Journal of Minimally Invasive Spine Surgery and Technique最新文献

{"title":"Minimally Invasive Surgical Technique through a Natural Anatomical Corridor for C1-C2 Screw Fixation","authors":"Andres Mendez-Gutierrez, M. Agudelo-Arrieta, Miguel Enrique Berbeo, Roberto Diaz-Orduz","doi":"10.21182/jmisst.2023.00661","DOIUrl":"https://doi.org/10.21182/jmisst.2023.00661","url":null,"abstract":"","PeriodicalId":405058,"journal":{"name":"Journal of Minimally Invasive Spine Surgery and Technique","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131936263","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 a Rare Case of C2–3 Cervical Foraminal Disc Herniation by Unilateral Biportal Endoscopic Foraminotomy Technique","authors":"C. Park, A. Anzar, Beom seok Yoo, Jae Eon Yoon, Jae Hyun Kim","doi":"10.21182/jmisst.2023.00668","DOIUrl":"https://doi.org/10.21182/jmisst.2023.00668","url":null,"abstract":"","PeriodicalId":405058,"journal":{"name":"Journal of Minimally Invasive Spine Surgery and Technique","volume":"8 3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130945685","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":"Prodrome to Seizure in Transforaminal Endoscopic Surgery: A Series of 9 Cases","authors":"A. Krishnan, Vikrant Chauhan, D. Degulmadi, S. Mayi, Ravi Ranjan, M. B. Dave, S. Bali, Pranav Charde, Abhijith K Anil, P. Krishnan, B. Dave","doi":"10.21182/jmisst.2023.00675","DOIUrl":"https://doi.org/10.21182/jmisst.2023.00675","url":null,"abstract":"","PeriodicalId":405058,"journal":{"name":"Journal of Minimally Invasive Spine Surgery and Technique","volume":"194 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126681346","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 Narrative Review of Biportal Endoscopic Spine Surgery in the Cervical and Thoracic Spine: Insights into Its Capabilities, Limitations, and Possibilities","authors":"D. Park, D. Heo","doi":"10.21182/jmisst.2023.00717","DOIUrl":"https://doi.org/10.21182/jmisst.2023.00717","url":null,"abstract":"","PeriodicalId":405058,"journal":{"name":"Journal of Minimally Invasive Spine Surgery and Technique","volume":"128 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115963632","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":"Maximal Benefit Zone of Endoscopic Spine Surgery in Cervical and Thoracic Spine: Rationale of Endoscopic Spine Surgery in Cervical-thoracic Region","authors":"H. Kim, P. Wu, I. Jang","doi":"10.21182/jmisst.2023.00703","DOIUrl":"https://doi.org/10.21182/jmisst.2023.00703","url":null,"abstract":"","PeriodicalId":405058,"journal":{"name":"Journal of Minimally Invasive Spine Surgery and Technique","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128044741","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":"Endoscopic Approach for Cervical Difficult Area: Full-endoscopic Uniportal Transcervical Approach for Ventral Pathologies of Craniovertebral Junction","authors":"Y. Ohara, H. Uchikado, Takeshi Hara, H. Nojiri, E. Abe, Nahoko Kikuchi, Takaoki Kimura","doi":"10.21182/jmisst.2023.00612","DOIUrl":"https://doi.org/10.21182/jmisst.2023.00612","url":null,"abstract":"","PeriodicalId":405058,"journal":{"name":"Journal of Minimally Invasive Spine Surgery and Technique","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115342615","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":"Minimally Invasive Transforaminal Lumbar Interbody Fusion with Enhanced Recovery after Surgery (ERAS): Early Experience with Initial Consecutive Cases at a Spine Naïve Community Hospital","authors":"Jonathan F. Dalton, Anthony A Oyekan, Dominic Ridolfi, Emmett J. Gannon, Ethan Ruh, V. Sharma","doi":"10.21182/jmisst.2022.00507","DOIUrl":"https://doi.org/10.21182/jmisst.2022.00507","url":null,"abstract":"Objective: The objective of this study was to examine a spine naïve community hospital’s ability to perform MITLIF safely and with speedy discharge via implementation of a minimally invasive spine surgery (MISS) program utilizing ERAS. Methods: Single community hospital retrospective cohort analysis for initial consecutive MITLIF cases with unilateral pedicle screws performed by a single surgeon from October 2019 to March 2021. Minimum postoperative follow-up was one year. Narcotic use was assessed per the state prescription drug monitoring program. Surgery protocol included single paraspinal incision, non-expandable 18/22 mm tube, operating microscope, fluoroscopic guidance, EMG with SSEP monitoring and Enhanced Recovery After Surgery (ERAS) protocol. Results: 52 patients were included. Average OR time, and fluoroscopy time were 143±115 minutes, and 1.00±0.47 minutes, respectively. Patients were prescribed an average of 38±33 post-operative opioid doses for an average of 8±7 days. All patients on preoperative, chronic narcotics had no prescription changes, pre-op versus post-op, despite clinical improvement. Complications included one irrigation a(1.9%) nd debridement with retention of hardware for surgical site infection, and one revision(1.9%) for displaced hardware. Discharge data included 47 (90.4%), four (7.7%), and one patients (1.9%) discharged on POD1, POD2, and beyond POD2, respectively.Conclusion: MITLIF can be safely and successfully performed at a spine naïve community hospital with excellent intraoperative metrics, a low complication rate, and speedy discharge. MITLIF performed well in multiple perioperative and postoperative variables compared to MISS techniques. Considerations for implementation of MITLIF in the community setting include special equipment, personnel training, surgeon experience, ERAS protocols and diligent patient/indication selection.","PeriodicalId":405058,"journal":{"name":"Journal of Minimally Invasive Spine Surgery and Technique","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126376843","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":"Target-oriented Percutaneous Lumbar Annuloplasty in Ambulatory Spine Center: Proctorship Description of Technique","authors":"S. Sharma, Jung‐Hoon Kim, Jin-Sung Kim","doi":"10.21182/jmisst.2022.00500","DOIUrl":"https://doi.org/10.21182/jmisst.2022.00500","url":null,"abstract":"Objective: To describe an alternative technique of annuloplasty for treatment of chronic discogenic back pain in an ambulatory setting. Methods: A retrospective review of all patients presenting with chronic discogenic low back pain and managed by target-oriented thermal annuloplasty at our institute from May 2015 to June 2019 was performed. The procedure is carried out under local anaesthesia in prone position. The principle of the technique relies on dividing the posterior annulus into nine equal segments on AP-view of the C-arm. The trajectory is through the Kambin’s triangle in a horizontal trajectory as much as possible to target the posterior part of the disc annulus. Each of the nine segments is treated with radio-frequency probe to produce disc alterations required to relieve the pain. Results: A total of 9 patients were treated by this method with an average follow-up of 28.1±11.4 months. The average VAS improved from 4.1±1.2 to 2.5±0.4 at final follow-up. The ODI improved from 42±6.7 to 19.98±5.6. None of the patients had any complications. The patient satisfaction rate was 82%, the rate of return to daily life was 100% and recommendation rate to others was 100%. Conclusion: Target-oriented lumbar percutaneous nine point annuloplasty may be considered as a viable option for chronic discogenic back pain patients with relatively well-maintained disc heights. A successful outcome depends upon proper patient selection and correct trajectory. ablation, Intervertebral disc degeneration, Intervertebral disc displacement","PeriodicalId":405058,"journal":{"name":"Journal of Minimally Invasive Spine Surgery and Technique","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114779485","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 Prospective Study of the Accidental Durotomies in Microendoscopic Lumbar Spine Decompression Surgeries. Incidence, Surgical Outcomes, Postoperative Patient Mobilization Protocol","authors":"A. Shetty, Manikant Anand, Praveen Goparaju, Vishal Kundnani, Ameya Rangnekar, Nikhil Dewnany, Saijyot Raut, A. Chugh","doi":"10.21182/jmisst.2022.00451","DOIUrl":"https://doi.org/10.21182/jmisst.2022.00451","url":null,"abstract":"Objective: To study the incidence, risk factors, surgical outcomes of accidental durotomies (ADT) in patients of microendoscopic lumbar decompression surgeries (MLDS) and the postoperative patient mobilization protocol. Methods: A total of 550 patients who underwent MLDS from January 2012 to march 2020 under single surgeon and single institute were included in the study and incidence of ADT risk factors like age, BMI, smoking status, diabetes mellitus, surgeon’s experience were studied for the same and early mobilization protocol for all the patients was followed. Results: Age >60 years (p=0.0062), bilateral decompression with unilateral approach, surgeons experience in the first 3 years over next 5 years (p=0.037) were the statistically significant risk factors for increased incidence of ADT. Most of the ADT were small which did not require primary repair and managed with sealants like gelfoam and fibrin glue. Postoperative recovery in JOA and ODI scores in both ADT and non ADT cohorts were same. Conclusion: MISS has low incidence of ADT and age >60 years and surgical technique of bilateral decompression with unilateral approach and surgeons expertise are the significant risk factors. MISS also has less risk of CSF leak symptoms and pseudomeningocele formation because of limited dead space formation in the soft tissue which helps in early postoperative mobilization and reduces the duration of hospital stay.","PeriodicalId":405058,"journal":{"name":"Journal of Minimally Invasive Spine Surgery and Technique","volume":"119 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133806716","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":"Comparative Study of Percutaneous Endoscopic Lumbar Discectomy and Open Lumbar Microdiscectomy for Treating Cauda Equina Syndrome","authors":"Jun-Kyu Lee, S. Chung, Sang-Ho Lee, Y. Shin, Chan-Hong Park","doi":"10.21182/jmisst.2022.00542","DOIUrl":"https://doi.org/10.21182/jmisst.2022.00542","url":null,"abstract":"Objective: The purpose of this study is to evaluate the clinical outcome of cauda equina syndrome (CES) using percutaneous endoscopic lumbar discectomy (PELD) and open lumbar microdiscectomy (OLM). Methods: Fifteen patients with CES either underwent PELD or OLM from January 2017 to De-cember 2019. The patients were divided into 2 groups according to the surgical methods: the PELD group (with 7 patients, 5 males and 2 females) and the OLM group (with 8 patients, 6 males and 2 females). The clinical outcomes were evaluated by the Visual Analogue Scale score (VAS), motor grade of lower extremities, perineal sensation, anal tone, and bladder dysfunction. Results: Both groups reported a significant postoperative reduction of VAS score for back and leg pain. When comparing the two groups, there was no significant difference in the improvement of leg pain. However, the improvement in back pain was significantly higher in the PELD group than in the OLM group (p=0.05). In the PELD and OLM groups, all 15 patients showed an improvement in preoperative CES symptoms including impaired lower limb motor power, perineal sensations, anal sphincter tone and bladder function at the one-year follow-up. The operation time (p=0.01) and length of hospital stay (p=0.01) were shorter in the PELD group compared with the OLM group. In the PELD group, the intraoperative bleeding was negligible whereas in the OLM group. Conclusion: The advantages of PELD, indicate it is a good alterative or option for the treatment of CES patients considering the appropriate indication.","PeriodicalId":405058,"journal":{"name":"Journal of Minimally Invasive Spine Surgery and Technique","volume":"50 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116275422","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}