Journal of Minimally Invasive Spine Surgery and Technique最新文献

{"title":"Biportal Endoscopic Transforaminal Interbody Fusion for Lumbar Adjacent Segment Disease: An Illustrative Case and Literature Review","authors":"Yi-Yen Chiang, Muhammad Hafiz Hashim, Chun-Chieh Wang, Chuan-Ching Huang, Chih-Wei Chen, Shu-Hua Yang, Ming-Hsiao Hu","doi":"10.21182/jmisst.2023.01109","DOIUrl":"https://doi.org/10.21182/jmisst.2023.01109","url":null,"abstract":"Posterior lumbar fusion surgery is a well-established procedure for treating degenerative lumbar spine diseases. Despite its surgical success over the decades, adjacent segment degeneration persisted as a problem, causing significant morbidity in patients. Various surgical fusion techniques, including open and minimally invasive procedures, have been reported for treating adjacent segment disease. Recently, endoscopic lumbar interbody fusion, including fully endoscopic lumbar interbody fusion through the uniportal approach and biportal endoscopic transforaminal lumbar interbody fusion (BE-TLIF), has been attempted as a minimally invasive surgical technique for lumbar fusion. This study describes the BE-TLIF technique and presents a review of the literature on this technique for treating adjacent segment disease. Our case illustration demonstrates that BE-TLIF could be a viable minimally invasive technique for addressing adjacent segment disease in revision lumbar spinal fusion surgery.","PeriodicalId":405058,"journal":{"name":"Journal of Minimally Invasive Spine Surgery and Technique","volume":"3 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141927914","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":"Spontaneous Pneumorrhachis With S1 Radiculopathy: Current Evidence Regarding a Rare Presentation","authors":"Sukumar Sura, Venkataramana Kuruba, A. Mallepally, Rajendra Reddy","doi":"10.21182/jmisst.2024.01214","DOIUrl":"https://doi.org/10.21182/jmisst.2024.01214","url":null,"abstract":"","PeriodicalId":405058,"journal":{"name":"Journal of Minimally Invasive Spine Surgery and Technique","volume":"21 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141927259","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":"Technical Considerations and Avoiding Complications in Interlaminar Endoscopic Lumbar Discectomy","authors":"M. González-Murillo, Juan Castro-Toral, Ricardo Casal-Grau, César Bonome-Roel, César Bonome-González, Juan Álvarez de Mon-Montoliú","doi":"10.21182/jmisst.2024.01291","DOIUrl":"https://doi.org/10.21182/jmisst.2024.01291","url":null,"abstract":"The","PeriodicalId":405058,"journal":{"name":"Journal of Minimally Invasive Spine Surgery and Technique","volume":" 24","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141827534","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":"A Novel Transforaminal Approach for Upmigrated Lumbar Disc Herniations in the Hidden Zone of MacNab: A Surgical Technical Note","authors":"Malcolm Pestonji, M. Langaliya, P. Banka","doi":"10.21182/jmisst.2023.01081","DOIUrl":"https://doi.org/10.21182/jmisst.2023.01081","url":null,"abstract":"Objective: Transforaminal percutaneous endoscopic discectomy (TPED) is a minimally invasive surgical procedure used to treat herniated disc fragments in the hidden zone of MacNab. This study aimed to investigate the efficacy, advantages, and safety of TPED for superiorly migrated lumbar disc herniation in the hidden zone of MacNab, focusing on patients with isolated causative factors such as prolapsed discs. Methods: A cohort of patients with clinical conditions involving isolated causative factors of herniated discs in the hidden zone of MacNab were selected for TPED. Patients with conditions contributing to clinical symptoms were excluded. Twelve patients with hidden-zone disc hernia-tions underwent TPED. Under fluoroscopic guidance, precise skin markings were performed, followed by chromodiscography and epidurography. A nonstandard floating approach was utilized for TPED. The assessment of patients included visual analogue scale and Oswestry Disability Index scores. The outcomes were evaluated based on the modified MacNab criteria after 12 months. Results: Successful removal of the herniated fragments was achieved in all 12 cases of hid-den-zone disc herniations that underwent TPED. According to the modified MacNab criteria, 11 out of 12 patients achieved excellent outcomes, while one patient attained a good outcome. Conclusions: The transforaminal approach in TPED was confirmed to be a highly effective and minimally invasive technique for managing hidden-zone disc herniations. The procedure yielded satisfactory to excellent results, accompanied by a significantly shorter rehabilitation period and minimal blood loss. Importantly, the pars interarticularis and lamina remain fully intact with the transforaminal approach.","PeriodicalId":405058,"journal":{"name":"Journal of Minimally Invasive Spine Surgery and Technique","volume":" 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141668567","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":"Evaluation of Traversing Nerve Root Injuries During Endoscopic Transforaminal Lumbar Interbody Fusion: Observation of Traversing Root via an Accessory Portal","authors":"Alvin Kai Xing Lee, Chien-Min Chen, Se-Yi Chen, Chia-Yu Lin, Pan-Hsuan Hsiao, Hsien-Te Chen, Chun Tseng","doi":"10.21182/jmisst.2023.01102","DOIUrl":"https://doi.org/10.21182/jmisst.2023.01102","url":null,"abstract":"Objective: The aim of this study was to observe possible risks for traversing root injuries during endoscopic transforaminal lumbar interbody fusion (endo-TLIF) via an accessory portal. Methods: Twenty patients were recruited for this study according to our inclusion and exclusion criteria. An accessory portal was made 3 cm caudal to the working portal, and a 30°/4.3-mm endoscope was utilized to observe possible risks for traversing root injuries throughout the entire process of disc preparation and cage implantation. Results: The traversing root was observed via the accessory portal throughout the process of disc preparation and cage implantation in 20 patients. Endo-TLIF was shown to be a suitable method for decompression and cage implantation as it provided a sufficient working space and window. No cases of traversing root injuries were observed in our study. Conclusion: Endo-TLIF was found to be a suitable method for disc preparation and cage implantation. Our observations showed that endo-TLIF is a safe method for decompression, disc preparation, and cage implantation.","PeriodicalId":405058,"journal":{"name":"Journal of Minimally Invasive Spine Surgery and Technique","volume":" 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141675116","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":"Biportal Endoscopic Transforaminal Lumbar Interbody Fusion with Percutaneous Instrumentation: A Technical Note","authors":"Ching-Hsiao Yu, Hung-Kang Wu","doi":"10.21182/jmisst.2023.01151","DOIUrl":"https://doi.org/10.21182/jmisst.2023.01151","url":null,"abstract":"","PeriodicalId":405058,"journal":{"name":"Journal of Minimally Invasive Spine Surgery and Technique","volume":"74 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141837739","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":"Management of Spinal Myeloid Sarcoma in a 23-Year-Old Woman With a History of Acute Myeloid Leukemia","authors":"Ali Hammed, M. Mahfoud, Gaith Alkhanous, Zaki Abboud, Tarek Qasem, Lojain Hasan","doi":"10.21182/jmisst.2023.01144","DOIUrl":"https://doi.org/10.21182/jmisst.2023.01144","url":null,"abstract":"Myeloid sarcoma (MS) is an uncommon extramedullary tumor comprising immature myeloid cells, primarily associated with acute myeloid leukemia (AML). Spinal involvement is observed in fewer than 1% of cases. We present an unusual case of extramedullary MS in a patient with AML. A 23-year-old woman with a history of AML presented with neurological symptoms, including limb pain, weakness, and numbness. Imaging revealed an intramedullary enhancing mass at the cervical level. Partial laminectomy and microsurgical resection were performed, followed by laminoplasty. Immunohistochemistry supported the diagnosis, confirming MS. The patient was subsequently transferred to the hematologic department and received tailored treat-ment. The diverse clinical manifestations of spinal MS pose diagnostic challenges. In this case, an atypical intramedullary location led to incorrect initial diagnostic impressions. Comprehensive evaluations, including repeated biopsies and immunohistochemistry, were crucial for an accurate diagnosis. Treatment strategies vary based on systemic involvement, and prompt diagnosis is important for favorable outcomes. MS, especially in the spine, presents diagnostic and therapeutic complexities. Timely recognition, an accurate diagnosis through comprehensive evaluations, and tailored treatment strategies are crucial for positive outcomes in this rare hematologic entity.","PeriodicalId":405058,"journal":{"name":"Journal of Minimally Invasive Spine Surgery and Technique","volume":" 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141677232","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":"Preliminary Results of The Treatment for Failed Back Surgery Syndrome by Full Endoscopic Approach at Saint Paul General Hospital, in Hanoi, Vietnam","authors":"Lương Minh Quang, Tran Viet Hoang, Pham Van Duong","doi":"10.21182/jmisst.2023.01158","DOIUrl":"https://doi.org/10.21182/jmisst.2023.01158","url":null,"abstract":"","PeriodicalId":405058,"journal":{"name":"Journal of Minimally Invasive Spine Surgery and Technique","volume":"56 36","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140656582","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":"The Growing Trend of Degenerative Spine Surgery Under Spinal Anesthesia in the Elderly: Empowering Patient Safety: A Series of 83 Cases","authors":"V. Nair, Vishal Kundnani, Jenil Patel, Sunil Chodavadiya, Maitreya Patil, Nikhil Dewnany","doi":"10.21182/jmisst.2023.01123","DOIUrl":"https://doi.org/10.21182/jmisst.2023.01123","url":null,"abstract":"Objective: Awake spine surgery has improved patient outcomes in common orthopaedic procedures. Integrating it into spine surgery is of interest to surgeons since it may reduce the difficulties and complications associated with general anaesthesia. The demand for safe spine surgery is rising due to healthcare improvements and increasing ageing population. This study aimed to assess the safety and feasibility of spine surgery under spinal anesthesia for elderly patients aged 65 and older. Methods: In a retrospective review, 83 lower lumbar spine surgeries performed under spinal anesthesia by a single surgeon at a single hospital from 2015 to 2019 were examined. All pro-cedure-related data was collected prospectively for analysis. This study explored demographic characteristics, surgical features, perioperative concerns, and anesthesia-related obstacles in spine surgery under spinal anaesthesia. Results: This study included 83 patients aged 65 years and older. Following follow-up, visual analogue scale and Oswestry Disability Index scores considerably improved (p<0.05). Patients in the American Society of Anesthesiologists physical characteristics classification grade II had the highest count. The most common level was L4–5. About 7.2% of patients needed multiple spinal procedures. The average induction time was 20.2±9.6 minutes. The average intraoperative operation lasted 84.0±17.20 minutes. The shifting-out process took 7.95±2.10 minutes to start. The mean intraoperative arterial blood pressure was 70.7±10.8 mmHg, and the mean heart rate was 69.0±7.2 beats per minute. The average postoperative analgesia initiation time was 79.9±7.7 minutes. The average postoperative stay was 3.02±0.83 days. In 10.8% of individuals, cerebrospinal fluid was found. 1.2% of patients experienced postoperative hypotension, 12% experienced nausea and vomiting. Infection occurred in 2.4% of patients, and 14.5% experienced post-operative urinary retention. Conclusion: This case series shows that older patients can undergo lumbar fusion, decompression surgeries under spinal anesthesia with a skilled anaesthesia team. Additionally, spinal anaesthesia substantially minimised dangers and concerns related with general aanaesthesia.","PeriodicalId":405058,"journal":{"name":"Journal of Minimally Invasive Spine Surgery and Technique","volume":"12 13","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140661765","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":"Less Invasive Triangular Osteosynthesis in the Management of AO Type-B Unstable Sacral Fractures","authors":"Hesham Habba, A. Abou-Madawi, Sherif H. Ali, Sam S. Samaan, Mohammed Alaswad, Mohamed K. Elkazaz, Osama Farouk, Essam A Elkhatib","doi":"10.21182/jmisst.2023.01088","DOIUrl":"https://doi.org/10.21182/jmisst.2023.01088","url":null,"abstract":"","PeriodicalId":405058,"journal":{"name":"Journal of Minimally Invasive Spine Surgery and Technique","volume":"25 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140659863","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}