دورية أكاديمية

Technical considerations in transforaminal endoscopic spine surgery at the thoracolumbar junction: report of 3 cases.

التفاصيل البيبلوغرافية
العنوان: Technical considerations in transforaminal endoscopic spine surgery at the thoracolumbar junction: report of 3 cases.
المؤلفون: Telfeian AE; Department of Neurosurgery, Rhode Island Hospital, The Warren Alpert Medical School of Brown University, Providence, Rhode Island; and., Jasper GP; Center for Pain Control, Brick, New Jersey., Oyelese AA; Department of Neurosurgery, Rhode Island Hospital, The Warren Alpert Medical School of Brown University, Providence, Rhode Island; and., Gokaslan ZL; Department of Neurosurgery, Rhode Island Hospital, The Warren Alpert Medical School of Brown University, Providence, Rhode Island; and.
المصدر: Neurosurgical focus [Neurosurg Focus] 2016 Feb; Vol. 40 (2), pp. E9.
نوع المنشور: Case Reports; Journal Article; Video-Audio Media
اللغة: English
بيانات الدورية: Publisher: American Association of Neurological Surgeons Country of Publication: United States NLM ID: 100896471 Publication Model: Print Cited Medium: Internet ISSN: 1092-0684 (Electronic) Linking ISSN: 10920684 NLM ISO Abbreviation: Neurosurg Focus Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Charlottesville, VA : American Association of Neurological Surgeons, c1996-
مواضيع طبية MeSH: Endoscopy/*methods , Foraminotomy/*methods , Intervertebral Disc Displacement/*surgery, Female ; Humans ; Intervertebral Disc Degeneration ; Lumbar Vertebrae/surgery ; Magnetic Resonance Imaging ; Male ; Middle Aged ; Thoracic Vertebrae/surgery ; Visual Analog Scale
مستخلص: OBJECTIVE In this study the authors describe the technical considerations and feasibility of transforaminal discectomy and foraminoplasty for the treatment of lumbar radiculopathy in patients who have herniated discs at the thoracolumbar junction. METHODS After institutional review board approval, charts from 3 consecutive patients with lumbar radiculopathy and T12-L1 herniated discs who underwent endoscopic procedures between 2006 and 2014 were reviewed. RESULTS Consecutive cases (n = 1316) were reviewed to determine the incidence and success of surgery performed at the T12-L1 level. Only 3 patients (0.23%) treated with endoscopic surgery for their herniated discs had T12-L1 herniated discs; the rest were lumbar or lumbosacral herniations. For patients with T12-L1 disc herniations, the average preoperative visual analog scale score was 8.3 (indicated in the questionnaire as describing severe and constant pain). The average 1-year postoperative visual analog scale score was 1.7 (indicated in the questionnaire as mild and intermittent pain). CONCLUSIONS Transforaminal endoscopic discectomy and foraminotomy can be used as a safe yet minimally invasive technique for the treatment of lumbar radiculopathy in the setting of a thoracolumbar disc herniation.
فهرسة مساهمة: Keywords: AP = anteroposterior; VAS = visual analog scale; endoscopic discectomy; minimally invasive; thoracolumbar; transforaminal
SCR Disease Name: Intervertebral disc disease
تواريخ الأحداث: Date Created: 20160202 Date Completed: 20161024 Latest Revision: 20161230
رمز التحديث: 20231215
DOI: 10.3171/2015.10.FOCUS15372
PMID: 26828890
قاعدة البيانات: MEDLINE
الوصف
تدمد:1092-0684
DOI:10.3171/2015.10.FOCUS15372