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

Wu, Pang Hung; Kim, Hyeun Sung; Jang, Il‐Tae

doi:10.1007/s00701-019-04157-z

Cited by 41 publications

(49 citation statements)

References 10 publications

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“…Foraminal and extraforaminal compression of the exiting nerve root is a difficult clinical challenge. The approach is further confounded by the fact that many cases of foraminal and extraforaminal compression are also associated with lateral recess stenosis, a condition that Wu et al 89 termed as triple crush syndrome. The three areas of compression synergistically cause more symptoms in patients.…”

Section: ) Concurrent Decompression Of Lateral Recess Foraminal Anmentioning

confidence: 99%

A Narrative Review of Development of Full-Endoscopic Lumbar Spine Surgery

Kim

Jang

2020

Neurospine

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In the first phase of development of lumbar endoscopic spine surgery, the focus was on removal of soft disc material through the working corridor of Kambin's triangle using transforaminal endoscopic lumbar discectomy. With the introduction of the interlaminar approach and increased interest from both industry and surgeons, there has been an exponential development of endoscopic surgical equipment and a corresponding expansion of endoscopic techniques. Endoscopic treatment strategies are applied to conditions ranging from contained prolapsed intervertebral discs to noncontained migrated herniated discs, hard calcified discs, spinal stenosis in the central or lateral recess and the foraminal and extraforaminal region, and other combinations of degenerative conditions requiring decompression or fusion surgery. The further expansion of endoscopic surgical management involving complicated spinal cases and the final quartet of trauma, infections, tumors, and possibly deformities could be the future stage of endoscopic spine surgery development. This article covers the full range of current treatment strategies and presents possible future developments of endoscopic spine surgery for the management of lumbar spinal conditions.

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Section: ) Concurrent Decompression Of Lateral Recess Foraminal Anmentioning

confidence: 99%

A Narrative Review of Development of Full-Endoscopic Lumbar Spine Surgery

Kim

Jang

2020

Neurospine

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“…Second is to expose the region of sinuvertebral and basivertebral nerve in order to perform radiofrequency ablation to basivertebral nerve and sinuvertebral nerve. [121][122][123][124] (Figure 6) Procedure is done under sedated regional or general anesthesia. Patient is placed in prone position.…”

Section: Surgical Techniquementioning

confidence: 99%

“…Disc was inspected for any uncontained herniated disc fragments which would be excluded from the study. Degenerated bulging disc which were included in the study would have radiofrequency thermal shrinkage procedure performed on the annulus surface [120][121][122][123] (Figure 6). Figure 6.…”

Section: Interlaminar Endoscopic Lumbar Approach To Discmentioning

confidence: 99%

“…Ablation [121][122][123][124] Procedure is done under regional or general anesthesia. Patient is placed in prone position.…”

Section: Lumbar Endoscopic Unilateral Laminotomy For Bilateral Decompmentioning

confidence: 99%

“…Using endoscopic diamond burr drills, we drilled just enough lamina to safely remove the thickened flavum so as to safely approach the targeted disc. We routinely switched the endoscope to a 30 • viewing angle, a 7.3 mm outer diameter, a 4.7 mm-diameter working channel, and 251 mm of total length for closer examination of the disc and end plates region and to perform radiofrequency ablation to the sinuvertebral and basivertebral nerves [120][121][122][123].…”

Section: Lumbar Endoscopic Unilateral Laminotomy For Bilateral Decompmentioning

confidence: 99%

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Lumbar Degenerative Disease Part 1: Anatomy and Pathophysiology of Intervertebral Discogenic Pain and Radiofrequency Ablation of Basivertebral and Sinuvertebral Nerve Treatment for Chronic Discogenic Back Pain: A Prospective Case Series and Review of Literature

Kim

Jang

2020

IJMS

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102

114

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Degenerative disc disease is a leading cause of chronic back pain in the aging population in the world. Sinuvertebral nerve and basivertebral nerve are postulated to be associated with the pain pathway as a result of neurotization. Our goal is to perform a prospective study using radiofrequency ablation on sinuvertebral nerve and basivertebral nerve; evaluating its short and long term effect on pain score, disability score and patients’ outcome. A review in literature is done on the pathoanatomy, pathophysiology and pain generation pathway in degenerative disc disease and chronic back pain. 30 patients with 38 levels of intervertebral disc presented with discogenic back pain with bulging degenerative intervertebral disc or spinal stenosis underwent Uniportal Full Endoscopic Radiofrequency Ablation application through either Transforaminal or Interlaminar Endoscopic Approaches. Their preoperative characteristics are recorded and prospective data was collected for Visualized Analogue Scale, Oswestry Disability Index and MacNab Criteria for pain were evaluated. There was statistically significant Visual Analogue Scale improvement from preoperative state at post-operative 1wk, 6 months and final follow up were 4.4 ± 1.0, 5.5 ± 1.2 and 5.7 ± 1.3, respectively, p < 0.0001. Oswestery Disability Index improvement from preoperative state at 1week, 6 months and final follow up were 45.8 ± 8.7, 50.4 ± 8.2 and 52.7 ± 10.3, p < 0.0001. MacNab criteria showed excellent outcomes in 17 cases, good outcomes in 11 cases and fair outcomes in 2 cases Sinuvertebral Nerve and Basivertebral Nerve Radiofrequency Ablation is effective in improving the patients’ pain, disability status and patient outcome in our study.

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Lumbosacral Extraforaminal Stenosis (Far-Out Syndrome)

Akhaddar

2023

Atlas of Sciatica

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

Cited by 41 publications

References 10 publications

A Narrative Review of Development of Full-Endoscopic Lumbar Spine Surgery

A Narrative Review of Development of Full-Endoscopic Lumbar Spine Surgery

Lumbar Degenerative Disease Part 1: Anatomy and Pathophysiology of Intervertebral Discogenic Pain and Radiofrequency Ablation of Basivertebral and Sinuvertebral Nerve Treatment for Chronic Discogenic Back Pain: A Prospective Case Series and Review of Literature

Lumbosacral Extraforaminal Stenosis (Far-Out Syndrome)

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