Clinical Case: Restoring Quality of Life with Endoscopic Surgery for Lumbar Stenosis
Case Presentation
A 64-year-old female patient presented with symptoms of neurogenic claudication, characterized by pain and weakness in the legs while walking, significantly affecting her mobility and quality of life.
Diagnosis
Preoperative MRI: Evidence of lumbar spinal canal narrowing at L4-L5
The magnetic resonance imaging (MRI) revealed a narrowing of the spinal canal at L4-L5, a condition known as lumbar spinal stenosis, where compression of the nerve structures causes pain, numbness, and functional limitation.
Minimally Invasive Surgical Approach
A modern and minimally invasive approach was chosen: endoscopic spine surgery. This technique allows effective decompression of the spinal cord and nerve roots through a small incision, minimizing tissue damage and accelerating recovery.
Postoperative Progress
Post-operative Magnetic Resonance Imaging: Evidence of canal release, with total preservation of the lumbar musculature
The patient had an excellent recovery, with the following results:
✅ Significant pain relief (Preoperative VAS: 8 → Postoperative VAS: 2)
✅ Improvement in quality of life (ODI: 26%)
✅ Returned to work in just 3 months
✅ Subjective perception of success: Very Good
Conclusion: Endoscopic spine surgery has proven to be an effective solution for treating symptomatic lumbar stenosis, providing a faster and less painful recovery compared to conventional techniques.