{"title":"经椎间孔全腔镜脊柱手术外入法鸭嘴状松解技术：技术说明。","authors":"Daisuke Ukeba, Ken Nagahama, Katsuhisa Yamada, Yuichiro Abe, Yoshinori Hyugaji, Yuto Horita, Tsutomu Endo, Takashi Ohnishi, Hiroyuki Tachi, Yuichi Hasegawa, Hideki Sudo, Norimasa Iwasaki","doi":"10.1016/j.wneu.2024.10.120","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>In full-endoscopic spine surgery via trans-foraminal approach (FESS-TF), the outside-in method facilitates treatment for various cases; however, the technique is difficult to perform. To facilitate this procedure, we developed a duckbill release technique. In this paper, we aimed to introduce the details of this technique and investigate its effectiveness.</p><p><strong>Materials and methods: </strong>Fifty patients who underwent FESS-TF for intervertebral disc herniation were divided into two groups: the conventional technique and the duckbill release technique groups. The time from the initiation of surgery to exposure of the bone outside the superior articular process was measured in both groups. The visual analog scale (VAS) score for leg pain and the Japanese Orthopaedic Association (JOA) score before and after surgery were compared in terms of clinical outcomes.</p><p><strong>Results: </strong>No significant differences were observed between the two groups in terms of patient background. The approach time was 252 ± 86 s in the conventional group, while it was 105 ± 26 s in the duckbill release group, which was significantly shorter (p < 0.001). In terms of clinical outcomes, the two groups did not significantly differ in all endpoints of the VAS score for leg pain or the JOA score.</p><p><strong>Conclusions: </strong>The duckbill release technique for the outside-in method in FESS-TF could be efficient because it is a simple and time-saving approach.</p>","PeriodicalId":1,"journal":{"name":"Accounts of Chemical Research","volume":null,"pages":null},"PeriodicalIF":16.4000,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Duckbill release technique for the outside-in method in full-endoscopic spine surgery via transforaminal approach: A technical note.\",\"authors\":\"Daisuke Ukeba, Ken Nagahama, Katsuhisa Yamada, Yuichiro Abe, Yoshinori Hyugaji, Yuto Horita, Tsutomu Endo, Takashi Ohnishi, Hiroyuki Tachi, Yuichi Hasegawa, Hideki Sudo, Norimasa Iwasaki\",\"doi\":\"10.1016/j.wneu.2024.10.120\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>In full-endoscopic spine surgery via trans-foraminal approach (FESS-TF), the outside-in method facilitates treatment for various cases; however, the technique is difficult to perform. To facilitate this procedure, we developed a duckbill release technique. In this paper, we aimed to introduce the details of this technique and investigate its effectiveness.</p><p><strong>Materials and methods: </strong>Fifty patients who underwent FESS-TF for intervertebral disc herniation were divided into two groups: the conventional technique and the duckbill release technique groups. The time from the initiation of surgery to exposure of the bone outside the superior articular process was measured in both groups. The visual analog scale (VAS) score for leg pain and the Japanese Orthopaedic Association (JOA) score before and after surgery were compared in terms of clinical outcomes.</p><p><strong>Results: </strong>No significant differences were observed between the two groups in terms of patient background. The approach time was 252 ± 86 s in the conventional group, while it was 105 ± 26 s in the duckbill release group, which was significantly shorter (p < 0.001). In terms of clinical outcomes, the two groups did not significantly differ in all endpoints of the VAS score for leg pain or the JOA score.</p><p><strong>Conclusions: </strong>The duckbill release technique for the outside-in method in FESS-TF could be efficient because it is a simple and time-saving approach.</p>\",\"PeriodicalId\":1,\"journal\":{\"name\":\"Accounts of Chemical Research\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":16.4000,\"publicationDate\":\"2024-11-04\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Accounts of Chemical Research\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1016/j.wneu.2024.10.120\",\"RegionNum\":1,\"RegionCategory\":\"化学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"CHEMISTRY, MULTIDISCIPLINARY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Accounts of Chemical Research","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.wneu.2024.10.120","RegionNum":1,"RegionCategory":"化学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"CHEMISTRY, MULTIDISCIPLINARY","Score":null,"Total":0}
Duckbill release technique for the outside-in method in full-endoscopic spine surgery via transforaminal approach: A technical note.
Introduction: In full-endoscopic spine surgery via trans-foraminal approach (FESS-TF), the outside-in method facilitates treatment for various cases; however, the technique is difficult to perform. To facilitate this procedure, we developed a duckbill release technique. In this paper, we aimed to introduce the details of this technique and investigate its effectiveness.
Materials and methods: Fifty patients who underwent FESS-TF for intervertebral disc herniation were divided into two groups: the conventional technique and the duckbill release technique groups. The time from the initiation of surgery to exposure of the bone outside the superior articular process was measured in both groups. The visual analog scale (VAS) score for leg pain and the Japanese Orthopaedic Association (JOA) score before and after surgery were compared in terms of clinical outcomes.
Results: No significant differences were observed between the two groups in terms of patient background. The approach time was 252 ± 86 s in the conventional group, while it was 105 ± 26 s in the duckbill release group, which was significantly shorter (p < 0.001). In terms of clinical outcomes, the two groups did not significantly differ in all endpoints of the VAS score for leg pain or the JOA score.
Conclusions: The duckbill release technique for the outside-in method in FESS-TF could be efficient because it is a simple and time-saving approach.
期刊介绍：
Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance.
Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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