Journal of Minimally Invasive Spine Surgery and Technique最新文献_第8页

End-points of Decompression of in Lumbar Transforaminal Endoscopic Spine Surgery: A Narrative Review of Objective and Subjective Criteria to Prevent Failures 腰椎经椎间孔内窥镜脊柱手术减压终点:预防失败的客观和主观标准的叙述性回顾

Journal of Minimally Invasive Spine Surgery and Technique Pub Date : 2022-04-29 DOI: 10.21182/jmisst.2022.00444

A. Krishnan, N. Marathe, D. Degulmadi, S. Mayi, Ravi Ranjan, Shiv Kumar Bali, V. Parmar, Pratham C Amin, P. Krishnan, Mirant R Dave, B. Dave

{"title":"End-points of Decompression of in Lumbar Transforaminal Endoscopic Spine Surgery: A Narrative Review of Objective and Subjective Criteria to Prevent Failures","authors":"A. Krishnan, N. Marathe, D. Degulmadi, S. Mayi, Ravi Ranjan, Shiv Kumar Bali, V. Parmar, Pratham C Amin, P. Krishnan, Mirant R Dave, B. Dave","doi":"10.21182/jmisst.2022.00444","DOIUrl":"https://doi.org/10.21182/jmisst.2022.00444","url":null,"abstract":"Objective: Executions of indications/extended indications are associated with higher than normal rates of symptomatic recurrences and treatment failures, especially for novice surgeons incorporating Percutaneous Transforaminal endoscopic lumbar discectomy/decompression (PTELD) techniques. Causes of failures can be manifold and can occur because of a residual or a complete fragment causing persistent compression or associated unaddressed stenosis. To prevent this problem, proper training, multiple instrument inventory, variable techniques are needed with progressive learning. Authors aim to suggest objective and subjective criteria to define end-points/adequacy of decompression (EPD).Methods: PubMed database search was limited to locate only adequacy of decompression of PTELD and thus included specific keywords: “ENDPOINT” OR “ADEQUATE” AND “DECOMPRESSION” AND “TRANSFORAMINAL” AND “ENDOSCOPY”. Authors added their experience to refine and define multiple EPD.Results: In the search we found 12 articles total. Upon reviewing these, we found 7 articles matching our criteria. Cross references of included articles were searched, 5 additional articles were included. EPD were described in only 9 articles. Author’s experience with other relevant references were added to complete the viewpoint (EPD, n=29). Direct observed/ provoked EPD and inferred EPD were defined separately. Videos, illustrations and descriptions of each EPD are illustrated to provide the ideation.Conclusion: EPD are variable and not all signs may be elicited in every case and may change with surgeon experience. The ability to recognize EPD is the crux for successful outcomes and maximum possible EPD’s should be aimed in every surgery to avoid failures.","PeriodicalId":405058,"journal":{"name":"Journal of Minimally Invasive Spine Surgery and Technique","volume":"1 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":"131637244","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: 2

Do Patient Expectations Represent a More Important Clinical Difference? A Study of Surgical Outcomes in the Cervical Spine 患者期望是否代表更重要的临床差异?颈椎手术结果的研究

Journal of Minimally Invasive Spine Surgery and Technique Pub Date : 2022-04-28 DOI: 10.21182/jmisst.2021.00353

Conor P. Lynch, Elliot D. K. Cha, Kevin C. Jacob, Madhav R. Patel, Cara E. Geoghegan, N. Vanjani, Hanna Pawlowski, Michael C. Prabhu, Kern Singh

{"title":"Do Patient Expectations Represent a More Important Clinical Difference? A Study of Surgical Outcomes in the Cervical Spine","authors":"Conor P. Lynch, Elliot D. K. Cha, Kevin C. Jacob, Madhav R. Patel, Cara E. Geoghegan, N. Vanjani, Hanna Pawlowski, Michael C. Prabhu, Kern Singh","doi":"10.21182/jmisst.2021.00353","DOIUrl":"https://doi.org/10.21182/jmisst.2021.00353","url":null,"abstract":"Objective: This study aims to compare the impact of achieving an MCID or meeting preoperative expectations on patient satisfaction following cervical spine procedures. Methods: A surgical database was retrospectively reviewed for cervical spine surgery patients from 2016 to 2020. Inclusion criteria were primary or revision, single- or multilevel cervical disc arthroplasty or anterior cervical discectomy and fusions (ACDF). Visual analogue scale (VAS) neck and arm pain was assessed preoperatively and postoperatively (6-week, 12-weeks, 6-months, 1-year). Preoperative patient expectation and postoperative satisfaction were recorded. MCID achievement was determined using previously established values. Expectations met and MCID achievement were compared as possible predictors of satisfaction. Results: One hundred and six cervical spine patients were included. Both meeting expectations and achieving MCID were significant predictors of satisfaction for arm pain at 6-weeks and 12-weeks (all p≤0.007). Achieving MCID significantly predicted satisfaction for neck pain at all timepoints (all p≤0.007) and meeting expectations predicted satisfaction for neck pain at 6-weeks, 12-weeks, and 1-year (all p≤0.003). Comparison of coefficients revealed no significant difference in effect size between meeting expectations and achievement of MCID as predictors of patient satisfaction (all p>0.050). Conclusion: MCID achievement and meeting expectations were significant predictors of satisfaction for neck pain and short-term arm pain. Both measures may be similarly useful for inter-pretation of patient outcomes and the optimal choice of metric may depend on practice-specif-ic factors.","PeriodicalId":405058,"journal":{"name":"Journal of Minimally Invasive Spine Surgery and Technique","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115784248","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

Lateral Lumbar Interbody Fusion in the Outpatient Setting with Multimodal Analgesic Protocol: Clinical Case Series 多模式镇痛方案下门诊侧位腰椎椎间融合术:临床病例系列

Journal of Minimally Invasive Spine Surgery and Technique Pub Date : 2022-04-28 DOI: 10.21182/jmisst.2021.00360

Kevin C. Jacob, Madhav R. Patel, Hanna Pawlowski, Alexander W. Parsons, N. Vanjani, Conor P. Lynch, Elliot D. K. Cha, Michael C. Prabhu, Kern Singh

{"title":"Lateral Lumbar Interbody Fusion in the Outpatient Setting with Multimodal Analgesic Protocol: Clinical Case Series","authors":"Kevin C. Jacob, Madhav R. Patel, Hanna Pawlowski, Alexander W. Parsons, N. Vanjani, Conor P. Lynch, Elliot D. K. Cha, Michael C. Prabhu, Kern Singh","doi":"10.21182/jmisst.2021.00360","DOIUrl":"https://doi.org/10.21182/jmisst.2021.00360","url":null,"abstract":"Objective: Minimally invasive techniques and multimodal analgesia protocols have made spine surgery in the outpatient setting increasingly feasible. A number of spinal procedures have been documented in the outpatient setting, though the feasibility of lateral lumbar interbody fusion (LLIF) on an ambulatory basis has not been thoroughly assessed. To present a clinical case series of patients undergoing LLIF in the outpatient setting. Methods: A prospectively maintained surgical database was retrospectively reviewed to identify patients undergoing outpatient spine procedures with an enhanced multimodal analgesia protocol from October 2016 to February 2021. Patient demographics, medical and spinal diagnoses, procedural characteristics, operative duration, estimated blood loss (EBL), postoperative length of stay (LOS), postoperative pain scores, postoperative narcotic consumption, and incidence of any intra- or postoperative complications were collected. The state’s prescription monitoring program was queried to assess rates of filling narcotic prescriptions >6 weeks following surgery. Results: A total of 24 LLIF patients were included. Mean postoperative pain score was 5.8, and mean postoperative narcotic consumption was 26.8 oral morphine equivalents. All patients were discharged on the same day of surgery. No postoperative complications were observed. After the 6-week postoperative timepoint, 16.7% of patients filled a prescription for tramadol, 8.3% for hydrocodone, 4.2% for hydromorphone, 4.2% for cyclobenzaprine, and 4.2% for alprazolam. Conclusion: This clinical case series demonstrates that LLIF can be both safe and feasible in the outpatient setting, with minimal narcotic medication dependence in the postoperative period.","PeriodicalId":405058,"journal":{"name":"Journal of Minimally Invasive Spine Surgery and Technique","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132791496","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

Minimally Invasive versus Conventional Lumbar Interbody Fusion at L5–S1: A Retrospective Comparative Study 微创与传统腰5 - s1椎体间融合术:回顾性比较研究

Journal of Minimally Invasive Spine Surgery and Technique Pub Date : 2022-04-28 DOI: 10.21182/jmisst.2022.00472

S. Yoo, K. Kim, D. Chin, Keun-Su Kim, Yong-Eun Cho, Jeong-Yoon Park

{"title":"Minimally Invasive versus Conventional Lumbar Interbody Fusion at L5–S1: A Retrospective Comparative Study","authors":"S. Yoo, K. Kim, D. Chin, Keun-Su Kim, Yong-Eun Cho, Jeong-Yoon Park","doi":"10.21182/jmisst.2022.00472","DOIUrl":"https://doi.org/10.21182/jmisst.2022.00472","url":null,"abstract":"Objective: This study aimed to evaluate the radiologic and clinical outcomes of minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) and conventional posterior lumbar interbody fusion (PLIF) at the L5–S1. Methods: We retrospectively reviewed patients who underwent posterior lumbar fusion (MIS-TLIF and PLIF) at only the L5–S1 and were followed up for more than 12 months. Age, sex, body mass index (BMI), bone mineral density (BMD), diagnosis, comorbid conditions, fusion rate, perioperative results, and pre- and postoperative radiographic parameters at the L5–S1 level, pelvic parameters and degree of spondylolisthesis, and clinical results were analyzed. Results: A total of 102 patients (46 male, 56 female) with a mean age of 57.1 years were evaluated. Fifty and fifty-two patients underwent MIS-TLIF and PLIF surgeries, respectively. Radiologic parameters increased from their preoperative measures at the last follow-up study; simi-larly, there were no intergroup differences. The fusion rates in the MIS-TLIF and PLIF groups were 86% and 82.7%, respectively. The subsidence rates in the MIS-TLIF and PLIF groups were 6% and 3.8%, respectively. There was no intergroup difference in terms of fusion rate and subsidence. Clinical outcomes also gradually improved after surgery in both groups without intergroup differences. Conclusion: In L5–S1 posterior spinal surgery, there was no significant difference between MIS-TLIF and conventional PLIF. Considering the operation time and estimated blood loss, MIS-TLIF is more effective than PLIF surgery in terms of postoperative health care and economics.","PeriodicalId":405058,"journal":{"name":"Journal of Minimally Invasive Spine Surgery and Technique","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123374278","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

Unilateral Biportal Endoscopic Translaminar Keyhole Approach to Treat High-grade Up-migrated Lumbar Disc Herniation: Technical Note 单侧双门静脉内窥镜经椎板锁孔入路治疗高度上移的腰椎间盘突出症:技术说明

Journal of Minimally Invasive Spine Surgery and Technique Pub Date : 2022-04-28 DOI: 10.21182/jmisst.2021.00311

K. S. Moon, MinSeung Jeong, Sang-Ho Lee, Hyun-Nam Seo, Oon‐Ki Baek

引用次数: 0

Traumatic Bilateral Pars Fracture with Grade-I Spondylolisthesis Treated by Transforaminal (Trans Kambian) Endo Fusion under Epidural Analgesia: A Special Case Report 硬膜外镇痛下经椎间孔(经Kambian) Endo融合治疗外伤性双侧部骨折伴i级腰椎滑脱1例

Journal of Minimally Invasive Spine Surgery and Technique Pub Date : 2022-04-28 DOI: 10.21182/jmisst.2022.00430

Sukumar Sura, A. Mallepally, Gaurav Chamle, N. Pagidimarry

{"title":"Traumatic Bilateral Pars Fracture with Grade-I Spondylolisthesis Treated by Transforaminal (Trans Kambian) Endo Fusion under Epidural Analgesia: A Special Case Report","authors":"Sukumar Sura, A. Mallepally, Gaurav Chamle, N. Pagidimarry","doi":"10.21182/jmisst.2022.00430","DOIUrl":"https://doi.org/10.21182/jmisst.2022.00430","url":null,"abstract":"Traumatic spine injuries are common in young and adult population with worlds incidence esti-mated annual rate in 10.4–130.6 cases per million. We are presenting a case of traumatic bilateral pars fracture with Grade-I spondylolisthesis treated by Endoscopic Transforaminal (Trans Kambian) spine fusion, under epidural analgesia and neuromonitoring. To the best of our knowledge this is a unique scenario reported for the first time in literature. Lumbar fusion although considered as the gold standard for the degenerative spine disease and Spondylolisthesis, Endoscopic Transforaminal (Trans Kambian) lumbar fusion popularly known as Endofusion/Endo-TLIF (Transforaminal lumbar interbody fusion) is a recent and effective minimally invasive option for certain cases. A 30-year male presented with severe low back pain and decreased sensations over dorsum of right foot after a fall of heavy metal pipe on his lower back. (VAS score 9/10). After thorough preop evaluation patient underwent Endoscopic Transforaminal (Trans Kambian) lumbar discectomy and fusion under epidural analgesia, with visualized endplate preparation. Specially designed Titanium Endo-bullet cage was inserted after percutaneous pedicle screw placement under neuromonitoring. Complete reduction of listhesis was achieved with near total relief in pain. Endoscopic TLIF ensures minimal tissue retraction and minimal alteration of the normal anatomy aiding in faster recovery and minimal blood loss. Patient was mobilized and discharged within 24 hours of surgery. We suggest Endo fusion is a safe and effective day care procedure for cases with traumatic bilateral pars fractures.","PeriodicalId":405058,"journal":{"name":"Journal of Minimally Invasive Spine Surgery and Technique","volume":"606 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123255524","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

Multilevel Percutaneous Fenestrated Screw Fixation with Bone Cement Augmentation in Adult Lumbar Spinal Deformity 经皮多节段开孔螺钉骨水泥增强固定治疗成人腰椎畸形

Journal of Minimally Invasive Spine Surgery and Technique Pub Date : 2022-04-28 DOI: 10.21182/jmisst.2022.00437

S. Choi, B. Yoo, Seong Son, Y. Ahn, W. Kim, Sang Gu Lee

{"title":"Multilevel Percutaneous Fenestrated Screw Fixation with Bone Cement Augmentation in Adult Lumbar Spinal Deformity","authors":"S. Choi, B. Yoo, Seong Son, Y. Ahn, W. Kim, Sang Gu Lee","doi":"10.21182/jmisst.2022.00437","DOIUrl":"https://doi.org/10.21182/jmisst.2022.00437","url":null,"abstract":"Objective: Fenestrated screw fixation with bone cement augmentation has been demonstrated to increase the pullout strength. Bone cement augmentation is performed to prevent screw failure. The study aimed to investigate the safety and efficacy of multilevel percutaneous fenestrated screw fixation with bone cement augmentation in the adult lumbar spinal deformity. Methods: We performed a retrospective study of 15 patients who underwent multilevel percutaneous fenestrated screw fixation (PFSF) with bone cement augmentation between January 2018 and December 2020. Visual analogue scale (VAS) score, Oswestry disability index (ODI), sagittal vertical axis (SVA), and lumbar lordosis (LL) were investigated in the patients. Results: Mean BMD was -2.0. The mean percutaneous fenestrated screw fixation level was 6. The mean VAS score changed from 7.14 preoperatively to 4.57 postoperatively, to 3.71 at the last follow-up. The mean ODI changed from 45.21 preoperatively to 32.5 postoperatively, to 27.0 at the last follow-up. The mean LL changed from 23.6 preoperatively to 32.96 postoperatively, to 31.67 at the last follow-up. The mean SVA changed from 76.65 preoperatively to 46.15 postoperatively, to 48.46 at the last follow-up. The bony fusion rate was 73.3%. There were screw loosening in 4 patients and screw fracture in 3 patients. Cement leakage occurred to-wards the anterior body of the vertebrae in 2 patients but no symptoms were observed. Conclusion: Our study results demonstrate that multilevel PFSF with bone cement augmentation can result in good clinical and radiological outcomes for lumbar spinal deformity. However, larger size screws or smaller through-hole screws are required to prevent screw fracture. vious study demonstrated that fenestrated screw augmentation is more effective than vertebroplasty augmentation [5].","PeriodicalId":405058,"journal":{"name":"Journal of Minimally Invasive Spine Surgery and Technique","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115696043","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 Foraminotomy in Degenerative Spondylolisthesis: A “Module-based” Approach for Surgical Planning and Execution 全内窥镜椎间孔切开术治疗退行性腰椎滑脱:一种“基于模块”的手术计划和执行方法

Journal of Minimally Invasive Spine Surgery and Technique Pub Date : 2022-04-20 DOI: 10.21182/jmisst.2021.00332

F. V. Isseldyk, W. Lim, Young-Jin Kim, Jung-Hoon Kim, K. Ryu, Yanting Liu, Jin-sung Kim

{"title":"Full-endoscopic Foraminotomy in Degenerative Spondylolisthesis: A “Module-based” Approach for Surgical Planning and Execution","authors":"F. V. Isseldyk, W. Lim, Young-Jin Kim, Jung-Hoon Kim, K. Ryu, Yanting Liu, Jin-sung Kim","doi":"10.21182/jmisst.2021.00332","DOIUrl":"https://doi.org/10.21182/jmisst.2021.00332","url":null,"abstract":"Objective: Degenerative Lumbar Spondylolisthesis (DSL) is a common spinal pathology characterized by the anterior slippage of one vertebral body on another. DSL is caused mainly by degeneration of the intervertebral disc in the first place, with subsequent degeneration of the facet joints that end causing the slippage. As the disease evolves, stability is restored as a result of advanced degeneration and disc collapse. But while this natural evolution takes place, DSL may produce radicular symptoms by different mechanisms. To present a “module-based” approach for the surgical planning and execution of full-endoscopic foraminotomy in DSL, combined with case examples of the most common surgical scenarios. Methods: We propose a “module-based surgery” using the standard endoscopic foraminotomy technique as a baseline. According to the patient’s clinical and imaging characteristics, several “modules” can be added. The resulting endoscopic surgery is a summation of the basic endoscopic foraminotomy plus all the additional required modules. Results: Surgical modules description and case examples are provided. Conclusion: Transforaminal lumbar endoscopic foraminotomy represents a minimally invasive technique to treat foraminal and combined foraminal-lateral recess stenosis. DSL and its multiple scenarios represent a challenge to the endoscopic surgeon. Module-based approach can help systematize and execute these demanding endoscopic procedures.","PeriodicalId":405058,"journal":{"name":"Journal of Minimally Invasive Spine Surgery and Technique","volume":"95 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126088539","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: 2

A Two-year Outcome of Various Techniques of Discectomy On Complications: A Multicentric Retrospective Study 两年来各种椎间盘切除术技术对并发症的影响:一项多中心回顾性研究

Journal of Minimally Invasive Spine Surgery and Technique Pub Date : 2022-04-15 DOI: 10.21182/jmisst.2022.00409

Vnr Goparaju Praveen, Pritem A. Rajamani, A. Kulkarni, S. Bhojraj, S. Rajasekaran, H. Chhabra, S. Acharya, AA Rajamani, A. Nene, A. Shetty, P. Dey, A. Bhanot, Pramod V. Lokhande, P. Patel

{"title":"A Two-year Outcome of Various Techniques of Discectomy On Complications: A Multicentric Retrospective Study","authors":"Vnr Goparaju Praveen, Pritem A. Rajamani, A. Kulkarni, S. Bhojraj, S. Rajasekaran, H. Chhabra, S. Acharya, AA Rajamani, A. Nene, A. Shetty, P. Dey, A. Bhanot, Pramod V. Lokhande, P. Patel","doi":"10.21182/jmisst.2022.00409","DOIUrl":"https://doi.org/10.21182/jmisst.2022.00409","url":null,"abstract":"Objective: Various techniques of performing lumbar discectomy are prevalent, each having its rationale and claimed benefits. The authors ventured to assess the total complication rate of lumbar discectomy as well as the complication rates of individual complications, namely CSF leaks, superficial wound infections, deep wound infections, recurrence rates, re-operation rates, and wrong level surgery. Methods: This was a retrospective study of patients operated using open discectomy (OD), microdiscectomy (MD), microendoscopic discectomy (MED), interlaminar endoscopic lumbar discectomy (IELD), transforaminal endoscopic lumbar discectomy (TELD), and Destandau techniques (DT) with a minimum follow-up of 2 years. The inclusion criteria were age>15 years, failed conservative treatment for 4-6 weeks, and the involvement of a single lumbar level. Results: There is no statistically significant association between surgical technique and complications. The total complication rate was 12.89% in 946 operated cases. The most common complication was recurrence (5.81%), followed by re-operation (3.69%), CSF leak (1.90%), wrong level surgery (0.63%), superficial infection (0.52%) and deep infection (0.31%). There were minor differences in the incidence of complications between techniques. Conclusion: This is the first study to compare the complication rates of all the prevalent discectomy techniques across the globe in 946 patients. Although there were minor differences in incidences of complications between individual techniques, there was no statistical significance. The various rates of individual complications provide a reference value for future studies related to complications following discectomy.","PeriodicalId":405058,"journal":{"name":"Journal of Minimally Invasive Spine Surgery and Technique","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130255646","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

Only Surgical Decompression Is Sufficient for Multilevel Lumbar Spinal Stenosis with Calcified Disc Protrusion and Vacuum Disc: Case Reports 多节段腰椎管狭窄伴钙化椎间盘突出和真空椎间盘只有手术减压是足够的:病例报告

Journal of Minimally Invasive Spine Surgery and Technique Pub Date : 2022-04-15 DOI: 10.21182/jmisst.2021.00339

Ji Soo Moon, M. Kang, S. H. Lee, Chan-Hong Park

{"title":"Only Surgical Decompression Is Sufficient for Multilevel Lumbar Spinal Stenosis with Calcified Disc Protrusion and Vacuum Disc: Case Reports","authors":"Ji Soo Moon, M. Kang, S. H. Lee, Chan-Hong Park","doi":"10.21182/jmisst.2021.00339","DOIUrl":"https://doi.org/10.21182/jmisst.2021.00339","url":null,"abstract":"This report was aimed to share our successful cases of only surgical decompression for multilevel lumbar spinal stenosis, by assessing treatment outcomes. Two patients who had only surgical decompression for multilevel lumbar spinal stenosis were investigated. They were diagnosed with the calcified disc protrusion and vacuum disc in the intervertebral space by magnetic resonance imaging (MRI) and computed tomography (CT). The chief complaints were severe low back pain and bilateral sciatica 2 or 3 months ago. The patients also reported difficulty walking due to sciatica. Unilateral laminotomy for bilateral decompression was performed and discectomy was not done on the stenosis levels. Treatment outcomes were analyzed by visual analog scale for low back pain and sciatica (Back VAS, Leg VAS), improvement in walking, and postoperative MRI. Treatment outcomes were favorable: Low back pain and bilateral sciatica showed a VAS score improvement (Back VAS =3, Leg VAS=3), the patient’s walking was improved, and on a postoperative MRI of the two patients, the thecal sac was released sufficiently. The patients developed no perioperative complications. Only surgical decompression is an effective method for multilevel lumbar spinal stenosis with calcified disc protrusion and vacuum disc in the intervertebral space.","PeriodicalId":405058,"journal":{"name":"Journal of Minimally Invasive Spine Surgery and Technique","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123978418","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