Table 6. Additional postoperative treatments versus MacNab outcomes in inside-out vs. outside-in foraminoplasty patients.
| Technique | Modified MacNab outcomes | Total | |||
|---|---|---|---|---|---|
| Excellent | Good | Fair | Poor | ||
| Inside-out | |||||
| Treatment | |||||
| N/A | 24 | 21 | 7 | 3 | 55 |
| TESI | 5 | 15 | 4 | – | 24 |
| SED adjacent level | – | 1 | – | – | 1 |
| Same level TLIF | 1 | – | – | – | 1 |
| Repeat SED for recurrent HNP | 1 | 2 | – | – | 3 |
| Hemilaminectomy | 1 | – | – | – | 1 |
| Same & adjacent level TLIF | – | 1 | – | – | 1 |
| Subtotal | 32 | 40 | 11 | 3 | 86 |
| Outside-in | |||||
| Treatment | |||||
| N/A | 48 | 2 | 1 | 51 | |
| TESI | 7 | – | – | 7 | |
| SED opposite side | 2 | 3 | 3 | 8 | |
| SED adjacent level | 2 | 3 | 1 | 6 | |
| Same level TLIF | 1 | 5 | – | 6 | |
| Multilevel rhizotomy | – | 4 | – | 4 | |
| Same level ALIF | – | 1 | 1 | 2 | |
| Same level rhizotomy | – | 2 | – | 2 | |
| Multilevel laminectomy | 1 | – | – | 1 | |
| Same level laminectomy | – | 1 | – | 1 | |
| SED same side & level | – | 1 | – | 1 | |
| SI ablation | – | 1 | – | 1 | |
| Subtotal | 61 | 23 | 6 | 90 | |
| Total | |||||
| Treatment | |||||
| N/A | 72 | 23 | 8 | 3 | 106 |
| TESI | 12 | 15 | 4 | – | 31 |
| SED opposite side | 2 | 3 | 3 | – | 8 |
| SED adjacent level | 2 | 4 | 1 | – | 7 |
| Same level TLIF | 2 | 5 | – | – | 7 |
| Multilevel rhizotomy | – | 4 | – | – | 4 |
| Repeat SED for recurrent HNP | 1 | 2 | – | – | 3 |
| Same level ALIF | – | 1 | 1 | – | 2 |
| Same level rhizotomy | – | 2 | – | – | 2 |
| Hemilaminectomy | 1 | – | – | – | 1 |
| Multilevel laminectomy | 1 | – | – | – | 1 |
| Same & adjacent level TLIF | – | 1 | – | – | 1 |
| Same level laminectomy | – | 1 | – | – | 1 |
| SED same side & level | – | 1 | – | – | 1 |
| SI ablation | – | 1 | – | – | 1 |
| Total | 93 | 63 | 17 | 3 | 176 |
TESI, transforaminal epidural steroid injection; SED, selective endoscopic discectomy; TLIF, transforaminal lumbar interbody fusion; HNP, herniated nucleus pulposus.