Clinical Outcomes of Interlaminar Percutaneous Endoscopic Decompression for Degenerative Lumbar Spondylolisthesis with Spinal Stenosis

Sriphirom, Pornpavit; Siramanakul, Chaiyaporn; Chaipanha, Preewut; Saepoo, Chalit

doi:10.3390/brainsci11010083

Cited by 15 publications

(9 citation statements)

References 22 publications

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“…Positive changes of the radiological parameters after vertebral arch osteosynthesis, vertebra reduction, absence of disease progression, and reliable elimination of the pain syndrome allow us to consider this operation to be a worthy alternative to the classic method which is comparable with the data obtained by other investigators on adult patients [ 23 , 24 ]. Indices of intraoperative blood loss, returning to sports activities of the majority of patients, decrease in hospital bed days, and, consequently, hospital expenses make this intervention the method of choice in this pathology.…”

Section: Discussionsupporting

confidence: 77%

Minimally Invasive Reconstruction of Vertebral Arch in Spondylolisthesis in Children and Adolescents

Syundyukov¹,

Nikolayev²,

Kuz'mina³

et al. 2021

Sovrem Tehnol Med

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The aim of the study was to assess the effectiveness of the minimally invasive technique used to reconstruct the vertebral arch with a pedicle screw hook system in grade I isthmic spondylolisthesis in comparison with the traditional technique of segment stabilization with interbody fusion. Materials and Methods The study included 26 patients aged from 11 to 17 years. The follow-up period lasted from 1 to 7 years. Two groups were formed: in group 1 (n=6), segments L 5 –S 1 were stabilized using the traditional technique; in group 2 (n=20), the arch of the L 5 vertebra was reconstructed by means of minimally invasive surgery. The pain syndrome was assessed in each study group using the visual analogue scale and Macnab criteria before and after surgery; blood loss, duration of surgery in minutes, and hospitalization in days were also measured. Results According to the Macnab scale, the two presented techniques did not show any statistically significant differences; however, when the arch synthesis technique was employed the spinal motion segment remained intact. Furthermore, in group 2, the volume of blood loss was smaller (44.0±19.6 compared to 300.0±130.4 ml, p<0.0001), the duration of the operation was 176.0±41.6 compared to 349.2±93.2 min, p<0.0001, and hospital stay was 6.9±1.6 compared to 10.0±2.1 days, p=0.0025 in the control group. Conclusion The technique of vertebral arch reconstruction by a minimally invasive access gives the possibility to stabilize the spinal motion segment and to preserve biomechanics and movements in the spine. This technique allows for shorter inpatient stays for patients as well as earlier recovery and rehabilitation due to reduced surgery time and blood loss.

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Section: Discussionsupporting

confidence: 77%

Minimally Invasive Reconstruction of Vertebral Arch in Spondylolisthesis in Children and Adolescents

Syundyukov¹,

Nikolayev²,

Kuz'mina³

et al. 2021

Sovrem Tehnol Med

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“…However, some studies present dynamic instability which indicates that instability can be static. 38 , 43 - 47 …”

Section: Discussionmentioning

confidence: 99%

“…However, some studies present dynamic instability which indicates that instability can be static. 38,[43][44][45][46][47] A few studies in this review presents a definition including facet effusion and facet angle as parameters. 22,36,48,49 The studies are published within the last decade.…”

Section: Discussionmentioning

confidence: 99%

Radiological Definitions of Sagittal Plane Segmental Instability in the Degenerative Lumbar Spine – A Systematic Review

Elmose

Andersen

Carreon

et al. 2022

Global Spine Journal

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Study Design Systematic Review. Objective To collect and group definitions of segmental instability, reported in surgical studies of patients with lumbar spinal stenosis (LSS) and/or lumbar degenerative spondylolisthesis (LDS). To report the frequencies of these definitions. To report on imaging measurement thresholds for instability in patients and compare these to those reported in biomechanical studies and studies of spine healthy individuals.To report on studies that include a reliability study. Methods This review was conducted according to Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines. Studies eligible for inclusion were clinical and biomechanical studies on adult patients with LDS and/or LSS who underwent surgical treatment and had data on diagnostic imaging. A systematic literature search was conducted in relevant literature databases. Full text screening inclusion criteria was definition of segmental instability or any synonym. Two reviewers independently screened articles in a two-step process. Data synthesis presented by tabulate form and narrative synthesis. Results We included 118 studies for data extraction, 69% were surgical studies with decompression or fusion as interventions, 31% non-interventional studies. Grouping the definitions of segmental instability according similarities showed that 24% defined instability by dynamic sagittal translation, 26% dynamic translation and dynamic angulation, 8% used a narrative definition. Comparison showed that non-interventional studies with a healthy population more often had a narrative definition. Conclusion Despite a reputation of non-consensus, segmental instability in the degenerative lumbar spine can radiologically be defined as > 3 mm dynamic sagittal translation.

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“…Depending on the age, deterioration of the disks and bones will occur. 11 For this reason, people between the ages of 50-70 were included in the study To make a more accurate classification, and the mean age for LSS was 63 ± 5 years, and the mean age for the control group was 59 ± 2. Of the LSS patients, 250 were male and 270 were female (n = 520).…”

Section: Methodsmentioning

confidence: 99%

LSS-Vgg16

Altun¹,

Alkan²,

Altun

2023

Clinical Spine Surgery: A Spine Publication

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Study Design: This was a retrospective study. Objection: Lumbar Spinal Stenosis (LSS) is a disease that causes chronic low back pain and can often be confused with herniated disk. In this study, a deep learning-based classification model is proposed to make LSS diagnosis quickly and automatically with an objective tool. Summary of Background Data: LSS is a disease that causes negative consequences such as low back pain, foot numbness, and pain. Diagnosis of this disease is difficult because it is confused with herniated disk and requires serious expertise. The shape and amount of this stenosis are very important in deciding the surgery and the surgical technique to be applied in these patients. When the spinal canal narrows, as a result of compression on these nerves and/or pressure on the vessels feeding the nerves, poor nutrition of the nerves causes loss of function and structure. Image processing techniques are applied in biomedical images such as MR and CT and high classification success is achieved. In this way, computer-aided diagnosis systems can be realized to help the specialist in the diagnosis of different diseases. Methods: To demonstrate the success of the proposed model, different deep learning methods and traditional machine learning techniques have been studied. Results: The highest classification success was obtained in the VGG16 method, with 87.70%. Conclusions: The proposed LSS-VGG16 model reveals that a computer-aided diagnosis system can be created for the diagnosis of spinal canal stenosis. In addition, it was observed that higher classification success was achieved compared with similar studies in the literature. This shows that the proposed LSS-VGG16 model will be an important resource for scientists who will work in this field.

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Clinical Outcomes of Interlaminar Percutaneous Endoscopic Decompression for Degenerative Lumbar Spondylolisthesis with Spinal Stenosis

Cited by 15 publications

References 22 publications

Minimally Invasive Reconstruction of Vertebral Arch in Spondylolisthesis in Children and Adolescents

Minimally Invasive Reconstruction of Vertebral Arch in Spondylolisthesis in Children and Adolescents

Radiological Definitions of Sagittal Plane Segmental Instability in the Degenerative Lumbar Spine – A Systematic Review

LSS-Vgg16

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