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Laser Discectomy

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The Effects of the Amount of Fluid Used in Epiduroscopic Laser Neural Discectomy Procedures on Intraocular Pressure and an Evaluation of the Ocular Findings.

Serbülent Gökhan Beyaz, Ali Metin Ülgen, Burçin Çakir,

INTRODUCTION:During epiduroscopic laser neural discectomy (ELNP) procedures, the amount of fluid used in the epidural area may cause increased intracranial pressure. This study aimed to investigate the effect of increased epidural pressure on intraocular pressure and other ocular findings due to the amount of fluid delivered to the epidural area ... Read more >>

Pain Med (Pain medicine (Malden, Mass.))
[2020, :]

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Percutaneous Endoscopic Cervical Discectomy Versus Anterior Cervical Discectomy and Fusion: A Comparative Cohort Study with a Five-Year Follow-Up.

Yong Ahn, Han Joong Keum, Sang Ha Shin,

Percutaneous endoscopic cervical discectomy (PECD) is an effective minimally invasive surgery for soft cervical disc herniation in properly selected cases. The current gold standard is anterior cervical discectomy and fusion (ACDF). However, few studies have evaluated the outcome of PECD compared with ACDF. We compared the surgical results of PECD ... Read more >>

J Clin Med (Journal of clinical medicine)
[2020, 9(2):]

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Predictors of Treatment Success Following Limited Discectomy With Annular Closure for Lumbar Disc Herniation.

Aleksandr V Krutko, Abdugafur J Sanginov, Evgenii S Baykov,

Background:Previous studies have demonstrated bone-anchored annular closure to significantly reduce reherniation and reoperation rates after lumbar discectomy in patients with large annular defects. It is important to identify the prognostic factors that may be associated with successful treatment. This study aimed to identify predictors of treatment success in patients with ... Read more >>

Int J Spine Surg (International Journal of Spine Surgery)
[2020, 14(1):38-45]

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Morphological association between the muscles and bones in the craniofacial region.

Masahito Yamamoto, Hiromasa Takada, Satoshi Ishizuka, Kei Kitamura, Juhee Jeong, Masaki Sato, Nobuyuki Hinata, Shinichi Abe,

The strains of inbred laboratory mice are isogenic and homogeneous for over 98.6% of their genomes. However, geometric morphometric studies have demonstrated clear differences among the skull shapes of various mice strains. The question now arises: why are skull shapes different among the mice strains? Epigenetic processes, such as morphological ... Read more >>

PLoS ONE (PloS one)
[2020, 15(1):e0227301]

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Return to play in professional baseball players following transforaminal endoscopic decompressive spine surgery under local anesthesia.

Toru Maeda, Nobutoshi Takamatsu, Ayaka Hashimoto, Yasuyuki Omichi, Kosuke Sugiura, Yoshihiro Ishihama, Hiroaki Manabe, Kazuta Yamashita, Yoichiro Takata, Toshinori Sakai, Koichi Sairyo,

Transforaminal endoscopic discectomy has been established as the least minimally invasive spine surgical procedure because it avoids the surgical morbidity from surgical dissection and denervation of normal anatomy responsible for the functional stability of the spine. There have been few reports on endoscopic spine surgery for professional athletes who are ... Read more >>

J Spine Surg (Journal of spine surgery (Hong Kong))
[2020, 6(Suppl 1):S300-S306]

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Meaningful outcome research to validate endoscopic treatment of common lumbar pain generators with durability analysis.

Kai-Uwe Lewandrowski, Anthony Yeung,

J Spine Surg (Journal of spine surgery (Hong Kong))
[2020, 6(Suppl 1):S6-S13]

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Five-year clinical outcomes with endoscopic transforaminal foraminoplasty for symptomatic degenerative conditions of the lumbar spine: a comparative study of inside-out versus outside-in techniques.

Anthony Yeung, Kai-Uwe Lewandrowski,

Background:Foraminal stenosis is a condition that is underappreciated by traditionally trained surgeons because the entire foraminal zone is not adequately visualized with the translaminar approach unless extensive removal of the facet is performed to expose the extraforaminal zone. Its direct endoscopic visualization is feasible with the inside-out and outside-in endoscopic ... Read more >>

J Spine Surg (Journal of spine surgery (Hong Kong))
[2020, 6(Suppl 1):S66-S83]

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Modified Full-Endoscopic Interlaminar Discectomy via an Inferior Endplate Approach for Lumbar Disc Herniation: Retrospective 3-Year Results from 321 Patients.

Liang Cheng, Heguo Cai, Yuyu Yu, Weixing Li, Qingchu Li, Zhongguo Liu,

BACKGROUND:Percutaneous endoscopic interlaminar discectomy (PEID) is widely used as a minimally invasive procedure that shows satisfying outcomes for the treatment of L5/S1 and even L4/5 disc herniation. PEID can be divided into direct and indirect approaches according to the established method of the working channel. The direct approach mainly utilizes ... Read more >>

World Neurosurg (World neurosurgery)
[2019, :]

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Complication rates of different discectomy techniques for the treatment of lumbar disc herniation: a network meta-analysis.

Xiaolong Chen, Uphar Chamoli, Samuel Lapkin, Jose Vargas Castillo, Ashish D Diwan,

PURPOSE:The aim of this network meta-analysis (NMA) was to compare the complication rates of discectomy/microdiscectomy, percutaneous laser disc decompression (PLDD), percutaneous endoscopic lumbar discectomy (PELD), microendoscopic discectomy (MED), and tubular discectomy for symptomatic lumbar disc herniation (LDH). METHODS:We searched three online databases for randomized controlled trials (RCTs). Overall complication rates, ... Read more >>

Eur Spine J (European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society)
[2019, 28(11):2588-2601]

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Virtual reality in spinal endoscopy: a paradigm shift in education to support spine surgeons.

Ryan Lohre, Jeffrey C Wang, Kai-Uwe Lewandrowski, Danny P Goel,

Background:Minimally invasive spine surgery (MISS) and endoscopic spine surgery have continually evolving indications in the cervical, thoracic, and lumbar spine. Endoscopic spine surgery entails treatment of disc disease, stenosis, spondylolisthesis, radiculopathy, and deformity. MISS involves complex motor skills in regions of variable anatomy. Simulator use has been proposed to aid ... Read more >>

J Spine Surg (Journal of spine surgery (Hong Kong))
[2020, 6(Suppl 1):S208-S223]

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Outcomes with transforaminal endoscopic versus percutaneous laser decompression for contained lumbar herniated disc: a survival analysis of treatment benefit.

Kai-Uwe Lewandrowski, Paulo Sérgio Teixeira de Carvalho, André Luiz Calderaro, Thiago Soares Dos Santos, Marlon Sudário de Lima E Silva, Paulo de Carvalho, Anthony Yeung,

Background:Contained lumbar disc herniations frequently cause back- and leg pain. Clinical outcomes with surgical treatment may be affected by the size and location of the disc herniation. The surgical directly visualized transforaminal endoscopic decompression has gained acceptance and popularity, while the simplified percutaneous laser disc decompression has fallen out of ... Read more >>

J Spine Surg (Journal of spine surgery (Hong Kong))
[2020, 6(Suppl 1):S84-S99]

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Lasers in Spine Surgery.

Kris Radcliff, Alexander R Vaccaro, Alan Hilibrand, Gregory D Schroeder,

Laser spine surgery has been a focus of intense interest in the lay press and among patients. On the Internet, a host of purported benefits to laser surgery exists. Lasers have long been used in pain management procedures such as percutaneous diskectomy. However, a few published articles are available on ... Read more >>

J Am Acad Orthop Surg (The Journal of the American Academy of Orthopaedic Surgeons)
[2019, 27(17):621-632]

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Current techniques of endoscopic decompression in spine surgery.

Yong Ahn,

Endoscopic spine surgery has become a practical, minimally invasive technique for decompression in patients with spinal disc herniation or stenosis. This review aimed to summarize the current techniques of endoscopic decompression technique in spine surgery and to discuss the benefits, limitations, and future perspectives of this minimally invasive technique. Endoscopic ... Read more >>

Ann Transl Med (Annals of translational medicine)
[2019, 7(Suppl 5):S169]

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Questions and comments on the efficacy of transforaminal laser annuloplasty versus intradiscal radiofrequency annuloplasty for discogenic low back pain.

Daehyun Jo,

Korean J Pain (The Korean journal of pain)
[2019, 32(4):313-314]

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Relationships Between Disc Degeneration and Autophagy Expression in Human Nucleus Pulposus.

Meiling Quan, Myoung-Wha Hong, Myung-Sup Ko, Young-Yul Kim,

OBJECTIVES:To elaborate on the relationship between degeneration grade and autophagy expression in human nucleus pulposus obtained from surgical procedures. METHODS:For the 16 patients included in the present study, we determined the Pfirrmann classifications of degenerative lesions by MRI. Western blot analysis, LC3, LAMP2, and p62 protein expressions were quantified in ... Read more >>

Orthop Surg (Orthopaedic surgery)
[2020, 12(1):312-320]

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Author's reply.

Chan Hong Park,

Korean J Pain (The Korean journal of pain)
[2019, 32(4):314-315]

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M6-C cervical disc replacement failure associated with late onset infection.

Mary-Anne M Xia, Mark J Winder,

Cervical disc replacements are commonly used to treat degenerative disc disease. We present a case an M6-C disc replacement failure associated with Propionibacterium acnes infection three years post implantation. ... Read more >>

J Spine Surg (Journal of spine surgery (Hong Kong))
[2019, 5(4):584-588]

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Current Concepts in Intradiscal Percutaneous Minimally Invasive Procedures for Chronic Low Back Pain.

Ioannis Gelalis, Ioannis Gkiatas, Antonios Spiliotis, Dimitrios Papadopoulos, Emilios Pakos, Marios Vekris, Anastasios Korompilias,

Study Design:A systemic review of thermal annular procedures (TAPs) and percutaneous disk decompression procedures (PDDPs) for the treatment of discogenic chronic low back pain (CLBP) was conducted. Objective:The objective of this review is to evaluate and to compare the effectiveness of TAPs and PDDPs in treating discogenic CLBP and to ... Read more >>

Asian J Neurosurg (Asian journal of neurosurgery)
[2019, 14(3):657-669]

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Temporomandibular disorders: improving outcomes using a multidisciplinary approach.

Miriam Garrigós-Pedrón, Ignacio Elizagaray-García, Adelaida A Domínguez-Gordillo, José Luis Del-Castillo-Pardo-de-Vera, Alfonso Gil-Martínez,

Patients with temporomandibular disorders (TMD) can become very complex. This article aims to highlight the importance of the multimodal and multidisciplinary approach in this type of patients to improve clinical outcomes. At present we have innumerable techniques and tools to approach this type of patients from a biopsychosocial model where ... Read more >>

J Multidiscip Healthc (Journal of multidisciplinary healthcare)
[2019, 12:733-747]

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Mini-Open Access for Lateral Lumbar Interbody Fusion: Indications, Technique, and Outcomes.

Stephan N Salzmann, Gary A Fantini, Ichiro Okano, Andrew A Sama, Alexander P Hughes, Federico P Girardi,

Background:Lateral lumbar interbody fusion (LLIF) is a relatively new procedure. It was established as a minimally invasive alternative to traditional open interbody fusion. LLIF allows the surgeon to access the disc space via a retroperitoneal transpsoas muscle approach. Theoretical advantages of the LLIF technique include preservation of the longitudinal ligaments, ... Read more >>

JBJS Essent Surg Tech (JBJS essential surgical techniques)
[2019, 9(4):]

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Use of "Inside-Out" Technique for Direct Visualization of a Vacuum Vertically Unstable Intervertebral Disc During Routine Lumbar Endoscopic Transforaminal Decompression-A Correlative Study of Clinical Outcomes and the Prognostic Value of Lumbar Radiographs.

Kai-Uwe Lewandrowski, Jorge Felipe Ramírez León, Anthony Yeung,

Background:The purpose of this study was to record the frequency of lumbar intervertebral disc vacuum phenomenon on routine lumbar plain films taken prior to transforaminal endoscopic decompression surgery for sciatica-type leg and back pain and to correlate it with visualized intradiscal pathology and clinical outcomes. Methods:A prospective case series study ... Read more >>

Int J Spine Surg (International Journal of Spine Surgery)
[2019, 13(5):399-414]

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Feasibility of Virtual Reality Combined with Isocentric Navigation in Transforaminal Percutaneous Endoscopic Discectomy: A Cadaver Study.

Zhi Zhou, Shuo Hu, Yong-Zhao Zhao, Yan-Jie Zhu, Chuan-Feng Wang, Xin Gu, Guo-Xin Fan, Shi-Sheng He,

OBJECTIVES:Transforaminal percutaneous endoscopic discectomy (TPED) is one of the most commonly used minimally invasive spine surgeries around the world. However, conventional surgical planning and intraoperative procedures for TPED have relied on surgeons' experience, which limits its standardization and popularization. Virtual reality (VR) is a novel technology for pre-surgical planning in ... Read more >>

Orthop Surg (Orthopaedic surgery)
[2019, 11(3):493-499]

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Technology advancements in spinal endoscopy for staged management of painful spine conditions.

Friedrich Tieber, Kai-Uwe Lewandrowski,

J Spine Surg (Journal of spine surgery (Hong Kong))
[2020, 6(Suppl 1):S19-S28]

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Surgical Treatment of Lumbar Spinal Discal Cyst: Is It Enough to Remove the Cyst Only without Following Discectomy?

Jung Won Park, Byung-Jou Lee, Sang-Ryong Jeon, Seung-Chul Rhim, Jin Hoon Park, Sung Woo Roh,

Discal cysts are a rare cause of low back pain and radiculopathy with unknown pathophysiologic mechanism. Associated symptoms are difficult to distinguish from those caused by extruded discs and other spinal canal lesions. Most discal cysts are treated surgically, but it is unclear whether the corresponding intervertebral disc should be ... Read more >>

Neurol. Med. Chir. (Tokyo) (Neurologia medico-chirurgica)
[2019, 59(6):204-212]

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Functional Outcome after Endoscopic Lumbar Discectomy by Destandau's Technique: A Prospective Study of 614 Patients.

Paresh Chandra Dey, Saurav Narayan Nanda,

Study Design:Prospective study. Purpose:To investigate the efficacy of the lumbar discectomy procedure using the Destandau Endospine System by assessing the functional outcome and complication rate in 614 patients. Overview of Literature:Endoscopic Spine Surgery (Endospine) using Destandau's technique is an established treatment method of lumbar disk herniation; it was introduced in ... Read more >>

Asian Spine J (Asian spine journal)
[2019, 13(5):786-792]

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