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transforaminal endoscopic discectomy

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https://www.readbyqxmd.com/read/29772855/-clinical-study-of-exercise-rehabilitation-and-gait-analysis-during-the-perioperative-period-of-lumbar-percutaneous-transforaminal-endoscopic-discectomy
#1
Yu-Xian Zhong, Yu Ding, Jin-Yu Liu, Wei-Jin Zhou, Guang-Hao Ma, Xu Zhu, Hai-Jun Wang, Hong-Mei Chen, Qian Liu
OBJECTIVE: To explore the clinical effect of exercise rehabilitation during perioperative period on residual pain, gait and activities of daily living (ADL) in patients with lumbar spinal stenosis (LSS) after lumbar percutaneous transforaminal endoscopic discectomy(PTED). METHODS: The clinical data of 48 patients with LSS underwent PTED from December 2015 to December 2016 were retrospectively analyzed. Patients were divided into observation group and control group according to different rehabilitation patterns, being 24 cases in each group...
April 25, 2018: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/29772854/-observation-of-early-clinical-effect-of-percutaneous-transforaminal-endoscopic-technology-in-treating-cervical-spondylotic-radiculopathy
#2
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
#3
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
#4
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
#5
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
#6
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
#7
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
#8
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
#9
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
#10
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/29565954/transforaminal-endoscopic-discectomy-for-treatment-of-central-disc-herniation-surgical-techniques-and-clinical-outcome
#11
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
#12
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
#13
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
#14
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
#15
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
https://www.readbyqxmd.com/read/29499422/percutaneous-transforaminal-endoscopic-discectomy-for-the-treatment-of-lumbar-disc-herniation-in-obese-patients-health-related-quality-of-life-assessment-in-a-2-year-follow-up
#16
Stylianos Kapetanakis, Nikolaos Gkantsinikoudis, Constantinos Chaniotakis, Georgios Charitoudis, Panagiotis Givissis
BACKGROUND: Percutaneous transforaminal endoscopic discectomy (PTED) is a minimally invasive surgical technique used principally for the treatment of lumbar disc herniation (LDH). LDH is a frequent spinal ailment in obese individuals. The aim of this prospectively designed study was to assess for the first time in the literature the impact of PTED in postoperative parameters of health-related quality of life (HRQoL) in obese patients with LDH within a 2-year follow-up period, to further evaluate the effectiveness of PTED...
May 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29473790/extraforaminal-approach-of-biportal-endoscopic-spinal-surgery-a-new-endoscopic-technique-for-transforaminal-decompression-and-discectomy
#17
Jae-Sung Ahn, Ho-Jin Lee, Dae-Jung Choi, Ki-Young Lee, Sung-Jin Hwang
This study was performed to describe the extraforaminal approach of biportal endoscopic spinal surgery (BESS) as a new endoscopic technique for transforaminal decompression and discectomy and to demonstrate the clinical outcomes of this new procedure for the first time. Twenty-one patients (27 segments) who underwent the extraforaminal approach of BESS between March 2015 and April 2016 were enrolled according to the inclusion and exclusion criteria. The operative time (minutes/level) and complications after the procedure were recorded...
May 2018: Journal of Neurosurgery. Spine
https://www.readbyqxmd.com/read/29408425/percutaneous-transforaminal-endoscopic-discectomy-for-adjacent-segment-disease-after-lumbar-fusion-in-elderly-patients-over-65-years-old
#18
Guangfei Gu, Chuanfeng Wang, Xin Gu, Hailong Zhang, Yongzhao Zhao, Shisheng He
OBJECTIVE: To evaluate short-term efficacy and safety of percutaneous transforaminal endoscopic discectomy (PTED) in treatment of symptomatic adjacent segment disease (ASD) after lumbar fusion in elderly patients >65 years old. METHODS: Patients >65 years old who underwent PTED for ASD after lumbar fusion between January 2013 and September 2016 were retrospectively evaluated. Demographics and perioperative clinical data were collected from medical records...
April 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29404628/meta-analysis-of-percutaneous-transforaminal-endoscopic-discectomy-vs-fenestration-discectomy-in-the-treatment-of-lumbar-disc-herniation
#19
Weilan Ding, Jianjian Yin, Ting Yan, Luming Nong, Nanwei Xu
OBJECTIVE: The aim of this study was to systematically review the efficacy of percutaneous transforaminal endoscopic discectomy (PTED) and fenestration discectomy (FD) in the treatment of lumbar disc herniation (LDH). MATERIAL AND METHODS: We performed a systematic search in MEDLINE, EMBASE, PubMed, Web of Science, Cochrane databases, Chinese Biomedical Literature Database, CNKI, and Wanfang Data for all relevant studies. All statistical analyses wer performed using Review Manager version 5...
February 5, 2018: Der Orthopäde
https://www.readbyqxmd.com/read/29343035/-comparison-of-percutaneous-endoscopic-lumbar-discectomy-versus-transforaminal-lumbar-interbody-fusion-in-treating-upper-lumbar-disc-herniation
#20
Y W Li, H J Wang, Y S Wang, W Cui, P Zhou, C Li
Objective: To compare the efficacy of percutaneous endoscopic transforaminal discectomy (PTED) and transforaminal lumbar interbody fusion (TLIF) in the treatment of high lumbar disc herniation. Methods: The clinical data of patients with high lumbar disc herniation from February 2010 to February 2015 were retrospective analyzed. According to the inclusion criteria, a total of 63 cases were enrolled, including PTED group 33 cases, TLIF group 30 cases. The improvement of the two groups before and after surgery was assessed by visual analogue scale (VAS) and Oswestry dysfunction index (ODI)...
January 9, 2018: Zhonghua Yi Xue za Zhi [Chinese medical journal]
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