Full Endoscopic Lateral Decompression for Facet Joint Syndrome

Clinical Background

Facet Joint Syndrome (FJS) is a common cause of chronic axial and radicular back pain, often resulting from:

• Facet joint hypertrophy
• Capsular laxity or inflammation
• Foraminal stenosis compressing the exiting nerve root

Conservative treatment includes physical therapy, medications, and image-guided injections (e.g., medial branch blocks). For persistent, function-limiting symptoms, surgical intervention becomes necessary.

Surgical Solution: Full Endoscopic Lateral Decompression (FELD)

Indications

• Isolated FJS with foraminal or lateral recess stenosis
• Failed response to conservative therapy
• Positive diagnostic blocks (facet joint or medial branch)
• Preserved spinal stability (no gross spondylolisthesis)

Technique Highlights

• Approach: Transforaminal full-endoscopic
• Anesthesia: Can be done under local or general anesthesia depending on patient and surgeon preference
• Access: Targeted lateral corridor with preservation of midline structures
• Decompression: Partial removal of hypertrophic superior articular process (SAP), ligamentum flavum, and adjacent osteophytes
• Goal: Free the exiting nerve root and decompress the foramen without destabilizing the segment

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Advantages

• Minimally invasive: muscle-sparing, small incision
• Localized decompression = less structural disruption
• Short hospital stay or same-day discharge
• Reduced postoperative pain
• Rapid recovery with early return to activity
• Preserved motion segment (no fusion required in stable cases)

Clinical Outcomes

• Pain relief: Significant reduction in VAS scores for axial and radicular pain
• Function: Improved mobility and quality of life (ODI scores)
• Complication rate: Low with proper patient selection
• Reoperation: Rare when instability is not present preoperatively

Why Choose DRHC Dubai?

Dr. Rami Hamed Center is a leading center for advanced spine surgery in the UAE. With cutting-edge technology, an expert surgical team, and a patient-centered approach, we ensure the best possible outcomes with the least disruption to your life.

Book a Consultation

If you are experiencing persistent back or leg pain that may be related to facet joint syndrome, book your consultation with Dr. Rami Hamed today. Our team will guide you through a personalized diagnostic and treatment plan—so you can return to a pain-free life.

Dr. Rami Hamed
Consultant Spine & Orthopedic Surgeon
Founder, DRHC – Dubai Healthcare City
📞 ‪+971 4 279 8800‬
🌐 www.drhc.ae
📍 Dubai Healthcare City, Building 52