Minimally invasive disc surgery: a review

Krugluger, J.; Knahr, K.

doi:10.1007/s002640000187

Cited by 8 publications

(2 citation statements)

References 38 publications

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“…9,10 There is an increasing trend for using endoscopic spine surgery in the spine society, driven by the current relevance given to postsurgical quality of life and recovery time. 11,12 This review article discusses the characteristics of the TELD technique and describes the indications and technical tips to achieve reliable clinical success while preventing unexpected surgical complications. These guidelines will help spine surgeons learn about endoscopic spine surgery and apply it in actual practice.…”

Section: Introductionmentioning

confidence: 99%

Transforaminal Endoscopic Lumbar Discectomy: Basic Concepts and Technical Keys to Clinical Success

Lee

Ahn

2021

Int J Spine Surg

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Background: Open microdiscectomy is the gold standard surgical technique for radiculopathy with lumbar disc herniation (LDH). Transforaminal endoscopic lumbar discectomy (TELD) has been developed as an effective and minimally invasive alternative to open surgery. As a result of these remarkable technical evolutions, the clinical outcomes of TELD have become comparable to those of conventional open surgery. However, considerable learning curves and endoscopy-related adverse events may emerge as critical problems.Objective: The objective of this article was to inform on the basic principles, surgical techniques, and keys to clinical success in preventing complications.Methods: A narrative review of the literature focused on the surgical indications, technical tips, complications, and learning curve of the full-endoscopic procedure was performed.Results: First, the transforaminal endoscopic system should access as close as possible to the target point, avoiding exiting nerve root irritation. Second, selective removal of the herniated disc fragments after sufficiently releasing the annular anchorage parts is essential to avoid incomplete decompression or prevent an early recurrence. Third, the endpoint of the procedure can be determined at the point of solid pulsation and free mobilization of the nerve root. Finally, surgeons should always ensure that the anatomical layers discriminate the neural tissue and disc material during the procedure. Some authors have demonstrated the effectiveness of TELD through randomized controlled trials, meta-analyses, and systemic reviews. According to these studies, the clinical outcomes of TELD are not inferior to those of open discectomy, with an earlier recovery period and fewer complications.Conclusions: The full-endoscopic transforaminal discectomy technique for soft LDH is an effective alternative with the benefits of minimally invasive surgery in appropriately selected patients. Given recent technical developments, the surgical indications for TELD will be broader and the clinical outcomes will be more reliable.

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Section: Introductionmentioning

confidence: 99%

Transforaminal Endoscopic Lumbar Discectomy: Basic Concepts and Technical Keys to Clinical Success

Lee

Ahn

2021

Int J Spine Surg

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“…2,3 Consequently, the need for minimally invasive spine surgery (MISS) is growing as the aging population is dramatically increasing and people pay more attention to quality-of-life issues. 4,5 Moreover, endoscopic spine surgery (ESS) is a subset of MISS that has been evolving rapidly and continuously to help treat elderly patients to relieve pain. 6,7 The advantages of ESS are widely touted to include less injury to paraspinal ligaments and muscles, less extensive epidural scar, feasibility under local anesthesia, minimal neural manipulation, less intraoperative blood loss, a lower infection rate, and a shorter hospital stay.…”

Section: Introductionmentioning

confidence: 99%

The 100 Most-Cited Publications in Endoscopic Spine Surgery Research

Zhao

Shen²,

Zheng³

et al. 2020

Global Spine Journal

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Study Design: A bibliometric review of the literature. Objective: Our objective was to identify and analyze the 100 most-cited publications in the field of endoscopic spine surgery (ESS). Methods: In order to determine the top cited 100 articles, a 3-step approach was employed. First, the 100 most-cited ESS studies were identified using the key phrase “endoscopic spine surgery.” Then, 8 keywords were identified from the 100 studies of step 1 were used to conduct a second round searching in all databases of the Web of Science. Finally, when the results of the first and second steps were overlapped, duplicated studies were removed. The 100 top-cited articles were used for further analysis. Results: The citation number of the top 100 most-cited articles ranged from 44 to 236 with a mean value of 84.4. The most productive periods were from 2001 to 2010. The majority of publications came from Spine and Neurosurgery, where Spine holds the largest number of 35 articles, followed by Neurosurgery with 13 articles. Overall, 10 countries contributed to the 100 articles, with the most productive country being the United States, followed by Germany and Korea. Conclusion: This bibliometric study is meant to produce a list of intellectual milestones in the field of ESS. This article’s identification of the most influential articles in the field of ESS gives us a unique and comprehensive insight into the development of ESS in the past several decades.

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Transforaminal Endoscopic Discectomy

Krugluger¹

Minimally Invasive Spine Surgery

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Minimally invasive disc surgery: a review

Cited by 8 publications

References 38 publications

Transforaminal Endoscopic Lumbar Discectomy: Basic Concepts and Technical Keys to Clinical Success

Transforaminal Endoscopic Lumbar Discectomy: Basic Concepts and Technical Keys to Clinical Success

The 100 Most-Cited Publications in Endoscopic Spine Surgery Research

Transforaminal Endoscopic Discectomy

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