Lumbar sequestrectomy via a translaminar approach

2015 ◽  
Vol 24 (S8) ◽  
pp. 957-958 ◽  
Author(s):  
Robert Morrison ◽  
K. J. Schnake
Keyword(s):  
Lumbar Sequestrectomy ◽  
Translaminar Approach

Recurrent sciatica due to periligamentous trapped epidural gas after spinal sequestrectomy

2006 ◽  
Vol 4 (1) ◽  
pp. 75-77 ◽  
Author(s):  
Hans-Holger Capelle ◽  
Joachim K. Krauss
Keyword(s):  
Rare Case ◽  
Unusual Case ◽  
Herniated Disc ◽  
Recurrent Pain ◽  
Gas Formation ◽  
Sciatic Pain ◽  
Disc Material ◽  
Lumbar Sequestrectomy ◽  
Translaminar Approach ◽  
Epidural Gas

✓The authors describe the unusual case of a 50-year-old woman who suffered from sciatic pain due to periligamentous trapped epidural gas after lumbar sequestrectomy. The patient underwent removal of free herniated disc material via a translaminar approach through the L-5 lamina without discectomy. Four days later she suffered from recurrent pain, and neuroimaging studies revealed an epidural gas formation at the site of the sequestrectomy. After evacuation of the gas, her pain resolved. Postoperative intraspinal gas may be symptomatic in the rare case.

Long-term Outcome of 104 Patients after Lumbar Sequestrectomy According to Williams

Neurosurgery ◽  
2001 ◽  
Vol 49 (2) ◽  
pp. 329-335 ◽  
Author(s):  
Markus Wenger ◽  
Luigi Mariani ◽  
Andreas Kalbarczyk ◽  
Uli Gröger
Keyword(s):  
Term Outcome ◽  
Long Term Outcome ◽  
Lumbar Sequestrectomy

scholarly journals Translaminar Approach for Lumbar Disc Herniation

2011 ◽  
Vol 60 (3) ◽  
pp. 446-449
Author(s):  
Kenichi Kawaguchi ◽  
Kuniyoshi Tsuchiya ◽  
Daisuke Hara
Keyword(s):  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Lumbar Disc ◽  
Translaminar Approach

scholarly journals Utilizing pre-operative MR imaging and adapting optimal needle puncture approach to improve radiofrequency ablation fraction of thoracic dorsal root ganglia

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Bing Li ◽  
Yayong Huang ◽  
Yong Zhang ◽  
Sushant Kumar Das ◽  
Chuan Zhang ◽  
...  
Keyword(s):  
Radiofrequency Ablation ◽  
Thoracic Spine ◽  
Dorsal Root ◽  
Transforaminal Approach ◽  
Mri Scans ◽  
Group A ◽  
Mri Sequences ◽  
Magnetic Resonance Imaging Mri ◽  
Group B ◽  
Translaminar Approach

AbstractThis experimental study evaluates the location of thoracic dorsal root ganglions (DRGs) through magnetic resonance imaging (MRI) scans, and evaluates the radiofrequency ablation (RFA) fraction of different puncture approaches on distinct DRG locations. Eight normal adult corpse specimens were used as thoracic spine specimens. An MRI examination was performed on each specimen using the following MRI sequences: STIR T2WI, fs-FRFSE T2WI, and 3D FIESTA-c. Then thoracic spine specimens (n = 14) were divided into three groups for RFA: Group A, using a transforaminal approach irrespective of DRG location; Group B, using a transforaminal, trans-lateral-zygapophysial or translaminar approach according to the DRG location; and Group C using a combination of puncture approaches. The quality of visualization of thoracic DRGs on STIR T2WI, fs-FRFSE T2WI, and 3D FIESTA-c scans were 53.5% (77/144), 88.2% (127/144), and 93.1% (134/144), respectively. In group A, the RFA fractions of the extraforaminal DRGs (N = 29), intraforaminal DRGs (N = 12) and intraspinal DRGs (N = 7) via a transforaminal approach were 72.6 ± 18.9%, 54.2 ± 24.8% and 32.9 ± 28.1% respectively. In group B, RFA of extraforaminal DRGs via a transforaminal approach (N = 43) or a trans-lateral zygapophysial approach (N = 45) led to ablation fractions of 71.9 ± 15.2% and 72.0 ± 17.9%, respectively; RFA of intraforaminal DRGs via a transforaminal approach (N = 14) or a translaminar approach (N = 16) led to ablation fractions of 57.1 ± 18.0% and 52.5 ± 20.6%, respectively; RFA of intraspinal DRGs via a transforaminal approach (N = 12) or a translaminar approach (N = 14) led to ablation fractions of 34.8 ± 24.6% and 71.8 ± 16.0%, respectively. In group C, the combined approach led to an ablation fraction for extraforaminal DRGs (N = 69) of 82.5 ± 14.1%, for intraforaminal DRGs (N = 39) of 81.5 ± 11.8%, and for intraspinal DRGs (N = 36) of 80.8 ± 13.3%. MRI can accurately assess DRG location before RFA. Adopting different and combined puncturing approaches tailored to different DRG locations can significantly increase the DRG RFA fraction.

Translaminar approach to cranio-laterally herniated lumbar disc prolapse

2012 ◽  
Vol 154 (4) ◽  
pp. 711-714 ◽  
Author(s):  
C. Schulz ◽  
A. Abdeltawab ◽  
U. M. Mauer
Keyword(s):  
Lumbar Disc ◽  
Disc Prolapse ◽  
Lumbar Disc Prolapse ◽  
Herniated Lumbar Disc ◽  
Translaminar Approach

Long term results of lumbar sequestrectomy versus aggressive microdiscectomy

2014 ◽  
Vol 21 (10) ◽  
pp. 1714-1718 ◽  
Author(s):  
Kadir Kotil ◽  
Neslihan Sutpideler Köksal ◽  
Selim Kayaci
Keyword(s):  
Long Term Results ◽  
Lumbar Sequestrectomy

scholarly journals Full Endoscopic Technique for High-Grade Up-Migrated Lumbar Disk Herniation via a Translaminar Keyhole Approach: Preliminary Series and Technical Note

2020 ◽  
Vol 81 (05) ◽  
pp. 379-386 ◽  
Author(s):  
Guang-Xun Lin ◽  
Cheul-Woong Park ◽  
Tsz-King Suen ◽  
Vit Kotheeranurak ◽  
Su-Gi Jun ◽  
...  
Keyword(s):  
Surgical Approach ◽  
Perioperative Complications ◽  
Technical Note ◽  
Endoscopic Technique ◽  
Leg Pain ◽  
High Grade ◽  
Disk Herniation ◽  
Lumbar Disk Herniation ◽  
Lumbar Disk ◽  
Translaminar Approach

Abstract Background and Study Aims Technically and anatomically, accessing a high-grade migrated lumbar disk herniation (LDH) using traditional full endoscopic lumbar diskectomy (FELD) approaches (either transforaminal or interlaminar) is challenging. The objective of this study was to present an effective and safe surgical approach for high-grade up-migrated LDH by translaminar FELD. Patients and Methods Thirteen patients with soft high-grade up-migrated LDH treated with a translaminar FELD between May 2015 and July 2018 were reviewed in this study. Five of these patients had very high-grade up-migration. Clinical outcomes were assessed including preoperative and postoperative visual analog scale (VAS) for back and leg pain, Oswestry Disability Index (ODI), and MacNab criteria. Results Overall, 7 of the 13 patients had disk-fragment migration at L4–L5: three at L5–S1, two at L3–L4, and the remaining one at L2–L3. In all cases, the highly up-migrated LDH was removed successfully through the translaminar approach, as confirmed by postoperative magnetic resonance imaging. The improvements of VAS for back and leg pain were 4.5 ± 0.9 to 1.3 ± 1.3 and 7.1 ± 1.0 to 1.6 ± 0.7, respectively (both p < 0.05). The ODI decreased from preoperative 41.9 ± 6.0 to postoperative 13.0 ± 4.1 (p < 0.05). According to the MacNab criteria, the satisfaction rate was 92.3% (excellent or good outcomes). None of the patients experienced any perioperative complications or recurrence during the follow-up period. Conclusion Although full endoscopic technique via the translaminar keyhole route may not be used as a routine surgical approach, it could serve as a feasible alternative method for patients with highly up-migrated disk herniation.

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