Endoscopia para abordar una Estenosis de canal L4L5S1

Clinical case

L4L5S1 canal stenosis

The patient suffers from pain in the lower extremities and has pulmonary complications that increase the possibility of complicated cervical surgery.


Curious case with canal stenosis with compression that appears at three levels. Partially occluded foramina at L3L4, L4L5.

At L5 we found a quite severe degenerative disc disease, which entails complete closure of the foramen.

We found hypertrophy of the yellow ligament when analyzing the MRI.


Through a 2-3 mm approach on the skin, spinal endoscopy will be performed to resolve canal stenosis and nerve compression problem.

Patient with several previous pathologies, including some pulmonary ones, which eliminates the option of invasive or open source surgery.

cirugia de columna minimamente invasiva
estenosis de canal nivel l4l5l1


It will be resolved in the L3L4, L4L5 and L5S1 spaces that are compressing the cauda equina and the roots that come out of the foramina to end the discomfort and pain that the patient suffers in the lower limbs.


Important announcement

The ICAC, now at Teknon in Barcelona

This month of June, We have begun our collaboration with the prestigious Barcelona clinic TMEH to offer spine services at the famous Teknon Medical Center, one of the leading healthcare hospitals in Europe. Thanks to this alliance, we provide a comprehensive and specialized approach with the best solutions for those suffering from back problems.

The ICAC human team, known for being at the vanguard of innovation in traumatology, now brings his talent and advanced ultra-minimally invasive surgery techniques to Barcelona.

This collaboration with TMEH at Teknon Medical Center not only allows us to treat more patients more effectively, but also reinforces our commitment to innovation and excellence in healthcare.

We are excited to be able to offer these services in one of the most important cities in Europe and continue leading the field of traumatology and, in this specific case, in the treatment of the spine.