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Endoscopic spine surgery

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https://www.readbyqxmd.com/read/29702310/endoscopic-anterior-approach-for-cervical-disc-disease-disc-preserving-surgery
#1
Vijay Singh Parihar, Nishtha Yadav, Shailendra Ratre, MCh Amitesh Dubey, Yad Ram Yadav
BACKGROUND: Anterior endoscopic techniques in cervical disc were found to be effective and safe. We report our experience of 210 patients of endoscopic disc removal by anterior approach which is largest series for management of cervical myelopathy. METHODS: Visual analogue scale (VAS) and Nurick grading system was used to assess severity of neck and arm pain and functional outcomes respectively. Myelopathy (with or without unilateral or bilateral radiculopathy), or the unilateral radiculopathy having either soft or hard disc prolapsed were included...
April 24, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29649852/outcome-predictors-of-the-transforaminal-endoscopic-spine-system-technique-for-single-level-lumbar-disk-herniation
#2
Jinchun Wu, Bin Yu, Bin He, Gang Liu, Jidong Ju, Jianguang Zhu
BACKGROUND:  Endoscopic spine surgery has become increasingly popular. However, no study has researched the predictive factors for different outcomes. This study is the first to evaluate the outcome predictors of the transforaminal endoscopic spine system (TESSYS) technique for lumbar disk herniation (LDH). METHODS:  We performed a prospective study of 80 patients meeting the inclusion criteria who underwent TESSYS for LDH. Clinical outcomes were assessed by the visual analog scale (VAS), the Oswestry Disability Index (ODI), and the modified MacNab criteria...
April 12, 2018: Journal of Neurological Surgery. Part A, Central European Neurosurgery
https://www.readbyqxmd.com/read/29626680/intra-operative-ct-navigational-assistance-for-transforaminal-endoscopic-decompression-of-heterotopic-foraminal-bone-formation-after-oblique-lumbar-interbody-fusion-technical-note
#3
Adetokunbo Oyelese, Albert E Telfeian, Ziya L Gokaslan, Thomas A Kosztowski, David Choi, Jared Fridley, Michael Galgano
Transforaminal endoscopic spine surgery is an emerging technique in spine surgery but offers two distinct challenges to spine surgeons looking to adopt it: 1) targeting spine pathology, and 2) understanding the endoscopic anatomy visualized through the endoscope. Intraoperative CT guided navigation is also an emerging technique in spine surgery that is becoming widely adopted for its benefits in assisting surgeons in localizing pathology and guided spine instrumentation placement. In this technical note, we describe a technique that utilizes intraoperative CT guided navigation concomitantly with a transforaminal endoscopic approach to decompress a Lumbar 4-5 foraminal heterotopic bone formation after an oblique lumbar interbody fusion...
April 4, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29577428/decompression-of-the-anterior-thoracic-spinal-canal-using-a-novel-full-endoscopic-uniportal-transthoracic-retropleural-technique-an-anatomical-feasibility-study-in-human-cadavers
#4
Sebastian Ruetten, Patrick Hahn, Semih Oezdemir, Xenophon Baraliakos, Georgios Godolias, Martin Komp
Surgery for thoracic disc herniation and spinal stenosis is comparatively rare and often demanding. The goal is to achieve sufficient decompression without manipulating the spinal cord. Individual planning and various surgical techniques and approaches are required. This anatomical study examines the feasibility of a novel full-endoscopic uniportal technique with a transthoracic retropleural approach for decompression of the anterior thoracic spinal canal. Operations were performed on three fresh adult cadavers...
March 25, 2018: Clinical Anatomy
https://www.readbyqxmd.com/read/29524712/percutaneous-endoscopic-spine-minimal-invasive-technique-for-the-decompression-therapy-of-thoracic-myelopathy-caused-by-ossification-of-the-ligamentum-flavum
#5
Xinxin Miao, Dingwen He, Tianlong Wu, Xigao Cheng
BACKGROUND: Percutaneous endoscopic technique via interlaminar approach is one of the prevalent minimal invasive procedures in the treatment of lumbar disc herniation even lumbar spinal stenosis. The aim of this report is to perform complete decompressions for the cases with thoracic ossification of the ligamentum flavum using percutaneous endoscopic technique. CASE DESCRIPTION: We experienced surgical decompressions of two patients with thoracic myelopathy caused by OLF using percutaneous endoscopic surgery via interlaminar approach...
March 7, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29503675/endoscopic-spine-surgery-current-state-of-art-and-the-future-perspective
#6
EDITORIAL
Andrew Seok Min Moon, Sakthivel Rajan Rajaram Manoharan
No abstract text is available yet for this article.
February 2018: Asian Spine Journal
https://www.readbyqxmd.com/read/29396275/transpedicular-approach-on-a-novel-spine-simulator-a-validation-study
#7
David Fürst, Marianne Hollensteiner, Stefan Gabauer, Benjamin Esterer, Klemens Trieb, Felix Eckstein, Andreas Schrempf
OBJECTIVE: The popularity of simulation in the medical field has increased dramatically over the last decades. However, the majority of studies focused on laparoscopic or other endoscopic procedures. In this study, participants performed an image-guided surgery task on a novel spine simulator. Face, content, construct, and concurrent validity were examined. DESIGN: A surgical access through both pedicles (transpedicular) into the vertebral body of artificial L3 vertebrae was performed...
January 29, 2018: Journal of Surgical Education
https://www.readbyqxmd.com/read/29390530/nonsurgical-management-of-an-extensive-spontaneous-spinal-epidural-hematoma-causing-quadriplegia-and-respiratory-distress-in-a-choledocholithiasis-patient-a-case-report
#8
Kyle Raasck, Jason Khoury, Ahmed Aoude, Fahad Abduljabbar, Peter Jarzem
RATIONALE: Spontaneous spinal epidural hematoma (SSEH) manifests from blood accumulating in the epidural space, compressing the spinal cord, and leading to acute neurological deficits. The disease's cloudy etiology and rarity contribute to dangerously suboptimal therapeutic principles. These neural deficits can be permanent, even fatal, if the SSEH is not treated in a timely and appropriate manner. Standard therapy is decompressive laminectomy, though nonsurgical management is a viable course of action for patients who meet a criterion that is continuously being refined...
December 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29386033/clinical-comparison-of-unilateral-biportal-endoscopic-technique-versus-open-microdiscectomy-for-single-level-lumbar-discectomy-a-multicenter-retrospective-analysis
#9
Seung-Kook Kim, Sang-Soo Kang, Young-Ho Hong, Seung-Woo Park, Su-Chan Lee
BACKGROUND: The unilateral biportal endoscopic (UBE) technique is a minimally invasive procedure for spinal surgery, while open microscopic discectomy is the most common surgical treatment for ruptured or herniated discs of the lumbar spine. A new endoscopic technique that uses a UBE approach has been applied to conventional arthroscopic systems for the treatment of spinal disease. In this study, we aimed to compare and evaluate the perioperative parameters and clinical outcomes, including recovery from surgery, pain and life quality modification, patient's satisfaction, and complications, between UBE and open lumbar microdiscectomy (OLM) for single-level discectomy procedures...
January 31, 2018: Journal of Orthopaedic Surgery and Research
https://www.readbyqxmd.com/read/29355803/full-endoscopic-interlaminar-approach-for-nerve-root-decompression-of-sacral-metastatic-tumor
#10
Sheng-Hua Tsai, Hsuan-Han Wu, Chun-Yuan Cheng, Chien-Min Chen
BACKGROUND: Endoscopic surgery has been successfully applied in treatment of degenerative spinal disease, but few studies have assessed its use in treating sacral metastasis. We report a successful full endoscopic interlaminar approach for sacral nerve root decompression of a sacral metastatic tumor. CASE DESCRIPTION: An 80-year-old man with a history of hepatocellular carcinoma presented with buttock pain with radiation to the right lower leg for 1 week. There was also decreased muscle power of the right lower extremity...
April 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29285406/virtual-autopsy-to-assess-sacral-anatomy-conditions-for-a-minimal-invasive-approach-to-the-spinal-canal-through-the-hiatus-sacralis
#11
Andrea Bodmer, Steffen Ross, Andreas Raabe, Jürgen Beck, Christian T Ulrich, Philippe Schucht
Background: Despite multiple advantages of minimally invasive techniques in spinal surgery, the currently used approaches may lead to postoperative pain and spinal instability. As a natural orifice, the hiatus sacralis offers a nontransmuscular alternative entry point for endoscopic approaches. In this study, we collected data about the complex anatomical conditions of the sacral canal as a basis for the development of a sacral endoscope. Methods: We retrospectively evaluated 192 postmortem human cadaveric specimens with computed tomography (CT)...
2017: Surgical Neurology International
https://www.readbyqxmd.com/read/29248305/state-of-the-art-transforaminal-percutaneous-endoscopic-lumbar-surgery-under-local-anesthesia-discectomy-foraminoplasty-and-ventral-facetectomy
#12
REVIEW
Koichi Sairyo, Takashi Chikawa, Akihiro Nagamachi
Transforaminal (TF) percutaneous endoscopic surgery for the lumbar spine under the local anesthesia was initiated in 2003 in Japan. Since it requires only an 8-mm skin incision and damage of the paravertebral muscles would be minimum, it would be the least invasive spinal surgery at present. At the beginning, the technique was used for discectomy; thus, the procedure was called PELD (percutaneous endoscopic lumbar discectomy). TF approach can be done under the local anesthesia, there are great benefits. During the surgery patients would be in awake and aware condition; thus, severe nerve root damage can be avoided...
March 2018: Journal of Orthopaedic Science: Official Journal of the Japanese Orthopaedic Association
https://www.readbyqxmd.com/read/29229340/an-unusual-case-of-ureteral-perforation-in-minimally-invasive-pedicle-screw-instrumentation-case-report-and-review-of-the-literature
#13
Edward Fomekong, Julien Pierrard, Etienne Danse, Bertrand Tombal, Christian Raftopoulos
BACKGROUND: Injury of the ureter is a potentially devastating complication most often reported in gynecologic, colorectal, or vascular pelvic surgery or endoscopic procedures for ureteric diseases. We report a rare case of ureteral rupture occurring as a complication of percutaneous pedicle screw placement. CASE DESCRIPTION: A 60-year-old man reported unbearable abdominal pain on the day after right L4-L5 transforaminal intervertebral fusion and percutaneous pedicle screw placement...
March 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29226132/effective-range-of-percutaneous-posterior-full-endoscopic-paramedian-cervical-disc-herniation-discectomy-and-indications-for-patient-selection
#14
Hongquan Wen, Xin Wang, Wenbo Liao, Weijun Kong, Jianpu Qin, Xing Chen, Hai Lv, Thor Friis
The objective was to investigate the effective and safe range of paramedian CDH by percutaneous posterior full-endoscopy cervical intervertebral disc nucleus pulposus resection (PPFECD) to provide a reference for indications and patient selection. Sixteen patients with CDH satisfied the inclusion criteria. Before surgery the patients underwent cervical spine MRI, and the distance between the dural sac and herniated disc was measured. An assessment was performed by MRI immediately after surgery, measuring the distance between dural sac and medial border of discectomy (DSMD)...
2017: BioMed Research International
https://www.readbyqxmd.com/read/29224267/-clinical-outcomes-of-cervical-disc-herniation-treated-by-posterior-percutaneous-endoscopic-cervical-discectomy
#15
B L Chen, Y J Li, Y P Lin, Y X Du, S Zhao, G Y Su
Objective: To evaluate the clinical outcomes of posterior percutaneous endoscopic cervical discectomy (PPECD) for cervical disc herniation. Methods: A total of 23 patients who underwent PPECD for cervical disc herniation at Department of Spine Surgery, Guangdong Provincial Hospital of Chinese Medicine from August 2014 to April 2016 were reviewed. The mean age of the 17 males and 6 females was 49.5 years (range from 31 to 61 years). All patients had unilateral upper limb radiating symptoms, 13 patients with right upper limb radiating pain and 10 patients with left upper limb radiation pain, 17 patients with neck pain symptoms...
December 1, 2017: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
https://www.readbyqxmd.com/read/29206327/pharyngeal-perforation-after-anterior-cervical-spine-surgery-treated-by-transoral-endoscopic-surgery
#16
Julio Rama-López, Meritxell Tomás-Fernandez, César García-Garza, Milton Martínez-Madrigal
BACKGROUND: Anterior cervical fixation has been used since 1967 for multiple pathologies like traumatism, compressive myelopathy, or spinal infections. METHODS: We report the case of a patient who had undergone cervical spine surgery 10 years previously and presented to our clinic with a pharyngeal fistula due to surgical screw displacement that was treated by transoral endoscopic surgery. RESULTS: The immediate postoperative period occurred without incidence and complete odynophagia resolution...
February 2018: Head & Neck
https://www.readbyqxmd.com/read/29191530/acute-bilateral-isolated-foot-drop-changing-the-paradigm-in-management-of-degenerative-spine-surgery-with-percutaneous-endoscopy
#17
Nitin Adsul, Hyeun Sung Kim, Sung Ho Choi, Jee-Soo Jang, Il-Tae Jang, Seong-Hoon Oh
BACKGROUND: Acute bilateral isolated foot drop due to lumbar disk prolapse with canal stenosis is rare with only 3 cases reported in literature. Our patient was managed using the percutaneous full endoscopic technique. This is mainly to highlight the ease of access and patient outcome with preoperative and postoperative images to support our minimally invasive treatment for this rare condition. CASE DESCRIPTION: A 46-year-old male presented with sudden-onset severe back pain with bilateral foot drop...
February 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29145253/anterior-endoscopically-assisted-bone-grafting-for-iatrogenic-distraction-of-odontoid-fracture-after-percutaneous-anterior-screw-fixation-a-case-report
#18
Ze-Xin Chen, Hui Zhang, Nai-Feng Tian, Xiang-Yang Wang, Yan Lin, Yao-Sen Wu
RATIONALE: The complication of iatrogenic distraction of odontoid fracture after anterior screw fixation has not been reported in the literature. We treated the patient with endoscopically assisted bone grafting with good results. The new technique was not reported in the management of odontoid fracture or nonunion before. PATIENT CONCERNS: A 22-year-old man presented with neck pain after a motorcycle crash. The cervical spine radiograph and computed tomographic scan demonstrated the base of dens displaced 2 mm anteriorly...
November 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29076468/-percutaneous-endoscopic-discectomy-in-the-treatment-of-patients-with-degenerative-diseases-of-the-lumbosacral-spine
#19
N A Konovalov, D S Asyutin, V A Korolishin, I U Cherkiev, B A Zakirov
Modern surgery uses a variety of treatments for spine pathology. Endoscopic techniques have become particularly popular across the world over the past decade. In this article, we summarize our experience and analyze the immediate and long-term results of surgical treatment of lumbar disc herniation using a percutaneous fully endoscopic technique for removing the herniated intervertebral disc, which is new for Russian medical practice. OBJECTIVE: to evaluate the efficacy of percutaneous endoscopic discectomy in the treatment of herniated lumbar discs in patients with radicular pain syndrome...
2017: Zhurnal Voprosy Neĭrokhirurgii Imeni N. N. Burdenko
https://www.readbyqxmd.com/read/28993282/surgical-management-for-lumbar-disc-herniation-in-pregnancy
#20
REVIEW
S Kapetanakis, E Giovannopoulou, N Blontzos, G Kazakos, P Givissis
Lumbar disc herniation is a common surgical spine pathology that may be presented during pregnancy. The state of pregnancy complicates the diagnosis and therapeutical management of this entity. Specific considerations rule the decision for surgical intervention, the optimal timing of it and the type of selected procedure in a pregnant patient, due to the potential risks for the fetus. In the last 30 years, evolution in the field of spine surgery has provided options other than open standard discectomy. The well-established concept of "minimal intervention" has led to the development of microdiscectomy and other innovative, full-endoscopic techniques for lumbar discectomy...
December 2017: Journal of Gynecology Obstetrics and Human Reproduction
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