Journal of Minimally Invasive Spine Surgery and Technique最新文献_第7页

A Clinical Pilot Study Showing the Safety and Efficacy of Intramuscular Injection of Atelocollagen for Prevention of Paraspinal Muscle Atrophy after Spine Surgery 肌内注射间结胶原预防脊柱术后棘旁肌萎缩的安全性和有效性的临床初步研究

Journal of Minimally Invasive Spine Surgery and Technique Pub Date : 2022-09-22 DOI: 10.21182/jmisst.2022.00577

Hyun-Jun Park, J. Hur, J. Hong, Sang-Hyo Lee, Kang-Bin Koo, Dong-Hoon Kim

{"title":"A Clinical Pilot Study Showing the Safety and Efficacy of Intramuscular Injection of Atelocollagen for Prevention of Paraspinal Muscle Atrophy after Spine Surgery","authors":"Hyun-Jun Park, J. Hur, J. Hong, Sang-Hyo Lee, Kang-Bin Koo, Dong-Hoon Kim","doi":"10.21182/jmisst.2022.00577","DOIUrl":"https://doi.org/10.21182/jmisst.2022.00577","url":null,"abstract":"Objective: The objective of this study was to assess the safety and efficacy of intramuscular injection of atelocollagen for the prevention of paraspinal muscle atrophy after spine surgery. Atelcollagen has been widely used as an intradermal filler to restore soft tissue defect. Many studies demonstrated that atelocollagen provides good therapeutic results by promoting cell proliferation and enhances the healing effect on injured connective tissues such as tendons and fasciae, while causing few complications. Methods: A total of 118 patients who underwent single level of posterior lumbar interbody fusion (PILF) between December 2017 and April 2019 were retrospectively reviewed. In the study group of 60 patients, 3 mL of gel-type 3% atelocollagen solution was prepared and injected into the multifidus muscle during wound closure. Clinical efficacy was evaluated by the improvement of back pain, elevation of a muscle enzyme, and inflammatory markers. Radiologic efficacy was evaluated with a comparison of density and cross-sectional area (CSA) of multifidus and erector spinae muscle in CT images. Results: Visual analogue scale (VAS) scores for back pain was not significantly lower in the study group postoperatively compared with the control group. The reduction of postoperative paraspinal muscle density and CSA was significantly lower in the study group. The serum level of muscle enzyme and inflammatory markers were significantly lower in the study group. No major procedure-related complications were observed during the follow-up period. Conclusion: Intramuscular injection of atelocollagen is safe and feasible for the prevention of paraspinal muscle atrophy after spine surgery. This novel method seems advantageous for accelerating wound healing without causing inflammation.","PeriodicalId":405058,"journal":{"name":"Journal of Minimally Invasive Spine Surgery and Technique","volume":"51 1 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":"126762290","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}

引用次数: 0

Comparative Study of the Differences in Radiologic Results for Percutaneous Endoscopic Lumbar Foraminotomy and Microscopic or Micro-endoscopic Lumbar Foraminotomy 经皮内窥镜腰椎椎间孔切开术与显微或微内镜腰椎椎间孔切开术放射学结果差异的比较研究

Journal of Minimally Invasive Spine Surgery and Technique Pub Date : 2022-09-19 DOI: 10.21182/jmisst.2022.00535

H. Taniwaki, M. Morita, Hiroaki Nakamura

{"title":"Comparative Study of the Differences in Radiologic Results for Percutaneous Endoscopic Lumbar Foraminotomy and Microscopic or Micro-endoscopic Lumbar Foraminotomy","authors":"H. Taniwaki, M. Morita, Hiroaki Nakamura","doi":"10.21182/jmisst.2022.00535","DOIUrl":"https://doi.org/10.21182/jmisst.2022.00535","url":null,"abstract":"Objective: Lumbar foraminal stenosis is a common pathology that causes back pain and radiculopathy. Percutaneous endoscopic lumbar foraminotomy (PELF) is a minimally invasive surgical procedure reported to be effective in the treatment of foraminal stenosis; however, no studies have been conducted that compare the on radiographic results of PELF and conventional techniques for the treatment of foraminal stenosis, such as microscopic foraminotomy and mi-cro-endoscopic foraminotomy. This study aimed to report postoperative changes in the lumbar foraminal parameters on computed tomography (CT) after PELF and to compare the radiological efficacy of the PELF technique with that of the conventional techniques. Methods: Radiographic evaluation of the neuroforamen was based on CT scans taken preoperatively and 3 months postoperatively in the PELF and conventional groups. The Japanese Orthopaedic Association (JOA) score for back pain, visual analog scale (VAS), and JOA back pain evaluation questionnaire (JOABPEQ) were evaluated preoperatively and at 3 months postoperatively in the PELF group. Results: The PELF and conventional groups comprised 21 and 17 patients, respectively. In the PELF group, the JOA score, VAS of back pain, and JOABPEQ of low back pain showed significant improvement. There were significant increases in the foraminal area, superior foraminal width (SFW), and middle foraminal width (MFW). Additional radiological evaluation for patients who underwent microscopic or micro-endoscopic lumbar foraminotomy was almost equivalent. Conclusion: Percutaneous endoscopic lumbar foraminotomy is a minimally invasive technique that is as effective as conventional techniques for the treatment of foraminal stenosis.","PeriodicalId":405058,"journal":{"name":"Journal of Minimally Invasive Spine Surgery and Technique","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123942808","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}

引用次数: 0

Comparative Study of the Outcomes of Unilateral Biportal Endoscopic Discectomy and Tubular Microdiscectomy Based on the Visual Analogue Scale, Oswestry Disability Index, and Short-form 36 基于视觉模拟评分、Oswestry残疾指数和Short-form 36的单侧双门静脉内窥镜椎间盘切除术与管状显微椎间盘切除术疗效比较研究

Journal of Minimally Invasive Spine Surgery and Technique Pub Date : 2022-09-19 DOI: 10.21182/jmisst.2022.00570

Sang-Hyeon Kim, Gi Jeong Park, Jong Un Lee, Ki-Hong Kim, Dae-Hyun Kim

{"title":"Comparative Study of the Outcomes of Unilateral Biportal Endoscopic Discectomy and Tubular Microdiscectomy Based on the Visual Analogue Scale, Oswestry Disability Index, and Short-form 36","authors":"Sang-Hyeon Kim, Gi Jeong Park, Jong Un Lee, Ki-Hong Kim, Dae-Hyun Kim","doi":"10.21182/jmisst.2022.00570","DOIUrl":"https://doi.org/10.21182/jmisst.2022.00570","url":null,"abstract":"Objective: Unilateral biportal endoscopic (UBE) discectomy and tubular microdiscectomy (TMD) are widely practiced methods for treatment of lumbar disc herniation. Good clinical outcomes of these methods are reported in many papers, but there are a few comparative studies. This study reports the clinical outcomes of UBE and TMD as minimally invasive surgery methods for lumbar disc herniations and discusses the effectiveness of UBE. Methods: Sixty-seven patients who had undergone single-level discectomy using one of two methods, UBE or TMD, underwent a prospective follow-up examination. Thirty-four of these patients underwent discectomy using UBE, and the remaining 33 patients underwent TMD. In addition to the traditional measures of outcome, the improvement of generic health-related quality of life and disease-specific measurements like Visual Analogue Scale (VAS) score, Short-form 36 (SF-36), and Oswestry Disability Index (ODI) were evaluated and compared. Results: Sixty-seven patients with more than 6 months of post-operative follow-up evaluations were included. The mean improvements in the VAS scores for back pain and leg pain and ODI were 2.0, 3.7, and 26.5 for the UBE group and 1.6, 3.0, and 19.4 for the TMD group. The SF-36 physical health component subscale score improved from 35.4 pre-operatively to 54.8 at the last follow-up in the UBE group, and the mental health score improved from 43.5 to 55.1 (TMD group: from 34.9 to 54.3 and 44.2 to 57.1, respectively). Conclusion: The clinical outcomes of the UBE group are comparable to those of the TMD group. The results indicate that UBE for lumbar disc herniation can be performed safely and effectively as a treatment modality.","PeriodicalId":405058,"journal":{"name":"Journal of Minimally Invasive Spine Surgery and Technique","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128725442","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}

引用次数: 1

Far-Lateral Cervical Approach as a Minimally Invasive Technique for Excision of Upper Cervical Anterolateral and Anterior Meningiomas and Dumbbell Schwannomas: Technical Report and Case Series 远侧宫颈入路作为上颈前外侧和前侧脑膜瘤和哑铃型神经鞘瘤的微创切除技术报告和病例系列

Journal of Minimally Invasive Spine Surgery and Technique Pub Date : 2022-09-07 DOI: 10.21182/jmisst.2022.00563

A. Abou-Madawi, Sherif H. Ali, M. H. Mahmoud, Mohamed K. Elkazaz, Mohamed A. Abdelaziz, Khaled Elsayed, Hassan A. Alshatoury

{"title":"Far-Lateral Cervical Approach as a Minimally Invasive Technique for Excision of Upper Cervical Anterolateral and Anterior Meningiomas and Dumbbell Schwannomas: Technical Report and Case Series","authors":"A. Abou-Madawi, Sherif H. Ali, M. H. Mahmoud, Mohamed K. Elkazaz, Mohamed A. Abdelaziz, Khaled Elsayed, Hassan A. Alshatoury","doi":"10.21182/jmisst.2022.00563","DOIUrl":"https://doi.org/10.21182/jmisst.2022.00563","url":null,"abstract":"Objective: To demonstrate the details of the far-lateral approach (FLA) as a minimally invasive technique for the excision of the upper cervical anterolateral and anterior meningiomas and dumbbell schwannomas, and to assess the clinical and radiological outcomes. Methods: In this technical report and case series we report the FLA technique and patients who underwent the FLA for C1-C4 anterolateral and anterior meningiomas and dumbbell schwannomas between June 2007 and June 2020. All patients’ relative preoperative demographic, clinical, radiographic, operative, histopathological, and perioperative complications and follow-up clinical and radiographic data were reported. Results: A total of 19 patients including 12 females and 7 males with a mean age 56.7±17.6 years and mean duration of symptoms 12.8±12.3 months were reported. 9 patients with anterolateral meningiomas, 5 with anterior meningiomas, and 5 with dumbbell schwannomas underwent uneventful FLA procedures. Gross total resection of tumors was reported in 17 patients (89.5%). Preoperative JOA score was normal in ten, grade-I in five, and grade-II in 4 patients, while at the last follow-up it improved to normal in seventeen and grade-I in two patients. Reported postoperative JOA scores at 6 months and at the last follow-up showed that all patients improved at least one grade on JOA scores. There was CSF leak in three patients and superficial wound infection in one. Conclusion: Our results advocate the far-lateral cervical approach as a minimally invasive technique in the resection of the upper cervical anterolateral and anterior meningiomas and dumbbell schwannomas as a safe and effective technique.","PeriodicalId":405058,"journal":{"name":"Journal of Minimally Invasive Spine Surgery and Technique","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125893224","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}

引用次数: 0

Full Endoscopic Interlaminar Contralateral Lumbar Foraminotomy for Recurrent L5-S1 Foraminal-extraforaminal Stenosis: A Case Report with a Technical Note 全内窥镜对侧腰椎椎间孔切开术治疗复发性L5-S1椎间孔-椎间孔外狭窄1例并附技术说明

Journal of Minimally Invasive Spine Surgery and Technique Pub Date : 2022-08-25 DOI: 10.21182/jmisst.2022.00528

Ji Yeon Kim, Dong Chan Lee, Tae Hyeun Kim, Choon-Keun Park

引用次数: 1

Use of Minimally Invasive Spine Surgery in the Management of High-grade Thoracolumbar Spine Injuries 微创脊柱手术在高度胸腰椎损伤治疗中的应用

Journal of Minimally Invasive Spine Surgery and Technique Pub Date : 2022-08-18 DOI: 10.21182/jmisst.2022.00465

Morgan P. Spurgas, Miriam M. Shao, P. Entezami, J. W. German

{"title":"Use of Minimally Invasive Spine Surgery in the Management of High-grade Thoracolumbar Spine Injuries","authors":"Morgan P. Spurgas, Miriam M. Shao, P. Entezami, J. W. German","doi":"10.21182/jmisst.2022.00465","DOIUrl":"https://doi.org/10.21182/jmisst.2022.00465","url":null,"abstract":"Objective: Spinal fractures often have devastating sequelae. Thoracolumbar fractures are classified using the Thoracolumbar Injury Classification and Severity score (TLICS) to determine the severity of injury and to guide treatment. Recently advancements in minimally invasive spine surgery (MISS) have led to new approaches to high-severity fractures. Studies have suggested that MISS may yield similar outcomes to conventional, more invasive procedures while producing several benefits. Methods: This retrospective study involves 46 patients treated from 2005 through 2020 for high grade thoracolumbar trauma from T2 to L5 with a minimum follow-up of 6-months treated with MISS techniques using percutaneous instrumentation. Results: Average TLICS was 7.5. Patient derived outcome measures with average length of fol-low-up of 602 days included Oswestry Disability Index 28.9, Patient Satisfaction Index 4.2, Short Form-12 Mental Component Score 51.9, and Short Form-12 Physical Component Score 37.7. Average estimated blood loss was 119.2 mL. Conclusion: The TLICS is a validated tool used to guide surgical intervention in high grade trauma. The utilization of MISS techniques for the treatment and stabilization of thoracolumbar trauma is efficacious and a viable alternative to traditional open approaches.","PeriodicalId":405058,"journal":{"name":"Journal of Minimally Invasive Spine Surgery and Technique","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115857182","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}

引用次数: 0

A Multi-surgeon Robotic-guided Thoracolumbar Fusion Experience: Accuracy, Radiation, Complications, Readmissions, and Revisions of 3,874 Screws across Three Robotic Generations 多外科医生机器人引导的胸腰椎融合经验:准确性，辐射，并发症，再入院，以及三代机器人3874枚螺钉的修订

Journal of Minimally Invasive Spine Surgery and Technique Pub Date : 2022-08-18 DOI: 10.21182/jmisst.2022.00479

Alexandra E. Thomson, Lindsay D. Orosz, C. Haines, E. Jazini, Fenil R. Bhatt, Julia Grigorian, Andre Sabet, Rita Roy, T. Schuler, Christopher R. Good

{"title":"A Multi-surgeon Robotic-guided Thoracolumbar Fusion Experience: Accuracy, Radiation, Complications, Readmissions, and Revisions of 3,874 Screws across Three Robotic Generations","authors":"Alexandra E. Thomson, Lindsay D. Orosz, C. Haines, E. Jazini, Fenil R. Bhatt, Julia Grigorian, Andre Sabet, Rita Roy, T. Schuler, Christopher R. Good","doi":"10.21182/jmisst.2022.00479","DOIUrl":"https://doi.org/10.21182/jmisst.2022.00479","url":null,"abstract":"Objective: Robotic guidance provides indirect visualization of key anatomic landmarks to facilitate minimally invasive surgery (MIS) and is emerging as a reliable and accurate technique for posterior spine instrumentation. We sought to describe eight years of experience with robotic guidance at a high-volume, multi-surgeon center. We hypothesize that robotic guidance will lead to (1) low rates of complication, readmissions, and revision surgery, (2) reduced fluoroscopic radiation exposure, (3) and accurate thoracolumbar instrumentation. Methods: A retrospective review of complications, revision surgery, and readmission rates in patients undergoing thoracolumbar fusion surgery utilizing three robotic generations. Second-ary analysis was conducted comparing the three robotic generations for complications, revision surgery, accuracy, and readmission rates along with intraoperative fluoroscopic duration. Results: A total of 628 patients (3,874 robotic-guided screws) ages 12–81 years-old (43.9% male) were included in the study. At one year, the cumulative complication incidence was 15.5% with a 10.3% incidence of surgical complications (3.7% wound, 1.2% robot-related, and 5.4% non-robot-related complications). At one year, the revision surgery incidence was 9.4%. There was no statistical difference between complications, readmission, or revision surgery after initial admission among the three robotic generations. The average intraoperative fluoroscopic duration was 53.8 seconds (11.9 seconds per screw and 17.6 seconds per instrumented level). Conclusion: Robotic guidance in thoracolumbar instrumented fusions was associated with low complication, revision surgery, and readmission rates. Our results suggest robotic guidance can provide accurate guidance with minimal adverse events in thoracolumbar instrumentation.","PeriodicalId":405058,"journal":{"name":"Journal of Minimally Invasive Spine Surgery and Technique","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130023780","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}

引用次数: 0

Robotic-assisted Superior Gluteal Nerve Tumour Resection 机器人辅助臀上神经肿瘤切除术

Journal of Minimally Invasive Spine Surgery and Technique Pub Date : 2022-08-18 DOI: 10.21182/jmisst.2022.00493

M. S. Jaiswal, Youngjin Kim, Jin-sung Kim

引用次数: 0

Full-endoscopic Intradiscal Surgery: State of the Art 全内窥镜椎间盘内手术:最新进展

Journal of Minimally Invasive Spine Surgery and Technique Pub Date : 2022-04-29 DOI: 10.21182/jmisst.2022.00395

K. Sairyo, Kazuta Yamashita, Fumitake Tezuka, Masatoshi Morimoto, K. Sugiura, M. Takeuchi, Takashi Inokuchi, J. Fujitani

引用次数: 0

Oblique Lateral Lumbar Interbody Fusion at L2-L5: Proposal of a New CT-based Preoperative Assessment to Minimize Risks L2-L5侧斜腰椎椎间融合术:建议一种新的基于ct的术前评估以减少风险

Journal of Minimally Invasive Spine Surgery and Technique Pub Date : 2022-04-29 DOI: 10.21182/jmisst.2021.00290

J. Quillo-Olvera, Jin-Sung Kim, Diego Quillo-Olvera, Javier Quillo-Reséndiz, Michelle Barrera-Arreola

{"title":"Oblique Lateral Lumbar Interbody Fusion at L2-L5: Proposal of a New CT-based Preoperative Assessment to Minimize Risks","authors":"J. Quillo-Olvera, Jin-Sung Kim, Diego Quillo-Olvera, Javier Quillo-Reséndiz, Michelle Barrera-Arreola","doi":"10.21182/jmisst.2021.00290","DOIUrl":"https://doi.org/10.21182/jmisst.2021.00290","url":null,"abstract":"Objective: Oblique anterior to psoas (ATP) lumbar fusion is associated with advantages such as sufficient indirect decompression and restoration of lordosis. However, the ATP approach risks damaging the vascular elements anterior to the spine, and it requires a complicated left oblique surgical corridor that puts the contralateral neural elements at risk. Therefore, a thorough preoperative assessment of the location of entry into the disc space, a feasible trajectory to complete the intervertebral space procedure, and the possible retraction of the psoas muscle under these conditions are considered in this article.Methods: From January 2019 to January 2020, 160 lumbar CT scans were evaluated. Only 124 images from the L2-L3, L3-L4, and L4-L5 levels met the inclusion criteria. The length of the anterior vertebral line (AVL) and the middle-third of the disc in the anteroposterior axis were measured to localize the entry point (EP). The distance between the anterior arterial vessel (AV) and the EP was also measured. The trajectory commonly used to set the surgical instruments into the disc space was called α, and a new proposed trajectory termed β was calculated. The psoas cross-sectional area anterior to the β angle trajectory was measured to determine any possible retraction using this parameter. Results: The AVL-EP distances were L2-L3 11.49±0.89 mm, L3-L4 11.54±0.88 mm, and L4-L5 11.57±0.87 mm. The AV-EP lengths were 17.64±5.62 mm, 19.36±5.49 mm, and 16.48±6.47 mm at L2-L3, L3-L4, and L4-L5, respectively. The average α and β trajectory angles reported were 39.91º and 14.48º, respectively. Psoas muscle retraction was primarily noted at the L4-L5 level. Conclusion: This article’s proposed parameters represent a routine preoperative safety assessment in patients previously selected for oblique ATP lumbar fusion.","PeriodicalId":405058,"journal":{"name":"Journal of Minimally Invasive Spine Surgery and Technique","volume":"148 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131281626","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}

引用次数: 1