Post fusion junctional disc herniation syndrome treated with endoscopic spine surgery

10.5580/1512 ◽  
2009 ◽  
Vol 3 (4) ◽  
Keyword(s):  
Spine Surgery ◽  
Disc Herniation ◽  
Endoscopic Spine Surgery

scholarly journals The Usefulness of Percutaneous Endoscopic Technique in Multifocal Lumbar Pathology

2019 ◽  
Vol 2019 ◽  
pp. 1-8 ◽  
Author(s):  
Chul-Woo Lee ◽  
Kang-Jun Yoon
Keyword(s):  
Spine Surgery ◽  
Disc Herniation ◽  
Spinal Canal ◽  
Central Canal ◽  
Minimal Invasive ◽  
Endoscopic Spine Surgery ◽  
Canal Stenosis ◽  
Lateral Recess Stenosis ◽  
Interlaminar Approach ◽  
Disc Herniations

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. Cases Presentation. The authors present outcomes of four patients with multilumbar pathology including highly inferior migrated disc combined with lateral recess stenosis, multifocal disc herniation, bilateral disc herniations in spinal canal and foraminal disc herniation combined with central canal stenosis. They were successfully treated by percutaneous uniportal full endoscopic approach with single incision. Conclusion. Percutaneous endoscopic spine surgery is a safe and effective tool to figure out multilumbar pathology in a minimal invasive way.

scholarly journals Percutaneous Endoscopic Spine Surgery for Extruded Lumbar Disc Herniation

2018 ◽  
Vol 12 (1) ◽  
pp. 482-495
Author(s):  
Mutombo Menga Arsene ◽  
Xiao-Tao Wu ◽  
Zan- Li Jiang ◽  
Lei Zhu
Keyword(s):  
Minimally Invasive ◽  
Lumbar Disc Herniation ◽  
Spine Surgery ◽  
Disc Herniation ◽  
Lumbar Disc ◽  
Surgical Techniques ◽  
Surgical Instruments ◽  
Disc Space ◽  
Advanced Technique ◽  
Endoscopic Spine Surgery

The conventional open discectomy is the gold standard for treating extruded lumbar disc herniation, especially in highly migrated lumbar disc herniation. Endoscopic spine surgery is known to be very challenging and technically demanding, in particular for highly migrated disc herniation. However, several studies have reported numerous effective techniques with results approximatively equal to conventional open surgeries or mini-open surgery. In the last few years, an increased number of endoscopic spine surgical techniques have been proposed in order to overcome various issues encountered in traditional endoscopic spine surgery. Nevertheless, surgical approach selection for treating extruded lumbar disc herniation is based on aspects such as anatomical structures, availability of surgical instruments, surgeon’s experience, and the disc herniation location. Advances in endoscopic visualization and instrumentation, as well as an increased demand for minimally invasive procedures, have led to the popularity of Percutaneous Endoscopic Lumbar Discectomy (PELD). PELD is a recent and advanced technique among other minimally invasive spine surgeries (MIS). It includes various kinds of surgical techniques to treat lumbar disc herniation and aims to offer a safe, less invasive surgical procedure for lumbar disc space decompression and removal of nucleus pulposus.

Early Outcomes: A Comparison between Biportal Endoscopic Spine Surgery and Open Lumbar Discectomy for Single-Level Lumbar Disc Herniation

2021 ◽  
Vol 104 (1) ◽  
pp. 123-128
Keyword(s):  
Postoperative Pain ◽  
Lumbar Disc Herniation ◽  
Spine Surgery ◽  
Disc Herniation ◽  
Lumbar Disc ◽  
Hospital Costs ◽  
Lumbar Discectomy ◽  
Morphine Consumption ◽  
Single Level ◽  
Endoscopic Spine Surgery

Objective: To compare early outcomes between biportal endoscopic spine surgery (BESS) and open lumbar discectomy (OLD) for treating single-level lumbar disc herniation. Materials and Methods: A retrospective cohort study was conducted in 80 cases of single-level lumbar disc herniation that underwent either BESS or OLD. The author compared the perioperative data between BESS and OLD, including operative time (OT), level, side, estimated blood loss (EBL), surgical drain output, hospital stay (HS), hospital costs, visual analogue scale (VAS) scores, morphine consumption, complication, and McNab’s satisfaction outcome. Results: Forty-three patients underwent BESS and 37 underwent OLD. There was 55% female and 45% male. The mean age was 37.8±9.5 years. The BESS group showed significantly (a) lower median morphine consumption than the OLD group (five mg versus nine mg, p<0.001), (b) lower postoperative pain (VAS) at 2-, 4-, 12-, 24-, 48- (p<0.001), and 72-hours post-surgery (p=0.017), and (c) shorter HS (4.8±2.9 days versus 7.4±4.6 days, p=0.003). McNab’s satisfaction outcome of a good or excellent result was comparable between BESS and OLD group (97.7% versus 86.5%, p=0.090). The BESS group, however, had a longer OT than the OLD group (100.4±28.5 versus 67.9±23.2 minutes, p<0.001), and had a higher hospital cost (1,256±360.9 USD versus 910.6±269.8 USD, p<0.001). Complications were not significantly different between the BESS and OLD groups. Conclusion: BESS for single-level lumbar discectomy had less postoperative pain for up to 72 hours, less opioid consumption, and shorter HS, but longer OT and higher hospital costs than OLD. Patient satisfaction outcomes were comparable between the two groups. Keywords: Biportal endoscopic spine surgery, Unilateral biportal endoscopic discectomy, Open lumbar discectomy, Single-level lumbar disc herniation

scholarly journals Preoperative Design for the Posterolateral Approach in Full-Endoscopic Spine Surgery for the Treatment of L5/S1 Lumbar Disc Herniation

Neurospine ◽  
2019 ◽  
Vol 16 (1) ◽  
pp. 105-112
Author(s):  
Muneyoshi Fujita ◽  
Hirotaka Kawano ◽  
Tomoaki Kitagawa ◽  
Hiroki Iwai ◽  
Yuichi Takano ◽  
...  
Keyword(s):  
Lumbar Disc Herniation ◽  
Spine Surgery ◽  
Disc Herniation ◽  
Lumbar Disc ◽  
Posterolateral Approach ◽  
Endoscopic Spine Surgery

scholarly journals Endoscopic Spine Surgery: Current State of Art and the Future Perspective

2018 ◽  
Vol 12 (1) ◽  
pp. 1-2 ◽  
Author(s):  
Andrew Seok Min Moon ◽  
Sakthivel Rajan Rajaram Manoharan
Keyword(s):  
Spine Surgery ◽  
Future Perspective ◽  
Endoscopic Spine Surgery ◽  
Current State ◽  
The Future ◽  
State Of Art

scholarly journals Intraoperative image guidance for endoscopic spine surgery

2021 ◽  
Vol 9 (1) ◽  
pp. 92-92
Author(s):  
Jason I. Liounakos ◽  
Gregory W. Basil ◽  
Hikari Urakawa ◽  
Michael Y. Wang
Keyword(s):  
Spine Surgery ◽  
Image Guidance ◽  
Endoscopic Spine Surgery
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