Endoscopic ULBD for Lumbar Stenosis — Case Story (Hyderabad)
A de-identified patient success story
Case Narrative (De-identified)
Chief Concern
Early-60s retired teacher with 1 year of neurogenic claudication—leg heaviness and pain after walking 100–150 meters, relieved by sitting or bending forward.
Assessment
Normal motor strength; reduced walking tolerance; no red flags.
Imaging & Tests
MRI showed multilevel degenerative changes with severe central stenosis at L4–L5; no instability on dynamic X-rays.
Shared Decision-Making
Tried physiotherapy, analgesics, epidural injection with temporary relief. Discussed decompression options; chose endoscopic ULBD to preserve stability and minimize tissue disruption.
Procedure
Unilateral endoscopic laminotomy with bilateral decompression (ULBD) at L4–L5. Central and lateral recess decompressed through a small working portal under general anesthesia.
Hospital Course
1-night stay for pain control and mobilization.
Recovery Timeline
- ✓Week 1: Walks 500–700 meters with minimal symptoms
- ✓Week 3: Daily 1–2 km walk with brief rests
- ✓Week 6: Market and temple visits without significant limitation
Outcome
Walking distance significantly improved; numbness episodes reduced. No new weakness.
Patient Reflections
"Standing and walking to the market again felt like getting my independence back."
Key Takeaways
ULBD decompresses both sides from one side, preserving stability; rehab and posture matter for long-term comfort.
Frequently Asked Questions
Is a fusion needed with decompression?
Not usually for isolated stenosis without instability.
How soon can I resume long walks?
Often within weeks; build up gradually per your plan.
Will symptoms come back?
Degeneration progresses with age; good posture and core strengthening help maintain results.
Schedule Your Spine Consultation
Discuss your spine condition with Dr. Sayuj Krishnan
Medically reviewed by Dr. Sayuj KrishnanConsultant Neurosurgeon, Yashoda Hospital MalakpetLast reviewed 15 January 2025
This information is for educational purposes only and should not replace professional medical advice. Please consult with Dr. Sayuj for personalized medical guidance.