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Lumbar endoscopic

Vit Kotheeranurak, Guang-Xun Lin, Akaworn Mahatthanatrakul, Jin-Sung Kim
No abstract text is available yet for this article.
October 12, 2018: World Neurosurgery
Dongdong Wang, Wangcheng Xie, Wenxin Cao, Shisheng He, Guoxin Fan, Hailong Zhang
STUDY DESIGN: Cost-utility analysis(CUA). OBJECTIVE: Evaluate the cost-effectiveness of PETD and PEID techniques for the treatment of L5-S1 LDH. SUMMARY OF BACKGROUND DATA: The annual cost of treatment for lumbar disc herniation is staggering. As the two major approaches of percutaneous endoscopic lumbar discectomy (PELD): percutaneous endoscopic transforaminal discectomy (PETD) and percutaneous endoscopic interlaminar discectomy (PEID) has gain its recognition for the treatment of L5-S1 lumbar disc herniation (LDH) and showed similar clinical outcome...
October 11, 2018: Spine
Andrei Fernandes Joaquim, Ricardo Vieira Botelho, Marcelo Luis Mudo, Antonio Silvinato de Almeida, Wanderley Marques Bernardo
The Guidelines Project, an initiative of the Brazilian Medical Association, aims to combine information from the medical field in order to standardize producers to assist the reasoning and decision-making of doctors. The information provided through this project must be assessed and criticized by the physician responsible for the conduct that will be adopted, depending on the conditions and the clinical status of each patient.
May 2018: Revista da Associação Médica Brasileira
Benedikt W Burkhardt, Joachim M Oertel
BACKGROUND: Among spinal surgeons, the safety of endoscopic spinal techniques has been criticized as the result of a prolonged learning curve and divergent surgical technique from traditional microsurgery. In this manuscript, the authors assessed the learning curve of 4 experienced microsurgical neurosurgeons in endoscopic spinal surgery. METHODS: Retrospectively, the surgical reports, the endoscopic video recording, and the files of all patients who underwent an endoscopic procedure for the treatment of cervical and lumbar disc herniation from January 2011 to December 2017 were reviewed...
July 3, 2018: World Neurosurgery
Stylianos Kapetanakis, Grigorios Gkasdaris, Tryfon Thomaidis, Georgios Charitoudis, Konstantinos Kazakos
Background: Studies describing the efficacy of transforaminal percutaneous endoscopic discectomy (TPED) on shortness of recovery and improvement of postoperative quality of life are limited, especially regarding gender, something that has never been reported before in the literature. The purpose of this study is to evaluate, in accordance with the sex of the patients, possible differences in the health-related quality of life of those who underwent TPED for lumbar disc herniation (LDH)...
August 2018: International Journal of Spine Surgery
Anthony Yeung, Vit Kotheeranurak
The first author's series has reported and published his 5- to 10-year results in a preliminary review of endoscopic transforaminal decompression for degenerative and isthmic spondylolisthesis causing sciatica and back pain. This study was initiated due to favorable results in relieving both back and leg pain after a spine surgeon with isthmic spondylolisthesis who wanted to avoid fusion requested consideration for an endoscopic procedure for his own isthmic spondylolisthesis condition. After listening to the first author's podium presentation on selective endoscopic discectomy and foraminal decompression under local anesthesia in 1995, he requested consideration for transforaminal endoscopic decompression for recent onset of progressive sciatica from his isthmic spondylolisthesis...
June 2018: International Journal of Spine Surgery
Sreedharan Namboothiri, Sathishchandra Gore, Ganesh Veerasekhar
Background: The study design was a retrospective case series. The objective was to find the clinical success rate of percutaneous transforaminal endoscopic disc surgery in patients suffering from discogenic chronic low back pain who were showing high intensity zone (HIZ) with degenerated disc as the only abnormality in the magnetic resonance imaging (MRI). The HIZ in the posterior annulus in degenerated disc is recognized as a pain generator. There are only a few studies available in the literature addressing the effect of identification and treatment of HIZ in the chronic low back pain patient...
June 2018: International Journal of Spine Surgery
Kai-Uwe Lewandrowski
Background: The objective of this study was to analyze readmission rates after outpatient transforaminal endoscopic decompression surgery for lumbar foraminal and lateral recess stenosis done in an ambulatory surgery center. Endoscopic lumbar spinal surgery is gaining popularity for the treatment of lumbar disc herniations. Recent advances in surgical techniques allow for percutaneous endoscopically assisted bony decompression for neurogenic claudication symptoms due to spinal stenosis...
June 2018: International Journal of Spine Surgery
Kristen Radcliff, Harvey Smith, Bobby Kalantar, Robert Isaacs, Barrett Woods, Alexander R Vaccaro, James Brannon
Background: Perforations of the pedicle wall during cannulation can occur with experienced surgeons. Direct endoscopic visualization has not been used to inspect pedicles previously due to bone bleeding obscuring the camera visualization. The hypothesis of this study was that endoscopic visualization of pedicle wall integrity was technically feasible and would enable identification of clinically significant pedicle breaches. Methods: A live porcine model was used...
April 2018: International Journal of Spine Surgery
Kai-Uwe Lewandrowski
Background: Leg pain and back pain after lumbar laminectomy and spinal decompression fusion surgery are common and often related to persistent lumbar foraminal or lateral recess stenosis. Although persistent symptoms often stem from incomplete decompression during the primary index surgery, recurrent symptoms may also be the result of intervertebral cage subsidence due to loss of intervertebral and neuroforaminal height. Objective: The aim of this study was to investigate the feasibility of using the outpatient transforaminal decompression procedure as an alternative to inpatient open procedure in revision decompression surgery, with the intent of minimizing the incidence of perioperative and postoperative surgical complications while reducing both direct and indirect costs of surgical treatment, shortening time to patient postoperative narcotic independence, and shortening time of patient return to daily activities...
April 2018: International Journal of Spine Surgery
Yuqing Yan, Yu Wang, Jin Yang, Hao Wu, Lifeng Zhang, Zhiyu Peng, Chuan Guo, Qingquan Kong
BACKGROUND: Highly up-migrated herniation was difficult to be removed for percutaneous endoscopic lumbar discectomy (PELD) through the conventional transforaminal approach. Although many surgeons constantly explore new techniques and approaches, we still lack a more effective, convenient and economical technique to deal with this difficulty. This study was to describe a novel approach, "the transforaminal isthmus plasty approach", for PELD to treat the highly up-migrated disc herniation...
September 27, 2018: World Neurosurgery
David F Jimenez, Michael J McGinity, Constance M Barone
OBJECTIVE: The objective of this study was to present the authors' 19-year experience treating metopic craniosynostosis by using an endoscopy-assisted technique and postoperative cranial orthotic therapy. The authors also aimed to provide a comprehensive, comparative statistical analysis of minimally invasive surgery (MIS) versus open surgery in reports previously published in the literature (through 2014) regarding only patients with metopic synostosis. METHODS: A total of 141 patients with single-suture metopic nonsyndromic craniosynostosis sutures were treated between 1998 and 2017 by endoscopically resecting the synostosed bone followed by postoperative custom cranial orthosis use...
September 28, 2018: Journal of Neurosurgery. Pediatrics
Myung Soo Youn, Jong Ki Shin, Tae Sik Goh, Seung Min Son, Jung Sub Lee
OBJECTIVE: Various minimally invasive techniques have been described for the decompression of lumbar spinal stenosis (LSS). However, few reports have described the results of endoscopic posterior decompression (EPD) with laminectomy performed under local anesthesia. This study aimed to evaluate the clinical and radiological outcomes of EPD performed under local anesthesia in patients with LSS and to compare the procedural outcomes in patients with and without preoperative spondylolisthesis...
September 28, 2018: Journal of Neurosurgery. Spine
Peter Spazzapan, Tomaz Velnar
BACKGROUND: Myelomeningocele (MMC) is a congenital malformation that results from a failure in the process of neurulation. A multidisciplinary follow up is required to manage and treat all associated sequelae. The aim of the study is to present the epidemiological data and the results of the multidisciplinary follow-up of children born in Slovenia with myelomeningocele (MMC) between 2007 and 2017. METHODS: We present a retrospective analysis of all children born in Slovenia with between 2007 and 2017...
September 25, 2018: Journal of Neurosurgical Sciences
Min Chen, Huishu Yuan
We report the case of a 54-year-old man with 6 months of progressive sacral pain. Computed tomography showed a large osteolytic mass in the sacrum with multiple osteolytic foci in the ilium and lumbar spine. Magnetic resonance imaging revealed multiple fluid-fluid levels in the sacral lesion as well as in the lumbar foci. The multiple bone lesions were initially diagnosed as a primary sacral malignancy with multiple bone metastases. A biopsy of the sacral lesion under the guidance of computed tomography was performed and a metastatic adenocarcinoma from the stomach or lung was found pathologically...
September 20, 2018: Skeletal Radiology
Abhijit Pawar, Chirag Manwani, Raghavendra Thete, Mihir Bapat, Vishal Peshettiwar, Satishchandra Gore
STUDY DESIGN: Retrospective study. PURPOSE: In this study, we describe an endoscopic method of effectively treating tubercular lumbar spondylodiskitis with early onset epidural spinal cord compression in the lumbar spine on magnetic resonance imaging (MRI). OVERVIEW OF LITERATURE: Percutaneous aspiration and biopsy of spondylodiskitis under ultrasonography and computer tomography scan invariably provides an inadequate diagnosis. METHODS: From May 2015 to May 2017, 18 patients presented with intractable back pain and were diagnosed with tubercular spondylodiskitis on MRI; these patients were enrolled in this study...
October 2018: Asian Spine Journal
Wei Shu, Haipeng Wang, Hongwei Zhu, Yongjie Li, Jiaxing Zhang, Guang Lu, Bing Ni
CONTEXT: Pseudomeningocele is a relatively uncommon postoperative complication of spine surgery. Although the condition tends to be asymptomatic and self-limiting, it may cause radicular pain and neurological defect due to herniation of the nerve root or the spinal cord. Its pathophysiology remains unclear. Only few cases with intraoperative photos have been reported. FINDING: We present a case of pseudomeningocele with nerve root entrapment after percutaneous endoscopic lumbar discectomy (PELD)...
September 13, 2018: Journal of Spinal Cord Medicine
Philippe Lavigne, Eric W Wang, Juan C Fernandez-Miranda
The optimal treatment for skull base chordomas is gross total resection followed by radiotherapy and not radiation of partially resected tumors. Supratotal resection, defined as removal beyond all involved bone and dura, is ideal but difficult to achieve. In this video, we present the case of a 37-yr-old man with new onset of progressive cranial nerve sixth palsy and a skull base lesion compatible with clival chordoma. He underwent partial surgical resection at an outside institution via transcranial approach, with significant tumor residual at the clivus, dorsum sella, posterior clinoids, and petrous apex, extensive dural invasion, and intradural extension with attachment to the basilar artery and its long perforating branches...
September 4, 2018: Operative Neurosurgery (Hagerstown, Md.)
Guan-Nan Wu, Shi-Min Zhang, Yu-Zhang Liu, Ming Ma, Jiao Jin, Zuo-Xu Li, Zhao-Jie Zhang
OBJECTIVE: To evaluate the operative characteristic, safety, clinical effect of percutaneous endoscopic interlaminar discectomy (PEID) in treating displacement-type lumbar intervertebral disc protrusion on L₂-L₅. METHODS: Form November 2015 to October 2016, 15 patients with displacement-type lumbar intervertebral disc protrusion were treated with percutaneous endoscopic interlaminar discectomy. There were 9 males and 6 females, aged from 19 to 63 years old with an average of 42 years...
August 25, 2018: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
Manyoung Kim, Sol Lee, Hyeun-Sung Kim, Sangyoon Park, Sang-Yeup Shim, Dong-Ju Lim
Background: Among the surgical methods for lumbar disc herniation, open lumbar microdiscectomy is considered the gold standard. Recently, percutaneous endoscopic lumbar discectomy is also commonly performed for lumbar disc herniation for its various strong points. Objectives: The present study aims to examine whether percutaneous endoscopic lumbar discectomy and open lumbar microdiscectomy show better results as surgical treatments for lumbar disc herniation in the Korean population...
2018: BioMed Research International
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