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Lumbar endoscopic

Ji-Hong Jiang, Chun-Zhi Li, Chang-Ming Zhao, Rong-Ming Xu
OBJECTIVE: To explore the clinical effect of percutaneous transforaminal endoscopic discectomy via lateral position assisted with local anesthesia for lumbar disc herniation in elder with systemic diseases. METHODS: The clinical data of 44 elder patients with lumbar disc herniation and systemic diseases treated from June 2013 to June 2017 were retrospectively analyzed. Including 26 males and 18 females, aged 70 to 86 years old with an average of(77.5±3.5) years, course of disease was 3 weeks to 6 months...
November 25, 2018: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
Hong-Li Deng, Wen-Jie Gao, Jin-Wen Zhu, Xiao-Dong Wang, Jin-Song Zhou
OBJECTIVE: To investigate the early clinical effects of transforaminal endoscopic spine system (TESSYS) for the treatment of bilateral lumbar disc herniation in single segment. METHODS: The clinical data of 38 patients with single-segment bilateral lumbar disc herniation treated by TESSYS technique from February 2016 to February 2018 were retrospectively analyzed. There were 26 males and 12 females, aged from 30 to 55 years old with an average of(35.2±6.4) years, 6 cases of L₃,₄, 22 cases of L₄,₅, and 10 cases of L₅S₁1...
November 25, 2018: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
Jian Shen, Qi Zheng, Yi-Fan Wang, Xiao-Zhang Ying
OBJECTIVE: To explore the clinical effects and advantages of percataneous endoscopic focal cleaning and drainage combined with posterior internal fixation in the treatment of tuberculosis of lumbar spine in elderly. METHODS: The clinical data of 32 patients with tuberculosis of lumbar spine received percataneous endoscopic focal cleaning and drainage combined with posterior internal fixation from May 2013 to May 2016 were retrospectively analyzed. There were 13 males and 19 females, aged from 62 to 85 years old with an average of 75 years...
November 25, 2018: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
Ratish Singh, Gao Zeng Xin, Mangal Prasad Hirachan, Lin Yu Cheng
No abstract text is available yet for this article.
December 2018: Asian Spine Journal
Xuepeng Wang, Shaobo Zhou, Zhenyu Bian, Maoqiang Li, Wu Jiang, Changju Hou, Liulong Zhu
BACKGROUND: The treatment of lumbar infectious spondylitis is controversial. In this study, we attempted to demonstrate that unilateral percutaneous endoscopic debridement with physiologic saline and negative pressure drainage postoperatively may achieve a satisfactory result in lumbar infectious spondylitis. METHODS: We retrospectively analyzed 17 patients with lumbar infectious spondylitis who underwent percutaneous endoscopic debridement and drainage (PEDD) through a posterolateral transforaminal approach...
December 3, 2018: Journal of Orthopaedic Surgery and Research
Yong Ahn, Uhn Lee, Woo-Kyung Kim, Han Joong Keum
Although several studies have reported the effectiveness of transforaminal full-endoscopic lumbar discectomy (TELD), no cohort study on the long-term outcomes of TELD has been conducted. Thus, this study aimed to evaluate the long-term clinical outcomes of TELD and to determine the factors predicting favorable outcome.Five-year longitudinal data of 204 consecutive patients who underwent TELD were collected. Outcomes were assessed using the visual analog scale (VAS) pain score, Oswestry disability index (ODI), patient satisfaction rating, and the modified Macnab criteria...
November 2018: Medicine (Baltimore)
Xijia Jiang, Xindie Zhou, Nanwei Xu
The aim of this study is to observe the therapeutic effect of percutaneous endoscopic discectomy and its influencing factors for lumbar disc herniation and compare the advantages and disadvantages of transforaminal and interlaminar of percutaneous endoscopy.Data from 143 patients with lumbar disc herniation were respectively collected, including demographic and clinical data. Study population were divided into curative effect group and poor curative effect group, and logistic regression was used to explore the influencing factors of curative effect...
November 2018: Medicine (Baltimore)
Cong Ning, Yuanyi Wang, Feng Xu, Wenjing Zhang, Wei Liu, Zhenshan Lv, Yadong Liu, Changfeng Fu
RATIONALE: The accurate and smooth establishment of a working cannula guarantees rapid and minimally invasive treatment effects using percutaneous endoscopic lumbar discectomy (PELD) for lumbar disc herniation (LDH). With anatomic variations such as a hyperplastic superior articular process (SAP), the conventional transforaminal approach cannot achieve an ideal result. PATIENT CONCERNS: A 48-year-old male patient suffered waist and left lower limb pain, with exacerbation of symptoms after exertion...
November 2018: Medicine (Baltimore)
Thami Benzakour, Vasilios Igoumenou, Andreas F Mavrogenis, Ahmed Benzakour
PURPOSE: To present the pathophysiology, biology, clinical presentation, diagnosis, and current treatment options for lumbar disc herniation. METHODS: A thorough literature search was undertaken in PubMed and Google Scholar to summarize the current knowledge and future perspectives on lumbar disc herniation. RESULTS: Several changes in the biology of the intervertebral disc are thought to contribute to disc herniation; nevertheless, the exact inciting event leading to disc herniation is yet to be discovered...
November 30, 2018: International Orthopaedics
Yong Zhang, Zhimin Pan, Yanghong Yu, Daying Zhang, Yoon Ha, Seong Yi, Dong Ah Shin, Jingyi Sun, Hisashi Koga, Kevin Phan, Parisa Azimi, Wei Huang, Kai Cao
Background: To develop a modified transforaminal endoscopic spine system (TESSYS® ) technique for treating intracanalicular combining foraminal and/or extraforaminal lumbar disc herniation (ICFE-LDH), and evaluate the technical efficacy and safety. Methods: Twenty-three patients with ICFE-LDH underwent the modified TESSYS technique were enrolled. Magnetic resonance imaging (MRI) was used to verify the reduction of herniated disc. Pre- and post-operative neurological functions were compared by visual analogue scale (VAS) score, Oswestry disability index (ODI) and the modified MacNab criteria...
October 2018: Quantitative Imaging in Medicine and Surgery
Ju-Eun Kim, Dae-Jung Choi
Foraminal decompression using a minimally invasive technique to preserve facet joint stability and function without fusion reportedly improves the radicular symptoms in approximately 80% of patients and is considered one of the good surgical treatment choices for lumbar foraminal or extraforaminal stenosis. However, proper decompression was not possible because of the inability to access the foramen at the L5-S1 level due to prominence of the iliac crest. To overcome this challenge, endoscopy-based minimally invasive spine surgery has recently gained attention...
December 2018: Clinics in Orthopedic Surgery
Ju-Eun Kim, Dae-Jung Choi, Eugene J Park
Background: Since open Wiltse approach allows limited visualization for foraminal stenosis leading to an incomplete decompression, we report the short-term clinical and radiological results of unilateral biportal endoscopic foraminal decompression using 0° or 30° endoscopy with better visualization. Methods: We examined 31 patients that underwent surgery for neurological symptoms due to lumbar foraminal stenosis which was refractory to 6 weeks of conservative treatment...
December 2018: Clinics in Orthopedic Surgery
(no author information available yet)
OBJECTIVEIntrinsic third ventricular craniopharyngiomas (IVCs) have been reported by some authors to "pose the greatest surgical challenge" of all craniopharyngiomas (CPAs). A variety of open microsurgical approaches have historically been used for resection of these tumors. Despite increased utilization of the endoscopic endonasal approach (EEA) for resection of CPAs in recent years, many authors continue to recommend against use of the EEA for resection of IVCs. In this paper, the authors present the largest series to date utilizing the EEA to remove IVCs...
November 1, 2018: Journal of Neurosurgery
(no author information available yet)
OBJECTIVEBased on a null hypothesis that the use of short-term lumbar drainage (LD) after endoscopic endonasal surgery (EES) for intradural pathology does not prevent postoperative CSF leaks, a trial was conducted to assess the effect of postoperative LD on postoperative CSF leak following standard reconstruction.METHODSA prospective, randomized controlled trial of lumbar drain placement after endoscopic endonasal skull base surgery was performed from February 2011 to March 2015. All patients had 3-month follow-up data...
October 1, 2018: Journal of Neurosurgery
(no author information available yet)
OBJECTIVEThe authors sought to investigate the efficiency of percutaneous endoscopic discectomy (PED) in adolescent patients with lumbar disc herniation (LDH), compare PED outcomes in adolescent patients with those in young adult LDH patients as controls, and discuss relevant technical notes.METHODSThis was a retrospective study involving 19 adolescent LDH patients (age > 13 and < 18 years, 20 discectomies) and 38 young adults (age < 40 years, 38 discectomies) who also had LDH and were matched to the adolescent group for sex and body mass index...
October 1, 2018: Journal of Neurosurgery. Pediatrics
(no author information available yet)
OBJECTIVETranssphenoidal surgery (TSS) is commonly used for anterior skull base surgery, especially in the sella turcica (sellar) region. However, because of its anatomical position, CSF leakage is a major complication of this approach. The authors introduced a new grading reconstruction strategy for anterior skull base surgery with continuous dural suturing in 2013. In this paper the authors report on their methods and results.METHODSAll patients with sellar or anterior skull base lesions that were removed with TSS or extended TSS by a single neurosurgeon between April 2013 and March 2017 at Nagoya University Hospital and several cooperating hospitals were retrospectively identified...
October 1, 2018: Journal of Neurosurgery
Chao Liu, Yue Zhou
OBJECTIVES: To compare the clinical outcomes of patients with massive lumbar disc disease undergoing percutaneous endoscopic lumbar discectomy and minimally invasive transforaminal lumbar interbody fusion at a single clinic. PATIENTS AND METHODS: From January 2008 to January 2014, 360 consecutive patients with massive lumbar disc herniation were treated with PELD(184 patients) or MIS-TLIF(176 patients). Data collected prospectively for analysis included clinical and radiographic results after revision surgery and complications...
October 29, 2018: Clinical Neurology and Neurosurgery
Kang Taek Lim, Han Ga Wi Nam, Soo Beom Kim, Hyung Suk Kim, Jin Soo Park, Chun-Kun Park
Study Design: This retrospective study involved 450 consecutive cases of degenerative lumbar stenosis treated with percutaneous stenoscopic lumbar decompression (PSLD). Purpose: We determined the feasibility of PSLD for lumbar stenosis at single and multiple levels (minimum 1-year follow-up) by image analysis to observe postoperative widening of the vertebral canal in the area. Overview of Literature: The decision not to perform an endoscopic decompression might be due to the surgeon being uncomfortable with conventional microscopic decompression or unfamiliar with endoscopic techniques or the unavailability of relevant surgical tools to completely decompress the spinal stenosis...
November 27, 2018: Asian Spine Journal
Leonello Tacconi, Paolo Bobicchio
BACKGROUND: With increased experience and the availability of new technical instrumentations, the surgical endoscopic indications for lumbar spinal pathologies have moved from simple prolapsed disk to canal stenosis. The available endoscopes come in two different sizes (10 mm and 6.3 mm in diameter); however, one is too bulky to use inside the spinal canal and the other is too small to achieve a fast bone decompression. METHODS: In order to overcome such problems, we developed and used a different surgical technique called: Double Endoscopic Technique...
November 21, 2018: Journal of Neurosurgical Sciences
Yu Chen, Jian-Xi Wang, Bin Sun, Zeng Xu, Peng Cao, Ye Tian, Xiao-Long Shen, Yang Liu, Hua-Jiang Chen, Xin-Wei Wang, Wen Yuan, Xiao-Dong Wu
No abstract text is available yet for this article.
November 19, 2018: World Neurosurgery
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