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Lumbar endoscopic

Yongzhong Li, Xuyang Zhang, Jie Dai, Jiasheng Wang, Hao Wu, Junhui Liu, Jian Chen, Yixiao Zhu, Fengdong Zhao
BACKGROUND: Previous studies of percutaneous endoscopic lumbar discectomy (PELD) for the treatment of lumbar disc herniation (LDH) have shown good clinical results. However, there is limited information about the post-operative improvement in back muscle function. We aimed to determine whether changes in neuromuscular patterns, assessed using the flexion-relaxation phenomenon (FRP), could be observed following PELD surgery. METHODS: Thirty patients participated in the study...
February 15, 2019: World Neurosurgery
Yong Ahn, Han Joong Keum, Sang-Gu Lee, Sheen-Woo Lee
OBJECTIVE: The clinical application of endoscopic technique for lumbar lateral recess stenosis (LRS) is still challenging. This study aimed to describe a transforaminal endoscopic decompression (TED) technique for LRS and to demonstrate its clinical results. METHODS: Two-year follow-up data were collected from 45 consecutive patients who underwent TED for LRS. Full-scale endoscopic decompression can be performed in the dorsal and ventral aspects of the lateral recess with combined partial pediculectomy using an articulating bone burr and endoscopic instruments...
February 11, 2019: World Neurosurgery
Salim Şentürk, Ülkün Ünlü Ünsal
No abstract text is available yet for this article.
February 11, 2019: World Neurosurgery
Kyung-Chul Choi, Hyeong-Ki Shim, Jin-Sung Kim, Kyung Han ChaMD, Dong Chan Lee, Ea Ran Kim, Mee Jung Kim, Choon-Keun Park
BACKGROUND CONTEXT: Microdiscectomy is a standard technique for the surgical treatment of lumbar disc herniation (LDH). Endoscopic discectomy (ED) is another surgical option that has become popular owing to reports of shorter hospitalization and earlier return to work. No study has evaluated health care costs associated with lumbar discectomy techniques and compared cost-effectiveness. PURPOSE: To assess the cost-effectiveness of four surgical techniques for LDH: microdiscectomy (MD), transforaminal endoscopic lumbar discectomy (TELD), interlaminar endoscopic lumbar discectomy (IELD), and unilateral biportal endoscopic discectomy (UBED)...
February 8, 2019: Spine Journal: Official Journal of the North American Spine Society
Akaworn Mahatthanatrakul, Vit Kotheeranurak, Guang-Xun Lin, Jung-Woo Hur, Ho Jung Chung, Jin-Sung Kim
PURPOSE: Postoperative magnetic resonance imaging (MRI) after microdiscectomy for lumbar disc herniation frequently shows spinal canal compression by the remaining annulus, which gradually decreases over time. Transforaminal endoscopic lumbar discectomy (TELD) can remove the herniation with minimal trauma to surrounding soft tissue. We aim to identify this remodeling of annulus fibrosus and the change of disc signal after TELD. METHODS: We reviewed patients who underwent TELD...
February 8, 2019: Neuroradiology
Shengxiang Ao, Junlong Wu, Yu Tang, Chao Zhang, Jie Li, Wenjie Zheng, Yue Zhou
Objective: There is a steep learning curve with traditional percutaneous endoscopic lumbar discectomy (PELD). The aim of this study is to assess the safety and efficacy of PELD assisted by O-arm-based navigation for treating lumbar disc herniation (LDH). Methods: From September of 2017 to January of 2018, 118 patients with symptomatic LDH were enrolled in the prospective cohort study. The patients undergoing PELD with O-arm-based navigation technique were defined as group A (58 cases), and those undergoing traditional X-ray fluoroscopy method were defined as group B (60 cases)...
2019: BioMed Research International
(no author information available yet)
No abstract text is available yet for this article.
February 15, 2019: Spine
Chul-Woo Lee, Kang-Jun Yoon
Introduction. The multifocal lumbar pathology including disc herniation and stenosis in the spinal canal or foramen has been considered the most difficult to approach surgically. It often requires mandatory dual approaches and/or fusion techniques. Traditional percutaneous endoscopic lumbar transforaminal and interlaminar approach has been focused on unifocal disc herniation. However, the development of endoscopic spinal instruments and surgical technique has broadened surgical indication and therapeutic boundary in endoscopic spine surgery...
2019: BioMed Research International
Binbin Wu, Gonghao Zhan, Xinyi Tian, Linyu Fan, Chenchen Jiang, Beekoo Deepti, Hong Cao, Jun Li, Qingquan Lian, Xixi Huang, Feng Xu
Background: Both transforaminal percutaneous endoscopic lumbar discectomy with foraminoplasty (TF PELF) and transforaminal percutaneous endoscopic lumbar discectomy without foraminoplasty (TF PELD) were developed for lumbar disc herniation (LDH) patients. However, the safety and effectiveness between the TF PELF and TF PELD have not been investigated. Methods: Of the included 140 LDH patients, 62 patients received TF PELF (PELF group) and 78 patients received TF PELD (PELD group)...
2019: Pain Research & Management: the Journal of the Canadian Pain Society
Pravesh S Gadjradj, Maurits W van Tulder, Carmen L A M Vleggeert-Lankamp, Job L van Susante, Sidney M Rubinstein, Wilco C Peul, Biswadjiet S Harhangi
No abstract text is available yet for this article.
February 2019: World Neurosurgery
Takeshi Kaneko, Yasushi Oshima, Hirokazu Inoue, Hiroki Iwai, Yuichi Takano, Hirohiko Inanami, Hisashi Koga
Background: Percutaneous endoscopic lumbar discectomy (PELD) is a relatively less invasive treatment for lumbar disc herniation (LDH). This study investigated the usefulness of a full-endoscopic system for PELD in lumbar ligamentum flavum hematoma (LFH) treatment. Methods: Between May 2017 and Jun 2018, a total of five patients with leg pain due to LFH underwent surgery using a full-endoscopic system for PELD. A percutaneous endoscopic translaminar approach (PETA) was performed right above the LFH...
December 2018: Journal of Spine Surgery (Hong Kong)
Xiaoyi Mo, Jieliang Shen, Wei Jiang, Xiaojun Zhang, Nian Zhou, Yiyang Wang, Jie Hao
OBJECTIVE: To evaluate the results of percutaneous endoscopic transforaminal discectomy (PETD) in comparison with percutaneous endoscopic interlaminar discectomy (PEID) for axillar herniation at L5-S1. METHODS: From January 2017 to March 2018, 80 patients admitted with axillar herniation at L5-S1 were randomly recruited into two groups: 40 cases in the PETD group and 40 in the PEID group. Each group separately underwent PETD or PEID. Patient sex, age, body mass index (BMI), axillar herniation size, number of C-arm fluoroscopies, operation time, postoperative bed time, complications, and clinical effect were compared...
January 30, 2019: World Neurosurgery
Peng Chen, Yihe Hu, Zhanzhan Li
We searched several databases from the times of their inception to December 20, 2018. Randomized controlled trials and cohort studies that compared percutaneous endoscopic transforaminal discectomy (PETD) with percutaneous endoscopic interlaminar discectomy (PEID) were identified. We used a random-effects model to calculate the relative risks of, and standardized mean differences (SMDs) between, the two techniques, with 95% confidence intervals (CIs). Twenty-six studies with 3,294 patients were included in the final analysis...
January 31, 2019: Bioscience Reports
Bernhard Rieger, Kerim Hakan Sitoci-Ficici, Clemens Reinshagen, Uta Brautferger, Gabriele Schackert, Marek Molcanyi, Thomas Pinzer
OBJECTIVE: For an effective minimally invasive lumbar decompression we changed the routine of segmental decompression. With a high-speed drill or an ultrasound knife we create a working channel, starting at the base of the spinous process of the upper vertebra slightly above the disc level, to target and decompress the contralateral recess: the translaminar crossover decompression (TCD). This study aims to evaluate the feasibility and compare outcomes of a navigation-guided endoscopic translaminar crossover approach for segmental decompression (eTCD) in elderly patients with microscopic decompression using the same approach (mTCD)...
January 28, 2019: World Neurosurgery
Martin Avellanal, Gonzalo Diaz-Reganon, Alejandro Orts, Lucio Gonzalez-Montero, Irene Riquelme
BACKGROUND: Epiduroscopy is a useful diagnostic and therapeutic tool for managing failed back surgery syndrome (FBSS). The conventional approach is via either the sacral hiatus or the interlaminar. Major causes of FBSS include epidural fibrosis, disc herniation, and stenosis. When these problems are located at the intervertebral foramen level, it can be difficult to reach the lateral recess and the foramen with the epiduroscope. Transforaminal epiduroscopy could be a useful alternative approach in patients with FBSS located at the foraminal level...
January 2019: Pain Physician
Solomon Kamson, Dawei Lu, Paul D Sampson, Yiyi Zhang
BACKGROUND: Open transforaminal lumbar interbody fusion (TLIF) is the gold standard treatment for back pain due to degenerative disc disease and lumbar instability. Traditional open TLIF has been associated with extensive tissue dissection, excessive blood loss, and slow recovery time. Full-endoscopic transforaminal lumbar interbody fusion (FE-TLIF) is an evolving treatment. OBJECTIVES: This study aims to review outcomes of FE-TLIF performed in an ambulatory surgery center (ASC) on patients with advanced disc disease with minimal spinal deformity...
January 2019: Pain Physician
Weijian Ren, Yu Chen, Liangbi Xiang
To examine the clinical results of different minimally invasive techniques for the therapy of far lateral disc herniation in middle-aged and elderly patients. Percutaneous endoscopic lumbar discectomy, MIS-TLIF combined with contralateral translaminar screw and MIS-TLIF combined with bilateral pedicle screws were evaluated via a retrospective chart review. Data from 74 consecutive middle-aged and elderly patients with far lateral disc herniation were analyzed. All patients underwent surgery; 19 with PELD, 24 with MIS-TLIF CTS, and 31 with MIS-TLIF BPS...
January 29, 2019: Computer Assisted Surgery (Abingdon, England)
Weijian Ren, Yu Chen, Liangbi Xiang
To examine the clinical results of different minimally invasive techniques for the therapy of far lateral disc herniation in middle-aged and elderly patients. An endoscopic approach (percutaneous endoscopic lumbar discectomy; PELD), MIS-TLIF combined with contralateral translaminar screw (MIS-TLIF CTS), and MIS-TLIF combined with bilateral pedicle screws (MIS-TLIF BPS) were evaluated via a retrospective chart review. Data from 74 consecutive middle-aged and elderly patients with far lateral disc herniation were analyzed...
January 28, 2019: Computer Assisted Surgery (Abingdon, England)
Jin-Woo An, Chul-Woo Lee
BACKGOUND: Most gaseous lumbar pseudocysts have been previously reported to be located in the spinal canal and successfully treated by several therapeutic methods. By comparison, a gas containing pseudocyst in lumbar extra-foraminal area is very rare. Here, the authors report a case of symptomatic gas containing cyst located in lumbar foramen. It was successfully treated with unilateral biportal endoscopic (UBE) surgery. CASE DESCRIPTION: a 75-year-old man presented with severe left leg pain and tingling sensation refractory to conservative treatment that aggravated with weight bearing and position change...
January 16, 2019: World Neurosurgery
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