Postoperative Outcomes After Transsacral Epiduroscopic Laser Decompression in Japanese Patients: Denervation Therapy for Discogenic Low-Back Pain

Ito, Zenya; Shibayama, Motohide; Nakamura, Shu; Yamada, Minoru; Kitajima, Masaki; Shimizu, Kenzo; Takuechi, Mikinobu; Yoshimatsu, Hiroki; Kuraishi, Keita; Hoshi, Naoto; Taguchi, Mitsuto; Miura, Yasushi; Ito, Fumio

doi:10.1089/photob.2019.4770

Cited by 3 publications

(4 citation statements)

References 18 publications

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“…This compares well to recent studies that have used different methods. For example, one study used transsacral epiduroscopic laser decompression (SELD) in 52 patients [ 15 ]. In that study, the VAS score fell from 5.6 to 1.2 at 12 months [ 15 ].…”

Section: Discussionmentioning

confidence: 99%

“…For example, one study used transsacral epiduroscopic laser decompression (SELD) in 52 patients [ 15 ]. In that study, the VAS score fell from 5.6 to 1.2 at 12 months [ 15 ]. Another study that used a transforaminal endoscopic system (TESSYS) in 62 selected patients found VAS decreased from 6.7 ± 2.5 to 1.0 ± 0.6 at last follow-up [ 16 ].…”

Section: Discussionmentioning

confidence: 99%

“…In this study, the ODI decreased from 72.84 ± 5.95 preoperatively to 10.91 ± 2.36 at 12 months postoperatively. The studies described above also showed the ODI score dropped from the preoperative level of 22.3 to 8.8 at 12 months [ 15 ], 35.8 ± 5.4 to 8.7 ± 2.1 at last follow-up [ 16 ], and 61.58 ± 5.37 to 12.26 ± 1.76 at 12 months [ 17 ]. When the treatment effect was evaluated, the success rate in this study was 82.2% at 12 months.…”

Section: Discussionmentioning

confidence: 99%

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The percutaneous spinal endoscopy “isolation zone” technique for discogenic low back pain: a case series study

Wang

Cai

et al. 2022

Eur J Med Res

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Background This study aimed to explore the clinical values of the percutaneous spinal endoscopy “isolation zone” technique for discogenic low back pain (DLBP). Methods This retrospective case series study enrolled patients with intervertebral DLBP treated with the percutaneous spinal endoscopy “isolation zone” technique in the department of Orthopedics, Cangzhou central Hospital affiliated to TianJin Medical University between September 2017 and September 2020. Results Forty-five patients with DLBP were enrolled. The mean operation time was 94.7 ± 17.7 min. The visual analogue scale (VAS) score of lumbosacral pain was 6.95 ± 1.02 before operation, 2.64 ± 0.71, 1.80 ± 0.54, 1.42 ± 0.50, and 1.27 ± 0.45 at 1, 3, 6, and 12 months after operation, respectively. The Oswestry disability index (ODI) score of low back pain was 72.84 ± 5.95 before operation, 35.1 ± 5.30, 25.22 ± 4.85, 16.78 ± 4.63, and 10.91 ± 2.36 at 1, 3, 6, and 12 months after operation, respectively. At final follow-up, the treatment effect based on modified MacNab criteria was excellent in 24 cases, good in 13 cases, and fair in 8 cases. The excellent/good rate was 82.2%. Conclusion The percutaneous spinal endoscopic “isolation zone” technique seems to be a promising surgical alternative for DLBP.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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The percutaneous spinal endoscopy “isolation zone” technique for discogenic low back pain: a case series study

Wang

Cai

et al. 2022

Eur J Med Res

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“…Complications & Limitations: Some limitations arise due to the technical problems (images acquired during the procedure are of low quality as are the equipments) associated with SELD. Secondly laser induced damage to the posterior annulus may lead to recurrent herniations 191) . The cost of the equipments is also a limitation.…”

Section: Iv) Sacral Fess: Trans-sacral Epiduroscopic Lumbar Decompression (Seld)mentioning

confidence: 99%

Expanded Indications of Full Endoscopic Spine Sugery

Krishnan

Kim

Raj

et al. 2021

J Minim Invasive Spine Surg Tech

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Treatment of spine surgeries has evolved from traditional surgeries to open surgeries. Endoscopic spine surgeries (ESS) and endoscope assisted surgeries along with microscopic and tubular surgeries has developed significantly over the last three decades. With improvement in the diagnostic methods it is now possible to find and differentiate the spinal pathologies. ESS was initially limited to the lumbar disc herniations (DH). But, now it can be used for cervical and thoracic DH. Minimized technical problems has been brought by evolutions in endoscopy, better optics, instruments, access, and safety. Similarly acquired knowledge and skills are being extrapolated to advanced indications in different spinal pathologies. Due to the further advantages of ESS within the ambit of minimal invasive spine surgeries, many misnomers are as well getting added. This confuses the new learners and potential patients as well. ESS should be classified for uniformity in reporting and common nomenclature like FESS (Full endoscopic spine surgery) should be used. It specifically refers to surgery through one working channel under irrigation with incorporated optics. This will make easier understanding for novice surgeons and general population. It will lead to standardised reporting of high quality clinical studies, trials, and meta-analysis for the publications. Rising misnomers and complex nomenclature of endoscopy is suggesting along with the exponential publications in last decade that ESS is entering into its golden era. This review is undertaken to throw light on the techniques, advances and literature review of only FESS and clear the misnomers. This review also describes the evolution of different techniques and goals that led to impeccable advances in the field of FESS. Further improvement of technologies and techniques in future will soon establish FESS as the Gold Standard in spine surgery.

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Trans-Sacral Endoscopic Laser Decompression for Herniated Lumbar Disc

Kim¹

2023

Endoscopy of the Spine

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Postoperative Outcomes After Transsacral Epiduroscopic Laser Decompression in Japanese Patients: Denervation Therapy for Discogenic Low-Back Pain

Cited by 3 publications

References 18 publications

The percutaneous spinal endoscopy “isolation zone” technique for discogenic low back pain: a case series study

The percutaneous spinal endoscopy “isolation zone” technique for discogenic low back pain: a case series study

Expanded Indications of Full Endoscopic Spine Sugery

Trans-Sacral Endoscopic Laser Decompression for Herniated Lumbar Disc

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