{"id":243104,"date":"2025-02-05T15:27:22","date_gmt":"2025-02-05T15:27:22","guid":{"rendered":"https:\/\/rafaelportela.pt\/endoscopic-surgery-for-lumbar-stenosis\/"},"modified":"2025-10-16T12:21:16","modified_gmt":"2025-10-16T12:21:16","slug":"endoscopic-surgery-for-lumbar-stenosis","status":"publish","type":"post","link":"https:\/\/rafaelportela.pt\/en\/endoscopic-surgery-for-lumbar-stenosis\/","title":{"rendered":"Endoscopic Surgery for Lumbar Stenosis"},"content":{"rendered":"<p>[et_pb_section admin_label=&#8221;section&#8221;]<br \/>\n\t\t\t[et_pb_row admin_label=&#8221;row&#8221;]<br \/>\n\t\t\t\t[et_pb_column type=&#8221;4_4&#8243;][et_pb_text admin_label=&#8221;Text&#8221;]<\/p>\n\n<p class=\"wp-block-paragraph\"><strong>Clinical Case: Restoring Quality of Life with Endoscopic Surgery for Lumbar Stenosis<\/strong><\/p>\n\n<p class=\"wp-block-paragraph\"><strong>Case Presentation<\/strong><\/p>\n\n<p class=\"wp-block-paragraph\">A <strong>64-year-old<\/strong> female patient presented with symptoms of <strong>neurogenic claudication<\/strong>, characterized by pain and weakness in the legs while walking, significantly affecting her mobility and quality of life.<\/p>\n\n<p class=\"wp-block-paragraph\"><strong>Diagnosis<\/strong><\/p>\n\n<p class=\"wp-block-paragraph\">Preoperative MRI: Evidence of lumbar spinal canal narrowing at L4-L5<\/p>\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"456\" height=\"266\" src=\"https:\/\/rafaelportela.pt\/wp-content\/uploads\/2025\/02\/Imagem1.png\" alt=\"\" class=\"wp-image-242553\" srcset=\"https:\/\/rafaelportela.pt\/wp-content\/uploads\/2025\/02\/Imagem1.png 456w, https:\/\/rafaelportela.pt\/wp-content\/uploads\/2025\/02\/Imagem1-300x175.png 300w\" sizes=\"(max-width: 456px) 100vw, 456px\" \/><\/figure>\n\n<p class=\"wp-block-paragraph\">The <strong>magnetic resonance imaging (MRI)<\/strong> revealed a <strong>narrowing of the spinal canal at L4-L5<\/strong>, a condition known as <strong>lumbar spinal stenosis<\/strong>, where compression of the nerve structures causes pain, numbness, and functional limitation.<\/p>\n\n<p class=\"wp-block-paragraph\"><strong>Minimally Invasive Surgical Approach<\/strong><\/p>\n\n<p class=\"wp-block-paragraph\">A modern and minimally invasive approach was chosen: <strong>endoscopic spine surgery.<\/strong> This technique allows effective decompression of the spinal cord and nerve roots through a small incision, minimizing tissue damage and accelerating recovery.<\/p>\n\n<p class=\"wp-block-paragraph\"><strong>Postoperative Progress<\/strong><\/p>\n\n<p class=\"wp-block-paragraph\">Post-operative Magnetic Resonance Imaging: Evidence of canal release, with total preservation of the lumbar musculature<\/p>\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"453\" height=\"231\" src=\"https:\/\/rafaelportela.pt\/wp-content\/uploads\/2025\/02\/Imagem2.png\" alt=\"\" class=\"wp-image-242554\" srcset=\"https:\/\/rafaelportela.pt\/wp-content\/uploads\/2025\/02\/Imagem2.png 453w, https:\/\/rafaelportela.pt\/wp-content\/uploads\/2025\/02\/Imagem2-300x153.png 300w\" sizes=\"(max-width: 453px) 100vw, 453px\" \/><\/figure>\n\n<p class=\"wp-block-paragraph\">The patient had an excellent recovery, with the following results:<\/p>\n\n<p class=\"wp-block-paragraph\">\u2705 <strong>Significant pain relief<\/strong> (Preoperative VAS: 8 \u2192 Postoperative VAS: 2)<\/p>\n\n<p class=\"wp-block-paragraph\">\u2705 <strong>Improvement in quality of life<\/strong> (ODI: 26%)<\/p>\n\n<p class=\"wp-block-paragraph\">\u2705 <strong>Returned to work in just 3 months<\/strong><\/p>\n\n<p class=\"wp-block-paragraph\">\u2705 <strong>Subjective perception of success: Very Good<\/strong><\/p>\n\n<p class=\"wp-block-paragraph\"><strong>Conclusion:<\/strong> <strong>Endoscopic spine surgery<\/strong> has proven to be an effective solution for treating <strong>symptomatic lumbar stenosis<\/strong>, providing a faster and less painful recovery compared to conventional techniques.<\/p>\n<p>[\/et_pb_text][\/et_pb_column]<br \/>\n\t\t\t[\/et_pb_row]<br \/>\n\t\t[\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>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: \u2705 Significant pain relief (Preoperative VAS: 8 \u2192 Postoperative VAS: 2) \u2705 Improvement in quality of life (ODI: 26%) \u2705 Returned to work in just 3 months \u2705 Subjective perception of success: Very Good Conclusion: Endoscopic spine surgery has proven to be an effective solution for treating symptomatic lumbar stenosis, [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":242988,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"categories":[26],"tags":[],"class_list":["post-243104","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-spinal-endoscopy"],"_links":{"self":[{"href":"https:\/\/rafaelportela.pt\/en\/wp-json\/wp\/v2\/posts\/243104","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/rafaelportela.pt\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/rafaelportela.pt\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/rafaelportela.pt\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/rafaelportela.pt\/en\/wp-json\/wp\/v2\/comments?post=243104"}],"version-history":[{"count":3,"href":"https:\/\/rafaelportela.pt\/en\/wp-json\/wp\/v2\/posts\/243104\/revisions"}],"predecessor-version":[{"id":243109,"href":"https:\/\/rafaelportela.pt\/en\/wp-json\/wp\/v2\/posts\/243104\/revisions\/243109"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/rafaelportela.pt\/en\/wp-json\/wp\/v2\/media\/242988"}],"wp:attachment":[{"href":"https:\/\/rafaelportela.pt\/en\/wp-json\/wp\/v2\/media?parent=243104"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/rafaelportela.pt\/en\/wp-json\/wp\/v2\/categories?post=243104"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/rafaelportela.pt\/en\/wp-json\/wp\/v2\/tags?post=243104"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}