{"title":"Single Incision Tubular Decompression to Treat Multi-level Lumbar Spinal Stenosis: A Retrospective Review","authors":"A. Kulkarni, Ashwin kumar V Khandge, T. Yeshwanth","doi":"10.21182/jmisst.2022.00416","DOIUrl":"https://doi.org/10.21182/jmisst.2022.00416","url":null,"abstract":"Objective: To evaluate the technical feasibility and assess the clinical outcomes of tubular decompression (TD) in cases of multilevel lumbar canal stenosis operated through a single incision. TD has established itself in the surgical management of single level lumbar stenosis. Literature on performance of TD for multilevel stenosis through a single incision are non-existent. Methods: All patients undergoing TD for multilevel lumbar stenosis through a single incision from January 2007 to January 2018 were included. Patient demographics, operative and peri-operative details were documented. Patient based clinical outcomes, namely Visual Ana-logue Scale (VAS) scale for back and leg pain and Oswestry Disability Index (ODI) were assessed. Results: Favorable tube trajectory and adequate decompression could be achieved through a single incision to decompress multiple levels. The VAS improved from mean 3±1.5 (2–5) to 2±0.8 (1–4) and 7±1.4 (4–9) to 2±1 (1–5) for back and leg pain respectively; while the ODI improved from a mean 44.6±8.6 (32–68) to 20.2±5.3 (16–42) at 3 months post-op and was maintained at 1±0.8 (1–4), 1.6±0.67 (1–3) and 19±2.9 (16–26) respectively at 2 years fol-low-up. Conclusion: TD for multilevel stenosis done through a single incision is a feasible option with good to excellent results.","PeriodicalId":405058,"journal":{"name":"Journal of Minimally Invasive Spine Surgery and Technique","volume":"43 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":"117062531","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 Significance of Lumbar Probing Combined with Continuous Irrigation and Undercutting Posterior Vertebral Body for Highly Upward Migrated Disc Herniation in ACDF: Case Reports and technical notes","authors":"Ji Soo Moon, M. Kang, S. H. Lee, Chan-Hong Park","doi":"10.21182/jmisst.2022.00381","DOIUrl":"https://doi.org/10.21182/jmisst.2022.00381","url":null,"abstract":"The purpose of this report was to present successful cases and technical notes of the patients with up migrated cervical disc herniation to the upper level who were successfully treated using anterior cervical discectomy and fusion (ACDF), describing the evaluation of treatment outcomes and perioperative complications. The cases of two patients who had ACDF in symptomatic up migrated cervical disc herniation to the upper level in February 2021 and November 2021 were reviewed. Two patients presented with a six-week history of posterior neck pain and radiating pain. Preoperative magnetic resonance imaging (MRI) confirmed a diagnosis of up migrated cervical disc extrusion. The patients were admitted to Daegu Wooridul Spine Hospital in Daegu, Korea. ACDF was performed under general anesthesia. Treatment outcomes were exam-ined by comparing pre and postoperative Numeric Rating Scale (NRS), and MRI. Treatment outcomes were favorable: posterior neck pain and radiating pain showed a significant reduction in NRS. Postoperative MRI showed that the up migrated discs were successfully removed in both cases. Neither patient developed perioperative complications. Anterior cervical discectomy can be feasible in patients with symptomatic up migrated cervical disc herniation to the upper level.","PeriodicalId":405058,"journal":{"name":"Journal of Minimally Invasive Spine Surgery and Technique","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128512264","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}
Umesh Srikantha, Yadhu K. Lokanath, Akshay Hari, Deepak Somasundar, R. Varma
{"title":"Minimally Invasive Iliac Screw Insertion: Clinical Case Series and Technical Note","authors":"Umesh Srikantha, Yadhu K. Lokanath, Akshay Hari, Deepak Somasundar, R. Varma","doi":"10.21182/jmisst.2021.00304","DOIUrl":"https://doi.org/10.21182/jmisst.2021.00304","url":null,"abstract":"","PeriodicalId":405058,"journal":{"name":"Journal of Minimally Invasive Spine Surgery and Technique","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134177894","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}
Shruthi Mohan, Caroline N. Jadczak, Elliot D. K. Cha, Conor P. Lynch, Madhav R. Patel, Kevin C. Jacob, Hanna Pawlowski, Michael C. Prabhu, N. Vanjani, Kern Singh
H. Kim, Ji Yeon Kim, Dong Chan Lee, Jun Hyung Lee, I. Jang
{"title":"A Novel Technique of the Full Endoscopic Interlaminar Contralateral Approach for Symptomatic Extraforaminal Juxtafacet Cysts","authors":"H. Kim, Ji Yeon Kim, Dong Chan Lee, Jun Hyung Lee, I. Jang","doi":"10.21182/jmisst.2022.00010","DOIUrl":"https://doi.org/10.21182/jmisst.2022.00010","url":null,"abstract":"Lumbar juxtafacet cysts (JFCs) include both synovial and ganglion cysts located adjacent to the facet joint or arising from the ligamentum flavum [1,2]. Lumbar JFCs may cause symptomatic nerve root and thecal sac compression, leading to radiculopathy, neurogenic claudication, and back pain [1,3]. Surgical treatment should be considered if refractory pain persists despite conservative management. The surgical A Novel Technique of the Full Endoscopic Interlaminar Contralateral Approach for Symptomatic Extraforaminal Juxtafacet Cysts","PeriodicalId":405058,"journal":{"name":"Journal of Minimally Invasive Spine Surgery and Technique","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132678491","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 History of Korean Minimally Invasive Spine Surgery Society (KOMISS) and Global Impact on Spine Surgery","authors":"I. Choi, Jin-Sung Kim","doi":"10.21182/jmisst.2022.00423","DOIUrl":"https://doi.org/10.21182/jmisst.2022.00423","url":null,"abstract":"","PeriodicalId":405058,"journal":{"name":"Journal of Minimally Invasive Spine Surgery and Technique","volume":"177 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132728883","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}
Vnr Praveen Goparaju, A. Chugh, Ameya Rangnekar, Vishal Kundnani
{"title":"Peri-operative Management and the Role of Minimally Invasive Spine Surgery in a Case of Hemophilia B","authors":"Vnr Praveen Goparaju, A. Chugh, Ameya Rangnekar, Vishal Kundnani","doi":"10.21182/jmisst.2021.00269","DOIUrl":"https://doi.org/10.21182/jmisst.2021.00269","url":null,"abstract":"Hemophilia A and B are rare X-chromosome-linked recessive bleeding disorders caused by mutations in the genes causing abnormalities of blood clotting factors VIII and IX, respectively. Surgery in these patients will require additional planning and interaction among the surgeon, anesthetist, and a hematologist because they inevitably result in bleeding, excessive blood loss, and other life-threatening complications. The authors present a case 62-year-old male with haemophilia B and progressive neurological claudication. On plain radiographs and MRI the patient had grade 1 spondylolisthesis with lumbar canal stenosis at L4-L5 with a VAS score of 8 and ODI score of 45 and was operated with MIS-TLIF with 22 mm diameter tubular retractor (METRx, Medtronics) and an operating microscope. Pre-operatively, the hematologist opinion was taken and the patient was optimised by maintaining the plasma factor peak level activity according to the WFH guidelines. The patient had uneventful peri-operative period. The total hospital stay is 16 days and a VAS score of 3 and ODI score of 12 after one-year follow-up and without any notable complications. Minimally invasive surgical techniques are a better option in hemophilia patients as these techniques provide the surgeon with an excellent magnification of the operative field, which enables the use of a smaller incision, better hemostasis, and facilitates less traumatic procedures.","PeriodicalId":405058,"journal":{"name":"Journal of Minimally Invasive Spine Surgery and Technique","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124877864","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}
Umesh Srikantha, Parichay J. Perikal, Akshay Hari, Yadhu K. Lokanath, Deepak Somasundaram, S. Kondavagilu, N. Subramaniam, Partha Sarathi Kommineni, A. Jagannatha, Kiran S Khanapure, R. Varma, A. S. Hegde
{"title":"Single-stage C6-7 ACDF with T1-2 Oblique Keyhole Transcorporeal Disectomy to Treat Cervico-thoracic Tandem Disc Herniation: A Case Report","authors":"K. S. Moon, M. Jeong, Sang-Ho Lee, Oon‐Ki Baek","doi":"10.21182/jmisst.2021.00318","DOIUrl":"https://doi.org/10.21182/jmisst.2021.00318","url":null,"abstract":"Symptomatic cervico-thoracic tandem disc herniation occurs very rarely. Cervical disc herniation is a common pathology, which can be treated via several different surgical procedures [1]. Anterior cervical decompression and fusion (ACDF) remains the gold standard for treatment of symptomatic cervical disc herniation resistant to conservative treatment [1,2]. Symptomatic thoracic disc herniation (TDH) is very rare compared to disc herniation at cervical and lumbar regions, and occurs in 1 of 1,000,000 patients annually, comprising up to 4% of all surgical procedures [3,4]. Further, 75% of TDHs occur between the T8 and T12 levels [3]. The first case of T1-2 disc herniation was reported in 1954 by Sivien and Karavitis [4]. The optimal surgical approach for upper TDH treatment remains controversial [4]. Both anterior and Single-stage C6-7 ACDF with T1-2 Oblique Keyhole Transcorporeal Disectomy to Treat Cervico-thoracic Tandem Disc Herniation: A Case Report Kang Suk Moon, MinSeung Jeong, Sang-Ho Lee, Oon-Ki Baek Department of Neurosurgery, Wooridul Spine Hospital, Gimpo Airport, Seoul, Korea Department of Minimally Invasive and Endoscopic Spine Surgery, Espalda Saludable, Hospital Angeles, Ciudad de Mexico, Mexico Department of Neurosurgery, Wooridul Spine Hospital, Seoul, Korea Case Report","PeriodicalId":405058,"journal":{"name":"Journal of Minimally Invasive Spine Surgery and Technique","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131566338","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}