دورية أكاديمية
Clinical success of transforaminal endoscopic discectomy with foraminotomy: a retrospective evaluation.
| العنوان: | Clinical success of transforaminal endoscopic discectomy with foraminotomy: a retrospective evaluation. |
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| المؤلفون: | Jasper GP; Center for Pain Control, Brick, USA., Francisco GM, Telfeian AE |
| المصدر: | Clinical neurology and neurosurgery [Clin Neurol Neurosurg] 2013 Oct; Vol. 115 (10), pp. 1961-5. Date of Electronic Publication: 2013 Jul 05. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier Country of Publication: Netherlands NLM ID: 7502039 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1872-6968 (Electronic) Linking ISSN: 03038467 NLM ISO Abbreviation: Clin Neurol Neurosurg Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Amsterdam : Elsevier Original Publication: Assen, Van Gorcum. |
| مواضيع طبية MeSH: | Diskectomy/*methods , Endoscopy/*methods , Foraminotomy/*methods, Adult ; Aged ; Aged, 80 and over ; Back Pain/surgery ; Diskectomy/adverse effects ; Diskectomy/instrumentation ; Endoscopy/adverse effects ; Endoscopy/instrumentation ; Female ; Follow-Up Studies ; Foraminotomy/adverse effects ; Foraminotomy/instrumentation ; Humans ; Intervertebral Disc Displacement/surgery ; Male ; Middle Aged ; Minimally Invasive Surgical Procedures/adverse effects ; Minimally Invasive Surgical Procedures/instrumentation ; Minimally Invasive Surgical Procedures/methods ; Nerve Block ; Pain Management ; Pain Measurement ; Retrospective Studies ; Spinal Nerve Roots ; Treatment Outcome ; Young Adult |
| مستخلص: | Objective: Transforaminal endoscopic surgery has evolved from an intradiscal procedure to a true foraminal epidural procedure where both a targeted discectomy and foraminal decompression can be performed. The success of transforaminal decompression for radiculopathy using preoperative selective nerve root block as part of a treatment algorithm for single level and multilevel lumbar disc herniations is described here. Methods: After Institutional Review Board Approval, charts from 195 patients with complaints of lower back and radicular pain who received one or more endoscopic discectomy procedures were reviewed. Visual Analog Scale was applied to each patient preoperatively and 6 months after the procedure. Results: Patients with multi-level pathologies receiving one procedure have an average relief of 69.7% attributed to correct diagnosis of the inflicting level as opposed to 83.9% improvement in patients with a single level herniation. Conclusion: Patients with single level lumbar herniations receiving one endoscopic discectomy have excellent outcomes, but with a good response to a selective nerve root block as a preoperative adjunct, patients with multilevel disc herniations also have significant benefit from single level endoscopic discectomy. (Copyright © 2013 Elsevier B.V. All rights reserved.) |
| فهرسة مساهمة: | Keywords: Endoscopic discectomy; Minimally-invasive; TESSYS; Transforaminal |
| تواريخ الأحداث: | Date Created: 20130710 Date Completed: 20140424 Latest Revision: 20220408 |
| رمز التحديث: | 20231215 |
| DOI: | 10.1016/j.clineuro.2013.05.033 |
| PMID: | 23835307 |
| قاعدة البيانات: | MEDLINE |
Full Text via ClinicalKey 
Full Text Finder | تدمد: | 1872-6968 |
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| DOI: | 10.1016/j.clineuro.2013.05.033 |