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Transforaminal endoscopic disc

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https://www.readbyqxmd.com/read/29879779/outcome-of-percutaneous-transforaminal-endoscopic-lumbar-surgery-in-60-year-old-patients-with-low-back-pain
#1
Ratish Singh, Gao Zeng Xin, Mangal Prasad Hirachan, Lin Yu Cheng
STUDY DESIGN: Retrospective study. PURPOSE: To evaluate the outcome of percutaneous transforaminal endoscopic lumbar surgery (PTELS) and to evaluate the efficacy of this technique in the treatment of lumbar disc herniation (LDH) and lumbar spine stenosis (LSS) in >60-year-old patients. OVERVIEW OF LITERATURE: There has been number of studies done in aspect of PTELS. All those studies focused on overall clinical aspect with no any age specific analysis...
June 2018: Asian Spine Journal
https://www.readbyqxmd.com/read/29871381/volume-navigation-with-fusion-of-real-time-ultrasound-and-ct-images-to-guide-posterolateral-transforaminal-puncture-in-percutaneous-endoscopic-lumbar-discectomy
#2
Yan-Bin Liu, Yin Wang, Zi-Qiang Chen, Jun Li, Wei Chen, Chuan-Feng Wang, Qiang Fu
BACKGROUND: The use of percutaneous endoscopic lumbar discectomy (PELD) is increasing in the treatment of lumbar disc herniations (LDH). Nerve and vessel injury may happen during the establishment of the transforaminal working channel. Also, there is usually exposure to intraop radiation when the C-arm is used to help establish the location of the transforaminal working channel. OBJECTIVE: To evaluate the accuracy and safety of the volume navigation technique for guiding transforaminal puncture in cadaver and clinical patient treatment...
May 2018: Pain Physician
https://www.readbyqxmd.com/read/29798586/-effectiveness-of-percutaneous-endoscopic-spine-surgery-for-treatment-of-lumbar-spine-disorders-with-intraspinal-ossification
#3
Yin Liu, Peng Cai, Qingquan Kong, Yueming Song
Objective: To investigate the feasibility, effectiveness, and security of percutaneous endoscopic spine surgery for treatment of lumbar spine disorders with intraspinal ossification. Methods: Between July 2008 and June 2016, 96 patients with lumbar spine disorders (lumbar disc herniation or lumbar spinal stenosis) with intraspinal ossification were treated with percutaneous endoscopic spine surgery. There were 59 males and 37 females, aged from 13 to 57 years (mean, 29...
November 1, 2017: Chinese Journal of Reparative and Reconstructive Surgery
https://www.readbyqxmd.com/read/29787873/transforaminal-endoscopic-decompression-for-foot-drop-twelve-years-after-lumbar-total-disc-replacment-technical-note
#4
Albert E Telfeian, Adetokunbo Oyelese, Jared Fridley, Ziya L Gokaslan
Lumbar total disc replacement (LTDR) is considered for the treatment of lumbar degenerative disc disease with the hope that by preserving motion the long-term fusion complication of adjacent segment disease can be avoided. The complications of LTDR can be divided into approach-related and long-term complications. Very little has been described about the complications and treatment for complications more than 10 years after the device has been implanted. Here we describe a tranforaminal endoscopic discectomy procedure for a patient presenting with foot drop twelve years after a L5-S1 total disc replacement...
May 19, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29783008/percutaneous-endoscopic-lumbar-discectomy-for-l5s1-lumbar-disc-herniation-via-transforaminal-approach-versus-interlaminar-approach-a-systematic-review-and-meta-analysis
#5
REVIEW
Jiageng Chen, Xiyue Jing, Changping Li, Yu Jiang, Sijin Cheng, Jun Ma
BACKGROUND: s: Several studies have compared the clinical efficacy of percutaneous endoscopic lumbar discectomy (PELD) for L5S1 lumbar disc herniation (LDH) via transforaminal approach and interlaminar approach, however, with contradictory results. The aim of this study was to explore the comparison of efficacy and safety between percutaneous endoscopic transforaminal discectomy (PETD) and percutaneous endoscopic interlaminar discectomy (PEID) for L5S1 LDH. METHODS: Six common databases were comprehensively searched and relevant studies would be included into the analysis if it meet all the inclusion criteria...
May 18, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29772854/-observation-of-early-clinical-effect-of-percutaneous-transforaminal-endoscopic-technology-in-treating-cervical-spondylotic-radiculopathy
#6
Ying-Chun Zhang, Tai-Sheng Chen, Hua Zhu
OBJECTIVE: To explore the early clinical effect and safety of percutaneous transforaminal endoscopic technology for cervical spondylotic radiculopathy. METHODS: From August 2016 to September 2017, 14 patients with cervical spondylotic radiculopathy who responded poorly to non-surgical treatment for at least 6 weeks underwent percutaneous transforaminal endoscopic discectomy via posterior approach. There were 6 males and 8 females, aging from 32 to 68 years old with an average of (40...
April 25, 2018: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/29732426/significance-and-pitfalls-of-percutaneous-endoscopic-lumbar-discectomy-for-large-central-lumbar-disc-herniation
#7
Mikihito Kondo, Yasushi Oshima, Hirokazu Inoue, Yuichi Takano, Hirohiko Inanami, Hisashi Koga
Background: Percutaneous endoscopic lumbar discectomy (PELD) is a relatively less invasive treatment for lumbar disc herniation (LDH). The present study focused on the transforaminal approach (TFA) and investigated the significance of PELD via this approach for large central LDH. Methods: LDH that did not show cerebrospinal fluid (CSF) on axial T2-weighted magnetic resonance images was defined as large central LDH. PELD via the TFA was performed in 11 patients with large central LDH...
March 2018: Journal of Spine Surgery (Hong Kong)
https://www.readbyqxmd.com/read/29718884/epidural-versus-intravenous-steroids-application-following-percutaneous-endoscopic-lumbar-discectomy
#8
Annan Hu, Xin Gu, Xiaofei Guan, Guoxin Fan, Shisheng He
Retrospectively study.The purpose of this study was to compare the effects of intraoperative epidural steroids and single dose intravenous steroids following a percutaneous endoscopic lumbar discectomy (PELD).Inflammatory irritation of dorsal root ganglia or sensory nerve roots may cause postoperative pain. Epidural steroids have been applied after a lumbar discectomy for more than 20 years. Epidural steroid application after a PELD is easier to perform and safer because the operations are under observation of the scope...
May 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29707555/lumbar-disc-reherniation-after-transforaminal-lumbar-endoscopic-discectomy
#9
Thomas A Kosztowski, David Choi, Jared Fridley, Michael Galgano, Ziya Gokaslan, Adetokunbo Oyelese, Albert Edward Telfeian
Background: Transforaminal lumbar endoscopic discectomy is a minimally invasive surgical procedure that can be performed in awake patients through an incision less than 1 cm. The procedure requires very little bony removal to access the herniated disc material because the approach is through the foramen, and only a small amount of the superior articulating process is removed to access Kambin's triangle. This study describes our experience with transforaminal endoscopic lumbar decompression (TELD) for the treatment of lumbar disc herniation...
March 2018: Annals of Translational Medicine
https://www.readbyqxmd.com/read/29699583/recurrent-upper-lumbar-disc-herniation-treated-via-the-transforaminal-approach-using-microendoscopy-assisted-lumbar-discectomy-a-case-report
#10
Yasutaka Takagi, Hiroshi Yamada, Hidehumi Ebara, Hiroyuki Hayashi, Satoshi Kidani, Kazu Toyooka, Yoshiyuki Kitano, Kenji Kagechika, Hiroyuki Tsuchiya
BACKGROUND: Although microendoscopy-assisted lumbar discectomy for lateral or extraforaminal lumbar disc herniations via the lateral approach has previously been reported, microendoscopy-assisted lumbar discectomy for central or paramedian disc herniations via the lateral approach has not been reported. We report the first case of recurrent upper lumbar disc herniation (L2-L3) treated with microendoscopy-assisted lumbar discectomy via the transforaminal approach. No microendoscopy-assisted lumbar discectomy for recurrent upper lumbar disc herniation via the transforaminal approach has previously been reported...
April 27, 2018: Journal of Medical Case Reports
https://www.readbyqxmd.com/read/29690712/-biomechanics-changes-of-lumbar-spine-caused-by-foraminotomy-via-percutaneous-transforaminal-endoscopic-lumbar-discectomy
#11
J Qian, S S Yu, J J Liu, L Chen, J H Jing
Objective: To analyze the biomechanics changes of lumbar spine caused by foraminotomy via percutaneous transforaminal endoscopic lumbar discectomy using the finite element method. Methods: Three healthy adult males (aged 35.6 to 42.3 years) without spinal diseases were enrolled in this study and 3D-CT scans were carried out to obtain the parameters of lumbar spine. Mimics software was applied to build a 3D finite element model of lumbar spine. Graded resections (1/4, 2/4, 3/4 and 4/4) of the left superior articular process of L(5) were done via percutaneous transforaminal endoscopic lumbar discectomy...
April 3, 2018: Zhonghua Yi Xue za Zhi [Chinese medical journal]
https://www.readbyqxmd.com/read/29666737/a-rare-case-of-progressive-palsy-of-the-lower-leg-during-percutaneous-endoscopic-lumbar-discectomy-via-a-transforaminal-approach
#12
Hiroaki Manabe, Kosaku Higashino, Kosuke Sugiura
Percutaneous endoscopic discectomy (PED) for lumbar disc herniation is gaining popularity with the transforaminal (TF) approach preferred because it allows surgery under local anesthesia and preserves the spinal muscles. Although this procedure has some characteristic complications, it is rare for PED to be converted to conventional open surgery due to worsening of symptoms intraoperatively. Here, we report PED via the TF approach that required conversion to open surgery. A 20-year-old man with a large disc herniation at L3/4 developed severe progressive leg pain and muscle weakness of the left leg intraoperatively...
2018: Case Reports in Orthopedics
https://www.readbyqxmd.com/read/29582973/transforaminal-percutaneous-endoscopic-lumbar-discectomy-outcome-and-complications-in-270-cases
#13
Leonello Tacconi, Sara Baldo, Giorgio Merci, Gerardo Serra
BACKGROUND: The endoscopic approach has been introduced in the clinical practice in 1980 with the aim to remove the pro- lapsed disk and free the compressed nerve using the least disruptive surgical technique, assuring in the same time, the resolution of the symptoms and a faster return back to normal life activity. Over the years, thanks to an extraordinary technical improvement either in terms of quality of images and development of many dif- ferent tailored instrumentations there has been a huge spreading of the endoscope use across the different surgical fields...
March 26, 2018: Journal of Neurosurgical Sciences
https://www.readbyqxmd.com/read/29581978/suprapedicular-circumferential-opening-technique-of-percutaneous-endoscopic-transforaminal-lumbar-discectomy-for-high-grade-inferiorly-migrated-lumbar-disc-herniation
#14
Hyeun Sung Kim, Farid Yudoyono, Byapak Paudel, Ki Joon Kim, Jee-Soo Jang, Jeong-Hoon Choi, Sung Kyun Chung, Jeong Hoon Kim, Il-Tae Jang, Seong-Hoon Oh, Jae Eun Park, Sol Lee
Purpose: To evaluate the efficacy of suprapedicular circumferential opening technique (SCOT) of percutaneous endoscopic transforaminal lumbar discectomy (PETLD) for high grade inferiorly migrated lumbar disc herniation. Material and Methods: Eighteen consecutive patients who presented with back and leg pain with a single-level high grade inferiorly migrated lumbar disc herniation were included. High grade inferiorly migrated disc was removed by the SCOT through PETLD approach...
2018: BioMed Research International
https://www.readbyqxmd.com/read/29581017/transforaminal-endoscopic-decompression-for-lumbar-spinal-stenosis-a-novel-surgical-technique-and-clinical-outcomes
#15
Sang-Ha Shin, Jun-Seok Bae, Sang-Ho Lee, Han-Joong Keum, Ho-Jin Kim, Won-Seok Jang
OBJECTIVE: Transforaminal endoscopic treatment has been reported to be an effective treatment option in patients with lumbar disc herniation. However, it is rarely performed for spinal stenosis because of the limitation of endoscopic working mobility caused by the exiting nerve root and foraminous bony structure. The objective of this study was to describe a novel transforaminal endoscopic decompression technique for spinal stenosis and report the clinical results. METHODS: From October 2015 to October 2016, 30 consecutive cases were diagnosed as lateral recess stenosis in our institution and underwent transforaminal endoscopic decompression...
June 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29565954/transforaminal-endoscopic-discectomy-for-treatment-of-central-disc-herniation-surgical-techniques-and-clinical-outcome
#16
Yapeng Wang, Wei Zhang, Lichao Lian, Jiaxin Xu, Wenyuan Ding
BACKGROUND: Though transforaminal endoscopic discectomy has achieved a satisfactory clinical outcome in the treatment of paracentral disc herniation, it has a high failure rate for treating central disc herniation. OBJECTIVE: To explore the surgical techniques of transforaminal endoscopic discectomy in treating central disc herniation and the clinical outcome based on 2-year follow-up. STUDY DESIGN: A retrospective study. SETTING: The Department of Spinal Surgery at the Third Hospital of Hebei Medical University in China...
March 2018: Pain Physician
https://www.readbyqxmd.com/read/29565953/unique-complications-of-percutaneous-endoscopic-lumbar-discectomy-and-percutaneous-endoscopic-interlaminar-discectomy
#17
Chuanli Zhou, Guoqing Zhang, Ripul R Panchal, Xianfeng Ren, Hongfei Xiang, Ma Xuexiao, Xiaoliang Chen, Gu Tongtong, Wang Hong, Alana D Dixson
BACKGROUND: Percutaneous endoscopic discectomy (PED) includes 2 main procedures: percutaneous endoscopic lumbar discectomy (PELD) and percutaneous endoscopic interlaminar discectomy (PEID), both of which are minimally invasive surgical procedures that effectively deal with lumbar degenerative disorders. Because of the challenging learning curve for the surgeon and the individual characteristics of each patient, preventing and avoiding complications is difficult. The most common complications, such as nucleus pulposus omission, nerve root injury, dural tear, visceral injury, nerve root induced hyperalgesia or burning-like nerve root pain, postoperative dysesthesia, posterior neck pain, and surgical site infection, are difficult to avoid; however, more focus on these issues perioperatively may be in order...
March 2018: Pain Physician
https://www.readbyqxmd.com/read/29564196/selection-of-tubular-and-endoscopic-transforaminal-disc-procedures-based-on-disc-size-location-and-characteristics
#18
REVIEW
Ovidiu Palea, Michelle Granville, Robert E Jacobson
The clinical effectiveness of percutaneous and transforaminal endoscopic discectomy procedures has been evaluated by the system used or compared to open laminectomy or micro-discectomy but are not evaluated based on the location and characteristics of the abnormal disc. This review proposes that outcomes are primarily related to disc size, biomechanics, location, and associated segmental fibrotic and bone changes as well as the surgeon's skill in using various systems rather than the specific system used...
January 20, 2018: Curēus
https://www.readbyqxmd.com/read/29558942/short-term-clinical-efficacy-of-percutaneous-transforaminal-endoscopic-discectomy-in-treating-young-patients-with-lumbar-disc-herniation
#19
You-Long Zhou, Gang Chen, Dao-Chi Bi, Xing Chen
BACKGROUND: In the last decades, full-endoscopic techniques to treat lumbar disc herniation (LDH) have gained popularity in clinical practice. However, few studies have described the safety and efficacy of percutaneous transforaminal endoscopic discectomy (PTED) in treating younger patients with LDH. This study aims to evaluate the preliminary surgical outcome and complication of PTED in treating younger patients with LDH. METHODS: Between June 2012 and June 2016, 72 young patients (< 45 years old) who underwent PTED for single-level LDH were prospectively followed up...
March 20, 2018: Journal of Orthopaedic Surgery and Research
https://www.readbyqxmd.com/read/29501748/a-novel-preoperative-trajectory-evaluation-method-for-l5-s1-transforaminal-percutaneous-endoscopic-lumbar-discectomy
#20
Sang Soo Eun, Sang-Ho Lee, Wei Chiang Liu, H Yener Erken
BACKGROUND CONTEXT: L5-S1 transforaminal percutaneous endoscopic lumbar discectomy (PELD) is a demanding procedure because of structures such as iliac crest, L5 transverse process, hypertrophic L5-S1 facet joint, and sacral ala. There has been no definite preoperative evaluation method to evaluate the surgical validity of L5-S1 transforaminal PELD. PURPOSE: The authors report a new preoperative trajectory evaluation method for L5-S1 transforaminal PELD using magnetic resonance imaging (MRI) or computed tomography (CT) examinations...
February 28, 2018: Spine Journal: Official Journal of the North American Spine Society
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