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Endoscopic spine surgery

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https://www.readbyqxmd.com/read/27906946/long-term-follow-up-results-of-percutaneous-endoscopic-lumbar-discectomy
#1
Sang Soo Eun, Sang-Ho Lee, Luigi Andrew Sabal
BACKGROUND: Open lumbar microdiscectomy (OLM) has been considered the gold standard in the management of lumbar disc herniation (LDH) for its favorable outcomes in long-term follow-up. Nowadays, percutaneous endoscopic lumbar discectomy (PELD) is gaining recognition. However, greatest limitation of studies of PELD is the lack of long-term follow-up outcomes. OBJECTIVE: To investigate the long-term outcomes of PELD in terms of clinical and radiographic findings and revision surgery rate...
November 2016: Pain Physician
https://www.readbyqxmd.com/read/27886875/the-role-of-a-miniopen-thoracoscopic-assisted-approach-in-the-management-of-burst-fractures-involving-the-thoracolumbar-junction
#2
REVIEW
Ricky Raj S Kalra, Meic H Schmidt
Thoracoscopic spinal surgery is a minimally invasive open endoscopic approach to the anterior thoracolumbar spine for decompression and stabilization. It offers an alternative to open thoracotomy for thoracolumbar burst fractures, anterior spinal cord decompression, and spinal reconstruction with interbody and anterolateral plate instrumentation for restoration of biomechanical stability and alignment. Posterior instrumentation may not sufficiently stabilize a significantly disrupted anterior load-bearing spinal column, and the high access morbidity of open procedures is of significant concern...
January 2017: Neurosurgery Clinics of North America
https://www.readbyqxmd.com/read/27867120/transforaminal-resection-of-cervical-dumbbell-schwannomas-in-patients-with-additional-tumors
#3
Ji Zhang, Xiang-Heng Zhang, Zi-Feng Wang, You-Ping Li, Zheng-Quan Zhu, Ji-Cheng Sun, Zheng-He Chen, Shao-Yong Wu, Ke Sai, Jian Wang, Yong-Gao Mou, Zhong-Ping Chen
BACKGROUND: It is rare for two primary tumors to occur simultaneously in a patient. Management of cervical dumbbell schwannomas (CDSs) with concurrent tumors (CTs) requires a specific neurosurgical strategy. The primary objective of this study is to investigate surgical strategies for CDSs with CTs while preserving as much of the mechanically relevant bone structures as possible. MATERIAL AND METHODS: Twelve patients with concurrent CTs and CDSs were identified from three medical centers...
November 17, 2016: World Neurosurgery
https://www.readbyqxmd.com/read/27843780/percutaneous-lumbar-decompression-with-spinejet-hydrosurgery-in-the-treatment-of-lumbar-spinal-stenosis-secondary-to-ligamentum-flavum-hypertrophy
#4
Julien Vaisman, Joe Ordia
INTRODUCTION: Lumbar spinal stenosis with symptomatic neurogenic claudication is a frequently encountered clinical entity which requires endoscopic or open spine surgery once the patients fail to respond to conservative therapies. In this case report we present a novel minimally invasive decompression technique using a fluid jet device (HydroCision Inc, Billerica, MA, USA) for a patient with symptomatic spinal stenosis secondary to ligamentum flavum hypertrophy. To our knowledge this approach has never been described in the medical literature...
August 2016: Anesthesiology and Pain Medicine
https://www.readbyqxmd.com/read/27790308/anatomic-considerations-of-intervertebral-disc-perspective-in-lumbar-posterolateral-approach-via-kambin-s-triangle-cadaveric-study
#5
Thamrong Lertudomphonwanit, Gun Keorochana, Chaiwat Kraiwattanapong, Pongsthorn Chanplakorn, Pittavat Leelapattana, Wiwat Wajanavisit
STUDY DESIGN: Anatomical study. PURPOSE: To evaluate the anatomy of intervertebral disc (IVD) area in the triangular working zone of the lumbar spine based on cadaveric measurements. OVERVIEW OF LITERATURE: The posterolateral percutaneous approach to the lumbar spine has been widely used as a minimally invasive spinal surgery. However, to our knowledge, the actual perspective of disc boundaries and areas through posterolateral endoscopic approach are not well defined...
October 2016: Asian Spine Journal
https://www.readbyqxmd.com/read/27787487/minimally-invasive-spine-surgery-in-spinal-infections-an-up-date
#6
Francisco Verdú López, Vicente Vanaclocha Vanaclocha, Juan D Mayorga-Villa
Although spinal infections have always been present recently their incidence has increased, in partly fostered by the advances in medicine (i.e. compromised 10 immunity, chronic diseases, increasingly complex spinal procedures...) and increased life expectancy. Using PubMed for this systematic review, the main spine infections types will be addressed focusing in the minimally invasive surgical techniques that can be used in their treatment. Spontaneous and iatrogenic pyogenic and non-pyogenic spine infections can be treated in many different ways depending on their extension and 15 location as well as on their causative microorganisms...
October 27, 2016: Journal of Neurosurgical Sciences
https://www.readbyqxmd.com/read/27648445/the-strategy-and-early-clinical-outcome-of-percutaneous-full-endoscopic-interlaminar-or-extraforaminal-approach-for-treatment-of-lumbar-disc-herniation
#7
Weijun Kong, Wenbo Liao, Jun Ao, Guangru Cao, Jianpu Qin, Yuqiang Cai
Objective is to analyze the surgical strategy, safety, and clinical results of percutaneous full-endoscopic discectomy through interlaminar or extraforaminal puncture technique for LDH. Preoperative CT and MRI were analyzed, which were based on the main location of the herniated disc and its relationship with compressed nerve root. Sixty-two patients satisfied the inclusion criteria during the period from August 2012 to March 2014. We use percutaneous full-endoscopic discectomy through different puncture technique to remove the protrusive NP for LDH...
2016: BioMed Research International
https://www.readbyqxmd.com/read/27583117/biportal-endoscopic-spinal-surgery-for-recurrent-lumbar-disc-herniations
#8
Dae-Jung Choi, Je-Tea Jung, Sang-Jin Lee, Young-Sang Kim, Han-Jin Jang, Bang Yoo
The major problems of revision surgery for recurrent lumbar disc herniation (LDH) include limited visualization due to adhesion of scar tissue, restricted handling of neural structures in insufficient visual field, and consequent higher risk of a dura tear and nerve root injury. Therefore, clear differentiation of neural structures from scar tissue and adhesiolysis performed while preserving stability of the remnant facet joint would lower the risk of complications and unnecessary fusion surgery. Biportal endoscopic spine surgery has several merits including sufficient magnification with panoramic view under very high illumination and free handling of instruments normally impossible in open spine surgery...
September 2016: Clinics in Orthopedic Surgery
https://www.readbyqxmd.com/read/27559446/transforaminal-percutaneous-endoscopic-discectomy-for-lumbar-disc-herniation-in-parkinson-s-disease-a-case-control-study
#9
Stylianos Kapetanakis, Eirini Giovannopoulou, George Charitoudis, Konstantinos Kazakos
STUDY DESIGN: A case-control study. PURPOSE: To investigate the effectiveness of transforaminal percutaneous endoscopic discectomy (TPED) in Parkinson's disease (PD). OVERVIEW OF LITERATURE: Patients with PD frequently suffer from radiculopathy and low back pain. Additionally, they demonstrate higher complication rates after open spine surgery. However, the clinical outcome of minimally invasive techniques for lumbar discectomy, such as TPED, have not been established for this population...
August 2016: Asian Spine Journal
https://www.readbyqxmd.com/read/27559440/learning-curve-associated-with-complications-in-biportal-endoscopic-spinal-surgery-challenges-and-strategies
#10
Dae-Jung Choi, Chang-Myong Choi, Je-Tea Jung, Sang-Jin Lee, Yong-Sang Kim
STUDY DESIGN: Descriptions of technical strategies to overcome pitfalls associated with early learning periods in biportal endoscopic spinal surgery (BESS). PURPOSE: To introduce BESS for lumbar spinal diseases (LSDs) and to inform certain challenges to be overcome in mastering the technique. OVERVIEW OF LITERATURE: BESS has shown superior benefits including excellent magnification, a wider range of view by dynamic handling of an endoscope and instruments...
August 2016: Asian Spine Journal
https://www.readbyqxmd.com/read/27550040/which-level-is-responsible-for-gluteal-pain-in-lumbar-disc-hernia
#11
Guofang Fang, Jianhe Zhou, Yutan Liu, Hongxun Sang, Xiangyang Xu, Zihai Ding
BACKGROUND: There are many different reasons why patients could be experiencing pain in the gluteal area. Previous studies have shown an association between radicular low back pain (LBP) and gluteal pain (GP). Studies locating the specific level responsible for gluteal pain in lumbar disc hernias have rarely been reported. METHODS: All patients with lumbar disc herniation (LDH) in the Kanghua hospital from 2010 to 2014 were recruited. All patients underwent a lumbar spine MRI to clarify their LDH diagnosis, and patients were allocated to a GP group and a non-GP group...
2016: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/27542563/transpedicular-lumbar-endoscopic-surgery-for-highly-migrated-disc-extrusions-preliminary-series-and-surgical-technique
#12
Guntram Krzok, Albert Edward Telfeian, Ralf Wagner, Menno Iprenburg
OBJECTIVE: Endoscopic surgery for highly migrated lumbar disc extrusions is a challenge even for spine surgeons who are very familiar with utilizing endoscopic techniques. Because of the anatomic constraints involved in transforaminal access in endoscopic surgery, an incomplete removal of a highly migrated disc extrusion can result in some cases. Here the authors describe a new technique for accessing extruded lumbar discs that have migrated into the canal directly through a transpedicular approach...
August 16, 2016: World Neurosurgery
https://www.readbyqxmd.com/read/27535633/history-of-the-neurosurgery-department-of-pontificia-universidad-cat%C3%A3-lica-santiago-chile
#13
Felipe Sfeir, Pablo Villanueva, Patricio Tagle
Pontificia Universidad Católica de Chile´s medical school was founded in 1929. Interest for neurosurgical development arose in the minds of the Dean, Dr. Cristobal Espíldora, and the Chief of Surgery, Dr. Rodolfo Rencoret in 1946. They encouraged and supported Dr. J. Ricardo Olivares to specialize in Neurosurgery with Professor H. Olivecrona in Stockholm, Sweden. The first neurosurgical procedure in the Hospital Clínico de la Universidad Católica was performed in 1950. Since then, intensive efforts have been made to develop Neurosurgery and its science...
August 12, 2016: World Neurosurgery
https://www.readbyqxmd.com/read/27530889/validation-of-an-inanimate-low-cost-model-for-training-minimal-invasive-surgery-mis-of-esophageal-atresia-with-tracheoesophageal-fistula-ae-tef-repair
#14
Maximiliano Alejo Maricic, María Marcela Bailez, Susana P Rodriguez
UNLABELLED: We present the results of the validation of an inanimate model created for training thoracoscopic treatment of esophageal atresia with lower tracheoesophageal fistula (EA/TEF). MATERIALS AND METHODS: We used different domestic materials such as a piece of wood (support), corrugated plastic tubes (PVC) of different sizes to simulate ribs, intercostal spaces, trachea and spine and tubular latex balloons to simulate the esophagus and lungs to make the basic model...
September 2016: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/27513777/a-new-method-of-directing-endoscope-pathway-in-single-nostril-transpheoidal-approach-for-safety-by-using-volume-rendering-with-thin-section-computed-tomographic-image
#15
Xiangliang Liu, Xiao Chen, Yiheng Wang, Wei Ji, Wenchao Zhao, Shuai Yang, Li Li, Zhen Wang, Xinyu Xu, Mingcheng Yuan, Wei Li, Youqiong Li
OBJECTIVE: This study aims to locate important structures surrounding the sella node and measure the distances and angles between signalized points by using both three-dimensional reconstruction technique and volume-rendering. These distances and angles can provide more accurate reference for surgeries in pituitary adenomas. METHODS: Ninty volunteers' skulls were scanned and thin-section computed tomographic images were displayed. The highest point of saddle node on double sides were marked as point A (right) and A1 (left), the highest point of posterior Clinton process on double side as B (right) and B1 (left)...
October 2016: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/27438385/the-top-50-articles-on-minimally-invasive-spine-surgery
#16
Sohrab S Virk, Elizabeth Yu
STUDY DESIGN: Bibliometric study of current literature OBJECTIVE.: To catalog the most important minimally invasive spine (MIS) surgery articles using the amount of citations as a marker of relevance. SUMMARY OF BACKGROUND DATA: MIS surgery is a relatively new tool used by spinal surgeons. There is a dynamic and evolving field of research related to MIS techniques, clinical outcomes and basic science research. To date, there is no comprehensive review of the most cited articles related to MIS surgery...
July 19, 2016: Spine
https://www.readbyqxmd.com/read/27362665/full-endoscopic-interlaminar-operations-in-lumbar-compressive-lesions-surgery-prospective-study-of-350-patients-endos-study
#17
Marko Markovic, Nenad Zivkovic, Milan Spaic, Andela Gavrilovic, Dragos Stojanovic, Vuk Aleksic, Sebastian Ruetten
BACKGROUND: Full-endoscopic operations of lumbar spine are truly minimally invasive surgical procedures. Endoscopic techniques have become the standard in many areas because of the advantages they offer intraoperatively and after surgery. With the interlaminar and transforaminal approach, two full-endoscopic procedures are available for lumbar compressive lesion operations. Our aim was to present and explain all aspects of the full-endoscopic operative technique, and presentation of results of lumbar discectomies and monosegmental decompression in full-endoscopic interlaminar technique performed during 3 year period in comparison with conventional microsurgical operations reported in literature...
June 30, 2016: Journal of Neurosurgical Sciences
https://www.readbyqxmd.com/read/27293281/results-of-arthrospine-assisted-percutaneous-technique-for-lumbar-discectomy
#18
Mohinder Kaushal
BACKGROUND: Avaialable minimal invasive arthro/endoscopic techniques are not compatible with 30 degree arthroscope which orthopedic surgeons uses in knee and shoulder arthroscopy. Minimally invasive "Arthrospine assisted percutaneous technique for lumbar discectomy" is an attempt to allow standard familiar microsurgical discectomy and decompression to be performed using 30° arthroscope used in knee and shoulder arthroscopy with conventional micro discectomy instruments. MATERIALS AND METHODS: 150 patients suffering from lumbar disc herniations were operated between January 2004 and December 2012 by indiginously designed Arthrospine system and were evaluated retrospectively...
May 2016: Indian Journal of Orthopaedics
https://www.readbyqxmd.com/read/27228518/facetoplasty-using-radiofrequency-thermocoagulation-for-facet-joint-hypertrophy
#19
Jinyoung Oh, Daehyun Jo, Koohyun Kim, Jungwoo Shim, Misun Roh
UNLABELLED: Lumbar spinal stenosis is one of most common pathologic conditions affecting the lumbar spine. Pain and/or disability in the low back and lower extremities with or without neurogenic claudication may occur as a result of compression of dural sac contents or nerve roots in the narrowed space. Bulging and protrusion, facet joint hypertrophy, and disc herniation combined with osteophytes and arthritic changes of facet joints can be the cause of lumbar spinal stenosis. Medical/interventional treatment may be considered as an initial treatment for patients with mild symptoms of lumbar spinal stenosis...
May 2016: Pain Physician
https://www.readbyqxmd.com/read/27169093/delayed-esophagus-perforation-after-anterior-cervical-spine-surgery
#20
Sei-Youn Yang, Sang-Bok Lee, Kyoung-Suok Cho
Esophageal perforation is a serious possible complication after anterior cervical discectomy and fusion (ACDF). It usually occurs during the first postoperative day. Esophageal perforation is a potentially life-threatening complication. A 63-year-old man who underwent ACDF 8 years prior visited our emergency room with recurrent aspiration pneumonia, fever, dysphagia and neck pain. Endoscopic study showed esophageal perforation by cervical plate. Successful treatment of the perforation resulted after surgical repair using a sternocleidomastoid muscle flap...
October 2015: Korean Journal of Neurotrauma
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