Early Outcomes of Endoscopic Contralateral Foraminal and Lateral Recess Decompression via an Interlaminar Approach in Patients with Unilateral Radiculopathy from Unilateral Foraminal Stenosis

Kim, Hyeun Sung; Patel, Ravish; Paudel, Byapak; Jang, Jee-Soo; Jang, Il‐Tae; Oh, Seong-Hoon; Park, Jae Eun; Lee, Sol

doi:10.1016/j.wneu.2017.09.018

Cited by 61 publications

(47 citation statements)

References 42 publications

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“…There have been numerous reports on the benefit of endoscopic spine surgery for lumbar disc prolapse and spinal stenosis. Not only is the surgery performed with a small incision that helps early recovery, but overall hospital stay is significantly shorter and quality of life is improved [ 6 - 9 ]. So far, there has been no mention of the role of endoscopic spine surgery in old age patients, especially above 70 years of age.…”

Section: Introductionmentioning

confidence: 99%

Feasibility of Full Endoscopic Spine Surgery in Patients Over the Age of 70 Years With Degenerative Lumbar Spine Disease

Kim¹,

Kim²,

Kapoor³

et al. 2018

Neurospine

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Background/AimsDegenerative spine disease, encompassing disc prolapse and stenosis, is a common ailment in old age. This prospective study was undertaken to evaluate the role of endoscopic spine surgery in elderly patients (above 70 years of age) with clinical and radiological follow-up. MethodsIn this study, a retrospective analysis was conducted of 53 patients with lumbar disc prolapse or spinal stenosis who were treated with percutaneous endoscopic discectomy or decompression from November 2015 to June 2017. Clinical follow-up was done at 1 week, 3 months, and 1 year, and at yearly intervals thereafter. The outcomes were assessed using the modified Macnab criteria, a visual analogue scale, and the Oswestry Disability Index. ResultsOf the 53 patients, 21 were men and 32 were women. Their mean age was 76±4 years. The mean follow-up period was 17 months. Percutaneous endoscopic discectomy was performed in 24 patients and endoscopic decompression in 24 patients, while 5 patients underwent combined surgery. An excellent outcome in terms of the MacNab criteria was observed in 9 patients (16.98%), a good outcome in 38 patients (71.7%), and a poor outcome in 6 patients (11.3%). Of the 6 patients with a poor outcome, 5 (9.4%, 5 of 53) developed recurrent disc prolapse, and 1 developed hematoma with motor weakness. All 6 of these cases required revision surgery. ConclusionManaging degenerative spine disease in elderly patients with multiple comorbidities is a challenging task. Percutaneous endoscopic spine surgery is pivotal for addressing this concern. The authors have shown that optimal results can be achieved with various types of disc prolapse and stenosis with favorable long-term outcomes.

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Section: Introductionmentioning

confidence: 99%

Feasibility of Full Endoscopic Spine Surgery in Patients Over the Age of 70 Years With Degenerative Lumbar Spine Disease

Kim¹,

Kim²,

Kapoor³

et al. 2018

Neurospine

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“…Failure of disc arthroplasty can be due to any number of factors. Suboptimal surgical technique, improper sizing and/or positioning of the implants, and poor patient selection account for the majority of lumbar disc failures 1,3,9,13,17) . Malposition of mis-sized implant is considered as the most common cause of implant failure.…”

Section: Discussionmentioning

confidence: 99%

“…Endoscopic operations have become standard in various areas such as arthroscopy and laparoscopy. Herniated discs and stenosis of the lumbar and cervical spine can now also be operated fully endoscopically using various accesses and techniques 2,5,9,10,14) . We chose the percutaneous endoscopic technique as the rescue procedure to remove the extruded wire marker in this case.…”

Section: Discussionmentioning

confidence: 99%

Percutaneous Endoscopic Removal of Extruded Centering Pin in Lumbar Artificial Disc Causing Postoperative Radiculopathy: A Case Report

Lee

Yoon

2018

J Minim Invasive Spine Surg Tech

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We present a case of postoperative radiculopathy caused by extrusion of centering pin marker in lumbar artificial disc treated by percutaneous endoscopic procedure. A 39-year-old man was presented with intermittent electric shock like left leg pain along S1 dermatome. He received lumbar total disc replacement (TDR) on L5-S1 for his degenerative disc disease (DDD) six years before the revisit to the clinic. X-ray and CT revealed extruded pin from the core of the implant compressing the thecal sac and left S1 root. The position and mobility of the implant were seen intact in follow-up X-rays. The marker pin was removed by percutaneous endoscopic interlaminar technique. The patient's preoperative leg pain was completely resolved after the procedure.

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“…Current open, microscopic, and biportal endoscopic techniques tend to require 2 separate approaches to decompress lateral recess, foraminal, and extraforaminal compression of the nerve root. Asymmetrical lumbar stenosis with correlated clinical and radiological findings is suitable for uniportal full endoscopic contralateral approach decompression with the benefit of one approach addressing multiple points of compression and being minimally invasive especially in the elderly [5][6][7].…”

Section: Relevant Surgical Anatomymentioning

confidence: 99%

How I do it? Uniportal full endoscopic contralateral approach for lumbar foraminal stenosis with double crush syndrome

Kim

Jang³

2019

Acta Neurochir

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Background Evolution of endoscopic surgery provides equivalent results to open surgery with advantages of minimal invasive surgery. The literature on technique Uniportal Full endoscopic contralateral approach is scarce. Methods The endoscopic contralateral approach technique applies for patients presenting with double crush syndrome with foraminal and extraforminal stenosis. The key steps focus on contralateral ventral overriding superior articular process decompression, foraminal and extraforaminal discectomy, and lateral vertebral syndesmophyte decompression leading to enlargement of the contralateral foramen and extraforamen size. Conclusion The Uniportal Full endoscopic contralateral approach is a good alternative to open surgery or minimally invasive microscopic surgery through direct endoscopic visualization of the entire route of exiting nerve with no neural retraction allowing both lateral recess and foraminal and extraforaminal decompression all in one approach.

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Early Outcomes of Endoscopic Contralateral Foraminal and Lateral Recess Decompression via an Interlaminar Approach in Patients with Unilateral Radiculopathy from Unilateral Foraminal Stenosis

Cited by 61 publications

References 42 publications

Feasibility of Full Endoscopic Spine Surgery in Patients Over the Age of 70 Years With Degenerative Lumbar Spine Disease

Feasibility of Full Endoscopic Spine Surgery in Patients Over the Age of 70 Years With Degenerative Lumbar Spine Disease

Percutaneous Endoscopic Removal of Extruded Centering Pin in Lumbar Artificial Disc Causing Postoperative Radiculopathy: A Case Report

How I do it? Uniportal full endoscopic contralateral approach for lumbar foraminal stenosis with double crush syndrome

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