{"title":"Contributors to authors","authors":"","doi":"10.1053/S1040-7383(24)00033-9","DOIUrl":"https://doi.org/10.1053/S1040-7383(24)00033-9","url":null,"abstract":"","PeriodicalId":39884,"journal":{"name":"Seminars in Spine Surgery","volume":"36 2","pages":"Article 101110"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1040738324000339/pdfft?md5=741d160d61d52e08614e2fce611355b8&pid=1-s2.0-S1040738324000339-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141482261","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
John Choi , Keyur Akbari , Juan Amaya , James Rizkalla
{"title":"Interlaminar laminectomy/discectomy techniques and outcomes","authors":"John Choi , Keyur Akbari , Juan Amaya , James Rizkalla","doi":"10.1016/j.semss.2024.101082","DOIUrl":"10.1016/j.semss.2024.101082","url":null,"abstract":"<div><h3>Objective</h3><p>Unilateral Biportal Endoscopic decompression via interlaminar approach is an evolving minimally invasive technique<span> to decompress the neural structures from either due to degenerative lumbar canal stenosis or herniated disc. The current study aims to highlight technical aspects of this procedure for safe and better clinical outcomes.</span></p></div><div><h3>Findings</h3><p>Unilateral Biportal Endoscopy<span> via interlaminar approach provides an excellent magnified and illuminated surgical field to satisfactorily decompress not only ipsilateral but contralateral<span> side also. Dural tear and epidural hematomas are known complications; however, the incidence is low.</span></span></p></div><div><h3>Conclusion</h3><p>Unilateral Biportal Endoscopic decompression via interlaminar approach can safely and effectively decompress neural elements without destabilizing spine.</p></div>","PeriodicalId":39884,"journal":{"name":"Seminars in Spine Surgery","volume":"36 1","pages":"Article 101082"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139394289","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Omri Maayan , Eric Mai , Ashley Yeo Eun Kim , Sravisht Iyer
{"title":"Overview of endoscopic spine surgery and learning curve","authors":"Omri Maayan , Eric Mai , Ashley Yeo Eun Kim , Sravisht Iyer","doi":"10.1016/j.semss.2024.101079","DOIUrl":"10.1016/j.semss.2024.101079","url":null,"abstract":"<div><p><span>Spine surgery has witnessed significant advancements in endoscopic techniques over the past several decades. Compared to open approaches, endoscopic spine surgery allows for minimal tissue dissection, blood loss, and hospital stay, while optimizing early functional recovery. Recent improvements in instrumentation have enabled endoscopic techniques to address a larger range of degenerative pathology. However, regulatory barriers and specialized training are thought to underlie the purportedly steep learning curve, which hinders the widespread implementation of </span>endoscopy<span> in clinical practice. This review aims to provide an overview of endoscopic spine surgery and discuss its learning curve relative to other minimally invasive techniques.</span></p></div>","PeriodicalId":39884,"journal":{"name":"Seminars in Spine Surgery","volume":"36 1","pages":"Article 101079"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139394639","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mark J. Lambrechts, Parker Brush, Alan S. Hilibrand
{"title":"Updates on design and biomechanics of cervical disc arthroplasty","authors":"Mark J. Lambrechts, Parker Brush, Alan S. Hilibrand","doi":"10.1016/j.semss.2023.101067","DOIUrl":"10.1016/j.semss.2023.101067","url":null,"abstract":"<div><p><span><span><span>Historically, anterior cervical discectomy and fusion (ACDF) has been the preferred surgical technique to address </span>myelopathy and </span>radiculopathy<span> due to cervical spine </span></span>intervertebral disc disease<span><span>. Continued design improvements and theoretical biomechanical advantages to cervical disc arthroplasty over the last decade have made cervical disc arthroplasty an appealing alternative to ACDF, especially in younger patient populations without significant </span>spondylosis who may wish to preserve neck motion. This narrative review will discuss the recent advances in cervical disc arthroplasty in regard to material composition, overall design and resultant degrees of freedom of the devices, the potential sparing of neck range of motion, and the theoretical biomechanical advantages of an arthroplasty compared to an ACDF.</span></p></div>","PeriodicalId":39884,"journal":{"name":"Seminars in Spine Surgery","volume":"36 1","pages":"Article 101067"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136127989","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Contributors to authors","authors":"","doi":"10.1053/S1040-7383(24)00014-5","DOIUrl":"https://doi.org/10.1053/S1040-7383(24)00014-5","url":null,"abstract":"","PeriodicalId":39884,"journal":{"name":"Seminars in Spine Surgery","volume":"36 1","pages":"Article 101091"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1040738324000145/pdfft?md5=f4d9f1c744078dd79f4507ece73d9433&pid=1-s2.0-S1040738324000145-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140014199","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Thomas E. Olson, Alexander Upfill-Brown, Don Young Park
{"title":"Endoscopic posterior cervical foraminotomy techniques and outcomes","authors":"Thomas E. Olson, Alexander Upfill-Brown, Don Young Park","doi":"10.1016/j.semss.2024.101086","DOIUrl":"10.1016/j.semss.2024.101086","url":null,"abstract":"<div><p>Posterior cervical foraminotomy is a commonly performed procedure to address cervical radiculopathy through direct decompression of the neural foramen by partially resecting the dorsal aspect of the facet joint. The procedure is an alternative to anterior cervical approaches such as anterior cervical discectomy and fusion and cervical disc arthroplasty, which require complete discectomy to address foraminal stenosis that cause cervical radiculopathy. The procedure has evolved from open to minimally invasive techniques including endoscopic methods, which has recently increased in interest by spine surgeons. This review discusses the currently existing endoscopic techniques for cervical posterior foraminotomy and synthesizes the existing literature.</p></div>","PeriodicalId":39884,"journal":{"name":"Seminars in Spine Surgery","volume":"36 1","pages":"Article 101086"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1040738324000091/pdfft?md5=3e70be70f770ba3cf24ef7e7b0cf3fdc&pid=1-s2.0-S1040738324000091-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139392461","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Thoracic spine endoscopic techniques","authors":"Jian Shen , Daniel K. Park , Albert E. Telfeian","doi":"10.1016/j.semss.2024.101085","DOIUrl":"10.1016/j.semss.2024.101085","url":null,"abstract":"<div><p>Endoscopic surgical options for treating thoracic spinal cord compression are discussed with two case reports, with emphasis on indications/contraindications and surgical techniques.</p></div>","PeriodicalId":39884,"journal":{"name":"Seminars in Spine Surgery","volume":"36 1","pages":"Article 101085"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139395778","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Javier Quillo-Olvera, Javier Quillo-Reséndiz, Michelle Barrera-Arreola
{"title":"Common complications with endoscopic surgery and management","authors":"Javier Quillo-Olvera, Javier Quillo-Reséndiz, Michelle Barrera-Arreola","doi":"10.1016/j.semss.2024.101087","DOIUrl":"10.1016/j.semss.2024.101087","url":null,"abstract":"<div><p><span>Endoscopic spine surgery (ESS) has proved to have similar clinical outcomes to those obtained with conventional surgical open options to decompress neural elements. Advantages such as less postoperative pain<span>, intraoperative bleeding, postoperative opioid consumption, earlier mobilization, and shorter hospital stays are related to ESS. However, these techniques are also associated with risks of potentially catastrophic complications. This narrative review discusses the most common complications in full-endoscopy: dural injury, insufficient decompression and recurrence, postoperative epidural hematoma, postoperative </span></span>dysesthesia, and infection. Moreover, practical advice to prevent and manage them has added to each complication.</p></div>","PeriodicalId":39884,"journal":{"name":"Seminars in Spine Surgery","volume":"36 1","pages":"Article 101087"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139454668","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Lumbar foraminal pathology: Biportal endoscopic spine surgical approaches","authors":"Dae Jung Choi , Daniel K. Park","doi":"10.1016/j.semss.2024.101083","DOIUrl":"10.1016/j.semss.2024.101083","url":null,"abstract":"<div><p><span><span>Spinal endoscopic approaches, full-endoscopic or biportal, allow for access to various lumbar foraminal pathologies while preserving the integrity of back muscles and facet joints. These minimal invasive procedures can eliminate the need for wide decompressions potentially decreasing the need for instrumented fusion. Early symptomatic recurrence most often arises due to inadequate decompression. Understanding the intricacies of foraminal pathology rather than assuming continued post-surgical pain is a result of spinal instability can change the paradigm of endoscopic spine surgery from endoscopic assisted fusion to true </span>minimally invasive surgery. Surgeons should think whether early revision of </span>spinal decompression could arise from insufficient foraminal decompression. This paper aims to elucidate the reader on foraminal pathoanatomy allowing the surgeon to understand when sufficient decompression is achieved and inform the surgeon on the technical aspects of surgery to minimize iatrogenic instability and incidental complications.</p></div>","PeriodicalId":39884,"journal":{"name":"Seminars in Spine Surgery","volume":"36 1","pages":"Article 101083"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139395836","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Uniportal endoscopic lumbar decompression: Interlaminar and transforaminal techniques and outcomes","authors":"Dean C. Perfetti , Peter B. Derman","doi":"10.1016/j.semss.2024.101080","DOIUrl":"10.1016/j.semss.2024.101080","url":null,"abstract":"<div><h3>Objective</h3><p>While there is increasing interest in endoscopic lumbar decompression, widespread adoption has been slowed in part due to the steep learning curve and lack of exposure in many formalized training programs. The objective of this article is to familiarize surgeons with the indications, surgical technique, and outcomes for uniportal endoscopic lumbar decompression via the interlaminar and transforaminal approaches.</p></div><div><h3>Findings</h3><p>Uniportal endoscopic techniques are growing in popularity as the literature demonstrates that they are safe and effective. Endoscopic approaches allow for rapid functional recovery with reduced morbidity compared to open and MIS techniques.</p></div><div><h3>Conclusions</h3><p>Endoscopic interlaminar and transforaminal techniques are safe and effective with at least non-inferior long-term outcomes and faster recovery compared to traditional open and MIS counterparts.</p></div>","PeriodicalId":39884,"journal":{"name":"Seminars in Spine Surgery","volume":"36 1","pages":"Article 101080"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139456498","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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