{"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":"2026-06-09T12:04:29","modified_gmt":"2026-06-09T12:04:29","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":"<div class=\"et_d4_element et_pb_section et_pb_section_0  et_pb_css_mix_blend_mode et_section_regular et_block_section\" >\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t<div class=\"et_d4_element et_pb_row et_pb_row_0  et_pb_css_mix_blend_mode et_block_row\">\n\t\t\t\t\t\t\t\t<div class=\"et_d4_element et_pb_column_4_4 et_pb_column et_pb_column_0  et_pb_css_mix_blend_mode et-last-child et_block_column\">\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t<div class=\"et_pb_module et_d4_element et_pb_text et_pb_text_0  et_pb_text_align_left et_pb_bg_layout_light\">\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t<div class=\"et_pb_text_inner\"><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><\/div>\n\t\t\t<\/div>\n\t\t\t<\/div>\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div>\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":242988,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"categories":[1],"tags":[],"formats":[],"class_list":["post-243104","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-sem-categoria"],"acf":[],"dsm_author":{"name":"administrador","avatar_url":"https:\/\/secure.gravatar.com\/avatar\/3f85af760f85cb2408f7a9dc0d0b29fdba3fe7013db6b819e45d5b060391eb31?s=96&d=mm&r=g","archive_link":"https:\/\/rafaelportela.pt\/en\/author\/administrador\/","biodata":""},"dsm_categories":[{"term_name":"Sem 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