Barber SM, Nakhla J, Konakondla S, et al. Outcomes of endoscopic discectomy
    compared with open microdiscectomy and tubular microdiscectomy for lumbar disc herniations: a meta-analysis. J Neurosurg Spine. Published online September 6, 2019:1-14. doi:10.3171/2019.6.SPINE19532
  6. Perez-Roman RJ, Gaztanaga W, Lu VM, Wang MY. Endoscopic decompression for the treatment of lumbar spinal stenosis: an updated systematic review and meta-analysis. J Neurosurg Spine. Published online November 12, 2021:1-9. doi:10.3171/2021.8.SPINE21890
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