{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T11:46:20Z","timestamp":1782301580405,"version":"3.54.5"},"reference-count":21,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,1,1]]},"abstract":"<jats:sec>\n<jats:title>OBJECTIVE<\/jats:title>\n<jats:p>This report describes a minimally invasive lumbar foraminotomy technique that can be applied in patients who underwent complex spine decompression procedures or in patients with severe foraminal stenosis.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>METHODS<\/jats:title>\n<jats:p>Awake, endoscopic decompression surgery was performed in 538 patients over a 5-year period between 2014 and 2019. Transforaminal endoscopic foraminal decompression surgery using a high-speed endoscopic drill was performed in 34 patients who had previously undergone fusions at the treated level.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>RESULTS<\/jats:title>\n<jats:p>At 2-year follow-up, the mean (\u00b1 SD) preoperative visual analog scale score for leg pain and the Oswestry Disability Index improved from 7.1 (\u00b1 1.5) and 40.1% (\u00b1 12.1%) to 2.1 (\u00b1 1.9) and 13.6% (\u00b1 11.1%).<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>CONCLUSIONS<\/jats:title>\n<jats:p>A minimally invasive, awake procedure is presented for the treatment of severe lumbar foraminal stenosis in patients with lumbar radiculopathy after lumbar fusion.<\/jats:p>\n<\/jats:sec>","DOI":"10.3171\/2021.3.spine21206","type":"journal-article","created":{"date-parts":[[2021,9,24]],"date-time":"2021-09-24T19:46:54Z","timestamp":1632512814000},"page":"16-22","source":"Crossref","is-referenced-by-count":6,"title":["Transforaminal 360\u00b0 lumbar endoscopic foraminotomy in postfusion patients: technical note and case series"],"prefix":"10.3171","volume":"36","author":[{"given":"Albert E.","family":"Telfeian","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Warren Alpert Medical School of Brown University, Rhode Island Hospital;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashwin","family":"Veeramani","sequence":"additional","affiliation":[{"name":"Division of Applied Mathematics, Brown University; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew S","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Warren Alpert Medical School of Brown University, Rhode Island Hospital, Providence, Rhode Island"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew S.","family":"Quinn","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Warren Alpert Medical School of Brown University, Rhode Island Hospital, Providence, Rhode Island"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alan H.","family":"Daniels","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Warren Alpert Medical School of Brown University, Rhode Island Hospital, Providence, Rhode Island"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"issue":"12","key":"b1","series-title":"Spine (Phila Pa 1976)","doi-asserted-by":"publisher","first-page":"1329","DOI":"10.1097\/00007632-199406000-00005","article-title":"Characteristics in Medicare beneficiaries associated with reoperation after lumbar spine surgery","volume":"19","author":"Ciol MA","year":"1994","unstructured":"Ciol MA, Deyo RA, Kreuter W, Bigos SJ. 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