ArticleJournal of neurosurgery. Case lessons2026
Full-endoscopic lateral laminectomy on both sides with central line preservation under local anesthesia with monitored anesthesia care for thoracic spinal stenosis in a very old patient unsuitable for general anesthesia: illustrative case.
Article in Journal of neurosurgery. Case lessons, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
14 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThoracic spinal stenosis (TSS) is an uncommon but potentially debilitating condition that typically requires surgical decompression under general anesthesia, often with concomitant instrumented fusion. However, this approach poses substantial risks for patients who are very old or medically frail. The feasibility of full-endoscopic thoracic decompression under local anesthesia has not been well described. OBSERVATIONS: A 91-year-old man who presented with myelopathy caused by TSS at T11-12 and severe cardiac comorbidities underwent full-endoscopic transforaminal lateral thoracic laminectomy with discectomy on both sides under local anesthesia with monitored anesthesia care (MAC). The procedures were performed in a staged manner, with separate operations on each side to improve safety and tolerability. The technique enabled circumferential decompression while preserving the posterior midline supporting structures. Neurological improvement was achieved without perioperative complications. Postoperative imaging confirmed adequate decompression, and early mobilization was possible. LESSONS: Full-endoscopic lateral laminectomy on both sides with central line preservation under local anesthesia with MAC is a feasible and minimally invasive option for very old patients and those who are not suitable candidates for general anesthesia. Preservation of posterior stabilizing structures may reduce the risk of postoperative instability or kyphotic deformity. https://thejns.org/doi/10.3171/CASE26429.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.