Radiologic Anatomy of the Lumbar Interlaminar Window and Surgical Considerations for Lumbar Interlaminar Endoscopic and Microsurgical Disc Surgery

Sakçı, Zakir; Önen, Mehmet Reşid; Fidan, Elif; Yaşar, Yunus; Uluğ, Hikmet; Naderi, Sait

doi:10.1016/j.wneu.2018.03.049

Cited by 19 publications

(6 citation statements)

References 10 publications

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“…Similar to the L4 vertebral lamina configuration, this difference indicated that the surgeons preferentially selected IELD for patients with an accessible interlaminar window. 28 ) (4) Differences in the vertebral foramen width ( P < 0.02): The mean vertebral foramen width was 8.98 ± 2.44 mm and 10.24 ± 2.18 mm in the IELD and TELD groups, respectively. We could not find a statistical difference in the vertebral foramen height ( P = 0.07); the height tended to be more in the TELD group than in the IELD group.…”

Section: Discussionmentioning

confidence: 99%

Comparison of the Interlaminar and Transforaminal Approaches for Full-endoscopic Discectomy for the Treatment of L4/5 Lumbar Disc Herniation

Takebayashi¹,

Oshima

Fujita

et al. 2023

Neurol. Med. Chir.(Tokyo)

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This study aims to compare the outcomes of interlaminar and transforaminal approaches for full-endoscopic discectomy (FED) for treating L4/5 lumbar disc herniation (LDH). A retrospective study of patients with L4/5 LDH treated with interlaminar endoscopic lumbar discectomy (IELD, n = 19) or transforaminal endoscopic lumbar discectomy (TELD, n = 105) was conducted. Patient background, radiological findings, and operative data were collected. Oswestry Disability Index (ODI) and European Quality of Life-5 Dimension (EQ-5D) scores were recorded preoperatively and 1 and 2 years postoperatively. Although ODI and EQ-5D scores 1 and 2 years postoperatively improved statistically in the IELD and TELD groups, there were no statistical differences between the groups. IELD was predominantly performed in patients who were taller and heavier. The mean operative times and the frequency of laminectomy for IELD and TELD were 67.2 and 44.6 min and 63.2 and 17.1%, respectively ( P < 0.001). The radiological findings showed that the concave configuration of the L4 lamina, interlaminar space width, and foraminal width were statistically different between the groups. There were no complications in either of the groups. Reoperation was required for recurrence in two and five patients in the IELD and TELD groups ( P = 0.29), respectively. Operative outcomes were identical between the two groups. Although the operative time was longer in the IELD group, both approaches were safely and effectively performed. Depending on the patient's physique and preoperative radiological findings, the more suitable approach for L4/5 LDH should be chosen.

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Section: Discussionmentioning

confidence: 99%

Comparison of the Interlaminar and Transforaminal Approaches for Full-endoscopic Discectomy for the Treatment of L4/5 Lumbar Disc Herniation

Takebayashi¹,

Oshima

Fujita

et al. 2023

Neurol. Med. Chir.(Tokyo)

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“…IELD has been shown to be a safe and effective treatment for disc herniation at the L5–S1 stage. The interlaminar window is wider at the L5–S1 level from an anatomical perspective [ 14 ]. According to a recent report, TELD and IELD have similar clinical effectiveness and protection.…”

Section: Discussionmentioning

confidence: 99%

Transforaminal endoscopic lumbar discectomy for L5–S1 disc herniation: A case series

Sakti

Khadafi

Tarsan

et al. 2021

International Journal of Surgery Case Reports

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“…18,19 From anatomical consideration, the interlaminar window is wider at the L5-S1 level throughout the lumbosacral spine. 20 The recent systemic review revealed that TELD has comparable clinical efficacy and safety compared with IELD. Besides, IELD is superior to TELD in less operative time and radiation exposure.…”

Section: Discussionmentioning

confidence: 99%

“…IELD was proved to be safe and effective in treating the disc herniation at the L5–S1 level [ 18 , 19 ]. From anatomical consideration, the interlaminar window is wider at the L5–S1 level throughout the lumbosacral spine [ 20 ]. The recent systemic review revealed that TELD has comparable clinical efficacy and safety compared with IELD.…”

Section: Discussionmentioning

confidence: 99%

Transforaminal Endoscopic Lumbar Discectomy for L5–S1 Disc Herniation With High Iliac Crest: Technical Note and Preliminary Series

et al. 2020

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With the trend of minimally invasive spine surgery, full-endoscopic lumbar discectomy (FELD) has evolved with the advancement of the optics and instruments. Regarding the techniques, the transforaminal and interlaminar approach remain the major accesses in FELD. Transforaminal endoscopic lumbar discectomy (TELD) is an effective and safe treatment for herniation of the lumbar disc. More and more evidence supports the TELD in enhancing recovery and decreasing surgical complications. However, the learning curve of TELD remains steep, especially at the L5-S1 level. The iliac crest height is an essential factor in the operability of TELD at the L5-S1 level. In the situation of the high iliac crest, TELD is technically challenging even for an experienced surgeon. Therefore, the authors report their techniques of TELD with foraminoplasty step-by-step and the preliminary results in this report.

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Radiologic Anatomy of the Lumbar Interlaminar Window and Surgical Considerations for Lumbar Interlaminar Endoscopic and Microsurgical Disc Surgery

Cited by 19 publications

References 10 publications

Comparison of the Interlaminar and Transforaminal Approaches for Full-endoscopic Discectomy for the Treatment of L4/5 Lumbar Disc Herniation

Comparison of the Interlaminar and Transforaminal Approaches for Full-endoscopic Discectomy for the Treatment of L4/5 Lumbar Disc Herniation

Transforaminal endoscopic lumbar discectomy for L5–S1 disc herniation: A case series

Transforaminal Endoscopic Lumbar Discectomy for L5–S1 Disc Herniation With High Iliac Crest: Technical Note and Preliminary Series

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