keyword
https://read.qxmd.com/read/38468674/postoperative-discal-pseudocyst-report-of-a-case-with-an-unusual-complication-after-microlumbar-discectomy-and-successful-treatment-by-transforaminal-endoscopic-lumbar-decompression
#1
Prasad R Patgaonkar, Sagar Kishor Kokate, S Subith, Pushkar S Borole
BACKGROUND: Lumbar discal pseudocysts are uncommon complications that can arise following lumbar spine surgery. It manifests as a fluid-filled sac near the intervertebral disc, causing pain and discomfort. Understanding its causes, symptoms, and management is crucial for patients and healthcare professionals involved in postoperative spinal care. CASE DESCRIPTION A: 35-year-old female developed a discal pseudocyst after undergoing laminectomy and discectomy for lumbar disc herniation...
2024: Surgical Neurology International
https://read.qxmd.com/read/38425067/-molecular-mechanism-of-residual-lumbago-and-leg-pain-after-transforaminal-endoscopic-treatment-of-lumbar-disc-herniation
#2
JOURNAL ARTICLE
Kun Yang, Zi-Long Chen, Yan-Xi Chen, Li-Jun Ren, Lei Hou
OBJECTIVE: To observe the residual of lumbago and leg pain with contained type (CT) and non-contained type (NCT) lumbar disc herniation (LDH) after transforaminal endoscopic treatment, and to explore the role of hypoxia-inducible factor-1α(HIF-1α) and transient receptor potential vanillate 1(TRPV1) pathway. METHODS: A total of 68 single-segment LDH patients were selected from July 2021 to October 2022, including 44 males and 24 females;aged 26 to 67 years old with an average of(43...
February 25, 2024: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://read.qxmd.com/read/38424576/unilateral-biportal-endoscopic-lumbar-interbody-fusion-ulif-versus-endoscopic-transforaminal-lumbar-interbody-fusion-endo-tlif-in-the-treatment-of-lumbar-spinal-stenosis-along-with-intervertebral-disc-herniation-a-retrospective-analysis
#3
JOURNAL ARTICLE
Zuoran Fan, Xiaolin Wu, Zhu Guo, Nana Shen, Bohua Chen, Hongfei Xiang
OBJECTIVE: This study aims to compare the clinical effects and imaging data of patients who underwent endoscopic transforaminal lumbar interbody fusion (Endo-TLIF) with those who received unilateral biportal endoscopic lumbar interbody fusion (ULIF). METHODS: A retrospective analysis was conducted on the clinical data of 69 patients presenting with typical intermittent claudication and signs and symptoms indicative of unilateral lower extremity nerve root compression, meeting inclusion criteria between April 2022 and June 2022...
February 29, 2024: BMC Musculoskeletal Disorders
https://read.qxmd.com/read/38414800/endoscopic-revision-strategies-and-outcomes-for-recurrent-l4-5-disc-herniation-after-percutaneous-endoscopic-transforaminal-discectomy
#4
JOURNAL ARTICLE
Antao Lin, Yan Wang, Hao Zhang, Kai Zhu, Dan Zhou, Jianwei Guo, Wenhao Zhao, Chuanli Zhou, Xuexiao Ma
OBJECTIVE: We explore the endoscopic revision and surgical techniques for L4/5 recurrent disc herniation (rLDH) after percutaneous endoscopic transforaminal discectomy (PETD). METHODS: A retrospective study was conducted. From January 2016 to September 2022, 96 patients who underwent percutaneous endoscopic lumbar discectomy for L4/5 rLDH after PETD were enrolled in the study. Based on the revision approach, the patients were divided into PETD group (57 cases) and percutaneous endoscopic interlaminar discectomy (PEID) group (39 cases)...
2024: Journal of Pain Research
https://read.qxmd.com/read/38405685/clinical-outcomes-of-percutaneous-transforaminal-endoscopic-discectomy-assisted-with-selective-nerve-root-block-for-treating-radicular-pain-with-diagnostic-uncertainty-in-the-elderly
#5
JOURNAL ARTICLE
Yanjie Zhu, Xinkun Zhang, Guangfei Gu, Yunshan Fan, Zhi Zhou, Chaobo Feng, Xin Gu, Shisheng He
PURPOSE: To investigate the clinical outcomes of percutaneous transforaminal endoscopic discectomy assisted with selective nerve root block for treating radicular pain with diagnostic uncertainty in the elderly. METHODS: A total number of 36 elderly patients were included in the study. Clinical outcomes collected for analysis include operative time, hospital stay time, Visual Analog Scale, and Oswestry Disability Index before and after the surgery, the global outcome based on the Macnab outcome criteria...
2024: Journal of Pain Research
https://read.qxmd.com/read/38383595/short-term-and-mid-term-evaluation-of-three-types-of-minimally-invasive-lumbar-fusion-surgery-for-treatment-of-l4-l5-degenerative-spondylolisthesis
#6
JOURNAL ARTICLE
Zhaojun Song, Zhi Zhang, Jiazhuang Zheng, Kai Zhang, Fandong Wang, Maobo Ran, Juan Luo
This was a single-centre retrospective study. Minimally invasive techniques for transforaminal lumbar interbody fusion (MIS-TLIF), oblique lumbar interbody fusion (OLIF), and percutaneous endoscopic transforaminal lumbar interbody fusion (Endo-TLIF) have been extensively used for lumbar degenerative diseases. The present study analyses the short-term and mid-term clinical effects of the above three minimally invasive techniques on L4/L5 degenerative spondylolisthesis. In this retrospective study, 98 patients with L4/L5 degenerative spondylolisthesis received MIS-TLIF, 107 received OLIF, and 114 received Endo-TLIF...
February 21, 2024: Scientific Reports
https://read.qxmd.com/read/38356822/study-on-the-clinical-effect-of-percutaneous-transforaminal-endoscopic-discectomy-combined-with-annulus-fibrosus-repair-in-the-treatment-of-single-segment-lumbar-disc-herniation-in-young-and-middle-aged-patients
#7
JOURNAL ARTICLE
Ya-Fei Zhao, Bin-Wu Tian, Qiu-Shuang Ma, Meng Zhang
OBJECTIVE: To explore the clinical effect of percutaneous transforaminal endoscopic discectomy (PTED) combined with annulus fibrosus repair in the treatment of single-segment lumber disc herniation (LDH) in young and middle-aged patients. METHODS: Ninty-six patients with single-segment LDH admitted to Baoding First Central Hospital from March 2021 to November 2022 were selected in the retrospective study. The patients were divided into endoscopic group and combined group according to different surgical methods...
2024: Pakistan Journal of Medical Sciences Quarterly
https://read.qxmd.com/read/38345210/a-suture-technique-for-ruptured-annulus-fibrosus-following-decompression-under-percutaneous-transforaminal-endoscopic-discectomy
#8
JOURNAL ARTICLE
Zhouyang Hu, Zhipeng Xu, Hong Wang, Xiaoling Zhang, Lijun Li, Guoxin Fan, Xiang Liao
The suture technique for a ruptured annulus fibrosus (AF) under full-endoscopy remains challenging. Direct suturing of a ruptured annular tear after full decompression has been shown to decrease the recurrence rate of lumbar disc herniation during endoscopic surgery. Traditional suture operations under endoscopy involve only simple suturing of the ruptured AF. Due to the weak and poor quality of the AF tissue around the tear portal, using this area as needle insertion points during suturing may lead to insufficient tension and a low success rate of AF closure...
January 26, 2024: Journal of Visualized Experiments: JoVE
https://read.qxmd.com/read/38333318/hidden-blood-loss-in-three-different-endoscopic-spinal-procedures-for-lumbar-disc-herniation
#9
JOURNAL ARTICLE
Haoxiang Zhuang, Jiayi Li, Sijia Guo, Ning An, Zihan Fan, Haining Tan, Jisheng Lin, Nan Su, Yong Yang, Qi Fei, Hai Meng
PURPOSE: This study compared hidden blood loss (HBL) among three different endoscopic spinal procedures and investigated its risk factors. PATIENTS AND METHODS: This single-centre retrospective analysis collected data from consecutive hospitalized patients with single-segment lumbar disc herniation (LDH) undergoing unilateral biportal endoscopic discectomy (UBE), percutaneous endoscopic transforaminal discectomy (PETD), or percutaneous endoscopic interlaminar discectomy (PEID) from December 2020 to October 2022...
February 2024: Annals of Medicine and Surgery
https://read.qxmd.com/read/38317550/comparison-of-clinical-and-radiographic-outcomes-between-transforaminal-endoscopic-lumbar-discectomy-and-microdiscectomy-a-follow-up-exceeding-five-years
#10
JOURNAL ARTICLE
Xinyu Yang, Shijun Zhang, Junxiao Su, Sai Guo, Yakubu Ibrahim, Kai Zhang, Yonghao Tian, Lianlei Wang, Suomao Yuan, Xinyu Liu
PURPOSE: To compare the long-term clinical and radiographic outcomes of transforaminal endoscopic lumbar discectomy (TELD) versus microdiscectomy (MD). METHODS: The data of 154 patients with lumbar disc herniation (LDH) who underwent TELD (n=89) or MD (n=65) were retrospectively analyzed. The patients' clinical outcomes were evaluated using visual analogue scales for leg and low back pain, the Japanese Orthopaedic Association (JOA) score, and the Oswestry Disability Index (ODI)...
February 1, 2024: Neurospine
https://read.qxmd.com/read/38292757/percutaneous-endoscopic-transforaminal-discectomy-for-the-treatment-of-lumbar-disc-herniation-with-different-migration-levels-a-retrospective-study
#11
JOURNAL ARTICLE
Jiewei Sun, Xiaojun Yu, Kan Feng, Wujun Zheng, Yong Lu, Bin Bao
OBJECTIVE: To investigate the surgical method and efficacy of percutaneous endoscopic transforaminal discectomy (PETD) for the treatment of lumbar disc herniation (LDH) with different migration levels by introducing the strategy of foramenoplasty with the "distal nucleus pulposus as the core". METHODS: Clinical data of LDH patients who underwent single-segment PETD surgery were retrospectively analyzed. Three groups were categorized according to the degree of nucleus pulposus migration in the sagittal position: no migration group, mild migration group, and high migration group...
2024: Journal of Pain Research
https://read.qxmd.com/read/38285977/a-new-surgical-method-to-treat-intracanal-lumbar-disc-herniation-using-the-unilateral-biportal-endoscopic-transforaminal-approach-patient-series
#12
JOURNAL ARTICLE
Tomohide Segawa, Hiroki Iwai, Hirohiko Inanami, Yuichi Takano, Yohei Yuzawa, Takeshi Kaneko, Kenta Taniguchi, Kazuyoshi Yanagisawa, Junichi Yokosuka, Ryoji Tominaga, Hideki Nakamoto, Katsuyuki Sasaki, Hisashi Koga
BACKGROUND: Unilateral biportal endoscopic lumbar discectomy (UBELD) is a new minimally invasive spine surgery. The purpose of this study is to describe a new surgical method to treat intracanal lumbar disc herniation (LDH) using the unilateral biportal endoscopic transforaminal approach (UBE-TFA). The first 15 patients who had undergone UBELD for single-level LDH were included in this study. Operative time, intraoperative blood loss, postoperative stay, and intraoperative complications were recorded...
January 29, 2024: J Neurosurg Case Lessons
https://read.qxmd.com/read/38284530/full-endoscopic-transforaminal-thoracic-discectomy-operative-technique
#13
JOURNAL ARTICLE
Sean M Barber, Meng Huang
Thoracic disc herniations are a degenerative pathology of the thoracic spine wherein a portion of nucleus pulposis herniates into the epidural space, potentially causing spinal cord or nerve root compression. Traditional surgical treatment for patients with thoracic disc herniations requires relatively invasive anterior or posterolateral approaches that involve extensive muscular dissection and removal of bone in order to access and remove the disc herniation without causing undue compression of the spinal cord...
January 12, 2024: Journal of Visualized Experiments: JoVE
https://read.qxmd.com/read/38261306/monocentric-experience-of-transforaminal-endoscopic-lumbar-discectomy-and-foraminotomy-outcomes-pushing-the-indications-and-avoiding-failure-report-of-200-cases
#14
JOURNAL ARTICLE
Alessandro Grieco, Letizia Dell'aglio, Jacopo Del Verme, Domenico Billeci, Roberto Zanata, Giuseppe Canova, Enrico Giordan
BACKGROUND: This paper reports the results of the treatment of our first 200 cases of lumbar disc herniation and foraminal stenosis using full-endoscopic transforaminal lumbar discectomy (FETLD). We analyzed outcomes and radiological parameters to overcome failure and inappropriate indications and also highlighted the red flags for surgeons coming to this field as well as the pathways to success. METHODS: Data on endoscopic procedures were retrospectively analyzed between October 2018 and March 2023...
January 23, 2024: Journal of Neurosurgical Sciences
https://read.qxmd.com/read/38259387/retrospective-study-of-minimal-three-year-follow-up-of-transforaminal-endoscopic-discectomy-for-lumbar-disc-herniation-5000-multicenter-cases
#15
JOURNAL ARTICLE
Chuanchao Du, Kunfeng Song, Bao Hai, Xiangyu Wang
Objective The objective of this study was to investigate the long-term effects of percutaneous transforaminal endoscopic lumbar discectomy (PTELD) and clarify the differences between outside-in and inside-out techniques. Methodology This was a multicenter retrospective study with a chart review of questionnaires about patients' quality of life. Patients were recruited from three hospitals in China. Based on certain inclusion and exclusion criteria, we enrolled in the study 5000 patients aged ≥18 years diagnosed with lumbar disc herniation who received PTELD from September 2015 to September 2019...
December 2023: Curēus
https://read.qxmd.com/read/38252307/transforaminal-endoscopic-lumbar-discectomy-using-a-45%C3%A2-puncture-angle-and-foraminotomy-versus-traditional-thesys-for-l5-s1-lumbar-disc-herniation-a-prospective-randomized-controlled-trial
#16
JOURNAL ARTICLE
Yuxuan Qian, Zhiheng Chen, Guowang Zhang, Xin Wang, Ji Liu, Aofei Yang, Jianguang Xu, Xiaofeng Lian
PURPOSE: Prospective comparison of the efficacy and safety of transforaminal endoscopic lumbar discectomy (TELD) with a 45° puncture angle versus traditional Thomas Hoogland endoscopy spine systems (THESYS) for the surgical treatment of L5/S1 lumbar disc herniation (LDH). METHODS: Consecutive patients with L5/S1 LDH who underwent TELD were randomized (1:1) assigned to the 45° TELD group and the THESYS group. Clinical outcomes were assessed at pre-operation, 1-day and 3/6-months post-operation till final follow-up...
January 22, 2024: European Spine Journal
https://read.qxmd.com/read/38236278/association-of-spinal-pelvic-parameters-with-recurrence-of-lumbar-disc-herniation-after-endoscopic-surgery-a-retrospective-case-control-study
#17
JOURNAL ARTICLE
Yu-Hao Pan, Dun Wan, Qi Wang, Wen-Jun Shen, Jin-Rui Yang, Zhong-Yu Wang, Zong-Lin Cai, Shui Jiang, Min Cao
PURPOSE: This study aimed to investigate the relationship between spinal-pelvic parameters and recurrence of lumbar disc herniation (rLDH) after percutaneous endoscopic lumbar discectomy (PELD) through a retrospective case-control study. METHODS: Patients who underwent PELD for single-segment LDH at our hospital were included in this study. The relationship between sagittal balance parameters of the spine and recurrence was analysed through correlation analysis, and ROC curves were plotted...
January 18, 2024: European Spine Journal
https://read.qxmd.com/read/38218844/percutaneous-endoscopic-transforaminal-vs-interlaminar-discectomy-for-l5-s1-lumbar-disc-herniation-a-retrospective-propensity-score-matching-study
#18
JOURNAL ARTICLE
Tusheng Li, Guangnan Yang, Wei Zhong, Jiang Liu, Zhili Ding, Yu Ding
OBJECTIVE: Percutaneous endoscopic lumbar discectomy (PELD) is a safe and effective minimally invasive surgery for treating lumbar disc herniation (LDH); however, the comparative clinical efficacy of percutaneous endoscopic transforaminal discectomy (PETD) and percutaneous endoscopic interlaminar discectomy (PEID) in treating L5-S1 LDH remains unclear. This study compared the clinical advantages of PEID and PETD for treating L5-S1 LDH. METHODS: This was a single-centre retrospective study analysing clinical data from 120 patients with L5-S1 LDH between February 2016 and May 2020...
January 13, 2024: Journal of Orthopaedic Surgery and Research
https://read.qxmd.com/read/38191985/foraminoplasty-performed-with-a-trephine-and-a-new-tool-in-transforaminal-endoscopic-lumbar-discectomy-a-single-center-retrospective-study
#19
JOURNAL ARTICLE
Guangye Zhu, Jiahui He, Zefeng Song, Honglin Chen, Zhilin Ge, Peng Zhang, Hui Ren, Yuwei Li, Jingjing Tang, Xiaobing Jiang
OBJECTIVE: Foraminoplasty is an important step in transforaminal endoscopic lumbar discectomy (TELD). A trephine is widely used in foraminoplasty. However, foraminoplasty using a trephine alone sometimes fails to remove the resected bone, resulting in the bone remaining in the foramen or spinal canal, which can potentially cause neurological irritation or injury. The objective of this study is to introduce a self-designed tool, referred to as an anchoring drill, for use with a trephine in foraminoplasty in TELD and to evaluate its advantages...
January 8, 2024: Orthopaedic Surgery
https://read.qxmd.com/read/38181875/transforaminal-unilateral-biportal-endoscopic-spinal-surgery-for-extraforaminal-lumbar-disc-herniation-eldh-a-retrospective-observational-study
#20
JOURNAL ARTICLE
Chih-Ying Wu, Hsiang-Ming Huang, Han-Chung Lee, Chih-Hsin Tang, Yung-Hsiang Chen, Cheng-Di Chiu
OBJECTIVE: Biportal endoscopic spinal surgery (BESS) is recommended as a safer and less destructive option for lumbar disc herniations (LDH). However, limited data exist on clinical outcomes for extraforaminal LDH (ELDH) surgery. This retrospective study presents our preliminary experience with transforaminal unilateral BESS for ELDH. METHODS: Patients with lumbar radiculopathy refractory to conservative treatment, diagnosed with ELDH by magnetic resonance imaging (MRI), and treated with transforaminal unilateral BESS in 2021-2023 in two institutions in Taiwan were eligible for inclusion...
January 3, 2024: World Neurosurgery
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