keyword
https://read.qxmd.com/read/38531809/comparison-of-the-medium-term-outcomes-of-anterior-lumbar-discectomy-and-fusion-with-minimally-invasive-transforaminal-lumbar-interbody-fusion-a-retrospective-cohort-study
#1
JOURNAL ARTICLE
Chao Song, Zhibo Deng, Hanhao Dai, Wu Zheng, Guoyu Yu, Yijing Wu, Jun Luo, Jie Xu
OBJECTIVE: Lumbar degenerative diseases (LDDs) with huge herniation in the left lateral recess or central canal present challenges for oblique lateral lumbar interbody fusion (OLIF) or endoscope-assisted OLIF procedures. Currently, minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) is the primary approach for this issue. This study aims to provide a standardized technical description of the anterior lumbar discectomy and fusion (ALDF) and evaluate the medium-term clinical effectiveness of both ALDF and MIS-TLIF techniques...
March 26, 2024: Orthopaedic Surgery
https://read.qxmd.com/read/38531475/-transforaminal-endoscopic-ventral-stenosis-decompression-in-calcified-lumbar-disc-herniation-a-long-term-outcome-in-79-patients
#2
JOURNAL ARTICLE
Ajay Krishnan, Chandhan Murugan, Mikeson Panthackel, Abhijith Anil, Devanand Degulmadi, Shivanand Mayi, Ravi Ranjan Rai, Mirant Dave, Mrugank Narvekar, Rohan Killekar, Preety Ajay Krishnan, Bharat Dave
BACKGROUND: Calcified lumbar disc herniations(CLDH) causing calcified ventral stenosis CVS) pose a therapeutic challenge to the treating surgeon due to their neural adhesions, location, and hardness. METHODS: This retrospective study analyzed all the cases of CLDH/CVS managed by transforaminal endoscopic lumbar discectomy(TELD) with a minimum follow-up of 24 months. The pre-operative images were analyzed for the level, migration; and grade(Lee's migration zones), and location(MSU classification)...
March 24, 2024: World Neurosurgery
https://read.qxmd.com/read/38531082/adhesive-arachnoiditis-subarachnoid-hemorrhage-and-intradural-extramedullary-thoracic-cavernoma-illustrative-case
#3
JOURNAL ARTICLE
Agne Andriuskeviciute, Michel Gustavo Mondragón-Soto, Nicolas Penet, Juan Barges-Coll
BACKGROUND: Spinal arachnoiditis can result from various factors, including spinal subarachnoid hemorrhage (sSAH). In this paper, the authors describe a case of intradural extramedullary cavernoma with an initial presentation of subarachnoid hemorrhage leading to multilevel spinal arachnoiditis to discuss the pathophysiology and optimal treatment strategy. OBSERVATIONS: Spinal intradural extramedullary cavernoma manifesting with sSAH is a rare clinical presentation; therefore, there is no clear strategy for the management of sSAH...
March 25, 2024: J Neurosurg Case Lessons
https://read.qxmd.com/read/38522792/micro-endoscopic-tailored-spine-decompression-as-a-less-invasive-stability-preserving-surgical-option-alternative-to-instrumented-correction-in-complex-spine-deformities-a-preliminary-multicenter-experience
#4
JOURNAL ARTICLE
Alessio Iacoangeli, Mostafà Alsagheir, Denis Aiudi, Maurizio Gladi, Alessandro Di Rienzo, Domenic P Esposito, Mohammed Diab, Hamza Naas, Alì Eldellaa, Antonio Gigante, Maurizio Iacoangeli, Nabeel S Alshafai, Gustavo Luzardo
STUDY DESIGN: A series of 32 patients, submitted to a tailored stability-preserving micro-endoscopic decompression for lumbar spine degenerative disease was retrospectively analyzed. OBJECTIVES: The aim of this study is to explore the effectiveness of a less invasive posterior spine decompression in complex deformities. We studied the potential advantages of the micro-endoscopic approach, supplemented by the piezoelectric technique, to decompress both sides of the vertebral canal, from a one side approach to preserve spine stability, ensuring an adequate neural decompression...
March 22, 2024: World Neurosurgery
https://read.qxmd.com/read/38520125/clinical-efficacy-of-unilateral-dual-channel-endoscopic-lumbar-interbody-fusion-for-lumbar-spondylolisthesis-with-spinal-scoliosis
#5
JOURNAL ARTICLE
Xuanjun You, Bin Zhao, Tao Zhang, Yongfeng Wang, Chaojian Xu, Jie Yuan, Ruxing Liu
OBJECTIVES: Scoliosis associated with spondylolisthesis is a common phenomenon. Recent research has reported that scoliosis can spontaneously disappear after lumbar spinal fusion surgery. Researchers have advocated that, for scoliosis associated with vertebral slippage, surgery for the latter may be the only necessary intervention, while unnecessary surgery for scoliosis should be avoided. So we propose that minimally invasive techniques can achieve treatment effects similar to those of open surgery...
March 22, 2024: Orthopaedic Surgery
https://read.qxmd.com/read/38516395/case-report-bacterial-meningitis-due-to-cerebrospinal-fluid-leakage-following-unilateral-biportal-endoscopic-spinal-surgery-a-cautionary-tale
#6
Haoyu Wang, Yunhui Wang, Zhensong Jiang, Wen Zhang
Unilateral biportal endoscopic spinal surgery (UBE) is a rapidly growing surgical method and has attracted much interest recently. The most common complication of this technique is cerebrospinal fluid (CSF) leakage due to intraoperative dural tears. There have been no reports of bacterial meningitis due to dural tears in UBE surgery and its treatment and prevention. We reported a 47 year-old man with CSF due to an intraoperative dural tear. A drainage tube was routinely placed and removed on the fourth day after surgery, resulting in fever and headache on the fifith postoperative day...
2024: Frontiers in Surgery
https://read.qxmd.com/read/38515422/-repeated-incomplete-decompression-of-nucleus-pulposus-leads-to-paralysis-a-case-report
#7
JOURNAL ARTICLE
Sheng-Xing Chen, Bin-Bin Yang, Jun-Hai Qian, Xiao-Xiao Lu
No abstract text is available yet for this article.
March 25, 2024: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://read.qxmd.com/read/38515408/-effect-and-complication-among-different-kinds-of-spinal-endoscopic-surgery-for-lumbar-disc-herniation
#8
JOURNAL ARTICLE
Kang Chen, Fu-Guo Yang, Yuan-Chao Luo, Ren-Jian He
OBJECTIVE: To compare clinical efficacy and complication rate of percutaneous endoscopic transforaminal discectomy(PETD),percutaneous endoscopic interlaminar discectomy (PEID) and unilateral biportal endoscopic (UBE) in treating single-segment lumbar disc herniation(LDH). METHODS: From October 2019 to August 2021,121 LDH patients with single-segment treated by spinal endoscopy were retrospectively analyzed and divided into three groups. In PETD group,there were 48 patients,including 19 males and 29 females,aged from 18 to 72 years old with an average of (44...
March 25, 2024: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://read.qxmd.com/read/38515407/-clinical-outcomes-and-bone-resection-analysis-of-unilateral-double-channel-endoscopic-technique-in-treating-lumbar-disc-herniation
#9
JOURNAL ARTICLE
Qing-Yun Xin, Wen-Zheng Li, Jun-Jian Han, Qi-Tao Liu, Chao Feng, Xiu-Sheng Guo, Jie Wei, Jie-Fu Song, De-An Qin, Deng-Jun Zhang
OBJECTIVE: To explore clinical outcomes and bone resection of interlaminar fenestration decompression and unilateral biportal endoscopic (UBE) technique in treating lumbar disc herniation(LDH). METHODS: A retrospective study was performed on 105 patients with single-level LDH treated from December 2019 to December 2021. Fifty-four patients in UBE group,including 32 males and 22 females,aged from 18 to 50 years old with an average of(38.7±9.3) years old,were treated with UBE,29 patients with L4,5 and 25 patients with L5 S1 ...
March 25, 2024: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://read.qxmd.com/read/38511959/efficacy-of-biportal-endoscopic-decompression-for-lumbar-spinal-stenosis-a-meta-analysis-with-single-arm-analysis-and-comparative-analysis-with-microscopic-decompression-and-uniportal-endoscopic-decompression
#10
JOURNAL ARTICLE
Shuangwen Lv, Haiwen Lv, Yupeng He, Xiansheng Xia
BACKGROUND AND OBJECTIVE: Biportal endoscopic decompression is a minimally invasive surgical technique for lumbar spinal stenosis (LSS). This meta-analysis aimed to evaluate the efficacy and safety of biportal endoscopic decompression through both a single-arm analysis and a comparative analysis. METHODS: A comprehensive literature search was conducted to identify eligible studies reporting the outcomes of biportal endoscopic decompression for LSS. Single-arm analysis and comparisons with microscopic and uniportal endoscopic decompression were performed...
March 21, 2024: Operative Neurosurgery (Hagerstown, Md.)
https://read.qxmd.com/read/38511043/endoscopic-sellar-defect-reconstruction-with-avascular-modified-gasket-seal-technique-for-sellar-tumors
#11
JOURNAL ARTICLE
Karthik Nagaraja Rao, Ripu Daman Arora, Anil Sharma, Rupa Mehta, Satish Satpute, Prajwal Dange, Nitin M Nagarkar
Watertight repair of the skull base defect is necessary during endonasal skull base surgery to avoid postoperative CSF leak (poCSFl) and consequent intracranial complications. Various techniques have been described for reconstructing sphenoid-sellar defects with varying success rates. We have described the immediate and long-term outcomes following the reconstruction of sphenoid-sellar defects with our technique. A retrospective analysis of the patients following transsphenoidal sellar surgery underwent barrier restoring reconstruction by multi-layered (inlay-overlay) with autologous thigh fat, fascia lata, fibrin glue, knitted collagen, and absorbable gelatin sponge (modified gasket seal technique)...
March 2024: Indian Journal of Surgical Oncology
https://read.qxmd.com/read/38509573/evaluation-of-the-learning-curve-and-complications-in-unilateral-biportal-endoscopic-transforaminal-lumbar-interbody-fusion-cumulative-sum-analysis-and-risk-adjusted-cumulative-sum-analysis
#12
JOURNAL ARTICLE
Wenlong Guo, Jingyao Ye, Tong Li, Yang Yu, Xiaohong Fan
PURPOSE: To evaluate the learning curve and complications in unilateral biportal endoscopic transforaminal lumbar interbody fusion (ULIF) using the Cumulative Sum (CUSUM) analysis and Risk-adjusted Cumulative Sum (RA-CUSUM) analysis. METHODS: This study retrospectively analyzed 184 consecutive patients who received ULIF in our hospital, including 104 males and 80 females. CUSUM analysis and RA-CUSUM analysis were used to evaluate the learning curve of ULIF based on the operation time and surgical failure rate, respectively...
March 21, 2024: Journal of Orthopaedic Surgery and Research
https://read.qxmd.com/read/38506677/a-comparison-of-minimally-invasive-surgical-techniques-and-standard-open-discectomy-for-lumbar-disc-herniation-a-network-meta-analysis
#13
JOURNAL ARTICLE
Lu Qin, Xiaoqian Jiang, Shishun Zhao, Wenlai Guo, Di You
BACKGROUND: Lumbar disc herniation is a common spinal disease that causes low back pain; surgery is required when conservative treatment is ineffective. There is a growing demand for minimally invasive surgery in younger patient populations due to their fear of significant damage and a long recovery period following standard open discectomy. The development history of minimally invasive surgery is relatively short, and no gold standard has been established. OBJECTIVES: We aimed to find, via a network meta-analysis, the best treatment for low back pain in younger patient populations...
March 2024: Pain Physician
https://read.qxmd.com/read/38500428/-analysis-of-effectiveness-of-one-hole-split-endoscopy-technique-in-treatment-of-lumbar-spinal-stenosis
#14
JOURNAL ARTICLE
Fang Tan, Feng Zhang, Shuai Han, Xin Song, Yunhua Yuan, Jian Wang
OBJECTIVE: To investigate the effectiveness of one-hole split endoscope (OSE) technique in the treatment of single segment lumbar spinal stenosis (LSS). METHODS: The clinical data of 32 single segment LSS patients treated with OSE technique for simple spinal canal decompression between January 2022 and December 2022, who met the selection criteria, were retrospectively analysed. There were 18 males and 14 females, the age ranged from 45 to 82 years, with an average of 65...
March 15, 2024: Chinese Journal of Reparative and Reconstructive Surgery
https://read.qxmd.com/read/38500426/-comparison-of-effectiveness-between-unilateral-biportal-endoscopic-and-uniportal-interlaminar-endoscopic-decompression-in-the-treatment-of-lumbar-spinal-stenosis
#15
JOURNAL ARTICLE
Guosong Han, Li Ma, Yonghong Cheng, Ke Zheng, Jialong Qi, Zhou Dong, Zhidong Zhang, Dengpan Yao
OBJECTIVE: To compare the effectiveness between unilateral laminotomy and bilateral decompression (ULBD) with unilateral biportal endoscopy (UBE) and uniportal interlaminar endoscopy (UIE) in the treatment of lumbar spinal stenosis. METHODS: A clinical data of 52 patients with lumbar spinal stenosis, who met the selection criteria and treated with ULBD between March 2021 and November 2022, was retrospectively analyzed. The patients were allocated into UBE group (23 cases) and UIE group (29 cases) according to the surgical methods...
March 15, 2024: Chinese Journal of Reparative and Reconstructive Surgery
https://read.qxmd.com/read/38497628/full-endoscopic-foraminoplasty-and-lumbar-discectomy-for-single-level-lumbar-disc-herniation
#16
JOURNAL ARTICLE
Hengrui Chang, Zhaohui Li, Yiwen Zhang, Wenyuan Ding, Jiaxin Xu
The Transforaminal Endoscopic Surgical System (TESSYS) technique has gained popularity for the treatment of lumbar disc herniations. Foraminoplasty is the key procedure in TESSYS. However, it requires advanced skills and long-term learning, which hinder its widespread adoption among surgeons. Recently, the introduction of full-endoscopic solutions has made the process more manageable. The main difference from traditional single-portal endoscopic surgery is that full-endoscopic surgery is equipped with a larger working channel, allowing full visualization of foraminoplasty and decreasing reliance on intraoperative fluoroscopy...
March 1, 2024: Journal of Visualized Experiments: JoVE
https://read.qxmd.com/read/38492512/endoscopic-endonasal-approach-for-olfactory-groove-meningioma-resection-strategies-and-outcomes-in-a-retrospective-case-series
#17
JOURNAL ARTICLE
Amy J Wang, Christine K Lee, Max Blanch, Pratik A Talati, Stacey T Gray, Benjamin S Bleier, George A Scangas, Eric H Holbrook, William T Curry
OBJECTIVE: Though the endoscopic endonasal approach (EEA) is a widely accepted treatment for skull base tumors, the specific use of EEA for olfactory groove meningiomas (OGMs) is debated, with variable outcomes reported in the literature. We review the surgical results of OGM resections for one surgeon including the operative approach, surgical nuances, and outcomes, with a focus on factors relating to patient selection which favor EEA over transcranial approaches. METHODS: We retrospectively reviewed thirteen cases of endoscopic endonasal resection of olfactory groove meningiomas...
March 15, 2024: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
https://read.qxmd.com/read/38480550/early-result-of-percutaneous-full-endoscopic-transforaminal-lumbar-interbody-fusion-in-the-treatment-of-single-level-lumbar-degenerative-diseases-a-retrospective-study
#18
JOURNAL ARTICLE
Xu Shen, Pei Zhang, Qing-Hua Cheng, Yu-Cheng Gao, Wen-Bin Xuan, Peng Song, Zeng-Xin Gao
OBJECTIVE: The study aimed to evaluate the short-term clinical efficacy of percutaneous full-endoscopic transforaminal lumbar interbody fusion (Endo-TLIF) for lumbar degenerative diseases (LDD). METHODS: From July 2020 to July 2021, 93 patients who underwent single-level lumbar fusion procedure were retrospective analysis. The patients were divided into Endo-TLIF group and transforaminal lumbar interbody fusion (TLIF) group. General demographic and perioperative data were recorded, the clinical outcomes were evaluated using visual analogue scale (VAS) and oswestry disability index (ODI)...
March 14, 2024: Neurosurgical Review
https://read.qxmd.com/read/38469611/comparison-of-percutaneous-transforaminal-endoscopic-decompression-and-full-endoscopic-lamina-fenestration-decompression-in-the-treatment-of-degenerative-lumbar-spinal-stenosis-with-unilateral-radicular-pain-a-retrospective-study
#19
JOURNAL ARTICLE
Liang Xiong, Fengping Liu, Hongwei Zhao, Mingyi Luo, Bin Lu, Yuxiang Deng, Zhenyu Zhou
BACKGROUND: Endoscopic decompression of the spinal canal is an emerging procedure for the treatment of degenerative lumbar spinal stenosis, but there are few reports of comparative studies of endoscopic techniques for transforaminal and non-transforaminal approaches. OBJECTIVE: To compare the clinical application of percutaneous transforaminal endoscopic decompression (PTED) and full endoscopic lamina fenestration decompression (Endo-LOVE) for treating degenerative lumbar spinal stenosis with unilateral radicular pain...
2024: Annali Italiani di Chirurgia
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
#20
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
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