Endoscopic Technique: Sciatic Neurolysis and Piriformis Tendon Release for Treating Piriformis Syndrome
Authors
Quesada-Jimenez R, Kahana-Rojkind AH, Kingham YE, Kuhns BD, McCarroll TR, Domb BG
Objective
To present a detailed surgical technique for endoscopic sciatic neurolysis and piriformis tendon release in patients with piriformis syndrome.
Methodology
This technical note outlines a posterior endoscopic approach with the patient in a prone position. The sciatic nerve is traced from distal to proximal to ensure safe and complete neurolysis, followed by piriformis tendon release.
Key Findings
- The posterior approach enhances visualization and orientation for effective nerve tracking.
- This technique allows for the complete release of adhesions and piriformis tendon with improved surgical safety.
Conclusion
Endoscopic sciatic neurolysis and piriformis tendon release offer a targeted, minimally invasive surgical option for patients with piriformis syndrome, especially when conservative treatments have not provided relief.
What Does This Mean For Patients
For those dealing with piriformis syndrome, this minimally invasive approach may provide a safer and more effective option for symptom relief when other treatments fail.