Clinical outcomes of three Level Interlaminar Endoscopic Decompression Surgery in the Treatment of Multilevel lumber Spinal Stenosis


  • Muhammad Farooq Farooq Neurospine Institute & Afridi Medical Complex,
  • Mahboob Khan Prime Teaching Hospital,
  • Ali Shahjehan Ali Institute of Neurosciences,
  • Muhammad Idrees Farooq Neurospine Institute & Afridi Medical Complex,
  • Muhammad Zubair Ali Institute of Neurosciences,
  • Ikram Alam Afridi Medical Complex,Peshawar
  • Abdul Haseeb Sahibzada Rehman College of Rehabilitation Sciences,Peshawar
  • Haider Ali Physiotherapy Clinic, Afridi Medical Complex, Peshawar



This is the first case report to test the efficacy of three-level endoscopic spine surgery for the treatment of lumber spinal stenosis. The patient was a 50-year-old entrepreneur with pain on standing and walking and all activities that compress the canal such as lumber extension. Three-level endoscopic surgery was performed at L3-L4, L4-L5, and L5-S1. Certain clinical and surgical outcomes were selected such as the Visual Analogue Scale for pain, Oswestry Disability Index score for level of disability and functional limitation, pain on certain aggravating activities involving extension like walking and moving downstairs, spinal and core stability using prone segmental instability test and patient satisfaction values taken at baseline and after the endoscopic surgery at two levels i.e. immediately after surgery and after one month follow up. Multiple-level interlaminar endoscopic surgery was successful in terms of reducing pain, improving score on the Oswestry disability index, improving daily life activities, increasing spinal and core stability, and increasing patient satisfaction



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