Rationale of Endoscopic Spine Surgery: A New Paradigm Shift In Spine Surgery From Patient’s benefits to Public Interest In This New Era of Pandemic

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

doi:10.21182/jmisst.2021.00031

Cited by 5 publications

(3 citation statements)

References 22 publications

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“…The field of spinal surgery stands to benefit from biomodels as operations require understandings of complex anatomy and increasingly utilises minimally invasive techniques with endoscopic approaches ( 3 ). Endoscopic spinal surgery presents unique operational challenges due to complex anatomy with small exposure corridors, difficult visualisation, minute working spaces, low tolerances for error and a difficult learning curve ( 4 ). Therefore, there are multiple challenges in endoscopic spinal surgery which may be improved with biomodels.…”

Section: Introductionmentioning

confidence: 99%

Application of three-dimensional printed biomodels in endoscopic spinal surgery

Huang,

Mobbs

2024

J Spine Surg

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Background Three-dimensional printing (3DP) is increasingly used to individualise surgery and may be an effective tool for representing patient anatomy. Current literature on patient-specific anatomical models (biomodels) for minimally invasive spinal surgery is a limited number of case series and cohort studies. However, studies investigating 3DP in other specialties have reported multiple benefits. Methods This prospective study considered a series of patients (n=33) undergoing elective endoscopic spinal surgery, including combinations of microdiscectomy (n=27), foraminotomy (n=7), and laminectomy (n=3). These surgeries were conducted at vertebral levels ranging from L2/3 to L5/S1. The surgeon then recorded the impact on preoperational planning, intraoperative decision-making and accelerating the learning curve with a qualitative questionnaire. Results There were benefits to planning in 54.5% of cases (n=18), improved intraoperative decision-making in 60.6% of cases (n=20). These benefits were reported more frequently earlier in the cases, with improvements to learning reported in 60% of the first five cases and not in subsequent cases. The surgeon commented that the biomodels were more useful on. Conclusions The rates of preoperative and intraoperative benefits are consistent with existing studies, and the early benefit to the learning curve may be suitable for applications to surgical training. Additional research is required to determine the practicality of biomodels and their impact on patient outcomes for endoscopic spinal surgery.

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Section: Introductionmentioning

confidence: 99%

Application of three-dimensional printed biomodels in endoscopic spinal surgery

Huang,

Mobbs

2024

J Spine Surg

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“…In this new era of ESS, the Journal of Minimally Invasive Spine Surgery and Technique (JMISST) encourages surgeons to present challenging and unique endoscopic techniques, including full and biportal spine surgery [12,13]. Both methods have pros and cons and synergistically contribute to creating new approaches, significantly expanding their applications [14].…”

mentioning

confidence: 99%

Lumbar Foraminal Stenosis Is a Combined Pathology With Spinal Canal Stenosis, Leading to the Emergence of New Concepts in Spinal Endoscopic Approaches for Its Treatment

Kim,

Chen,

Ohara

2023

J Minim Invasive Spine Surg Tech

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“…Surgical interventions can be broadly classified into decompression alone or decompression with fusion (posterolateral fusion/interbody fusion) when obvious dynamic instability is present [12,13]. Although the conventional open techniques of decompression (which involve laminectomy) remain the gold standard of treatment [12,14], problems with paraspinal musculature denervation [15] and possibility of secondary lumbar instability [16] and creation of dead space [17] resulted in increased interest in less invasive techniques [18][19][20][21][22], with reported noninferior clinical outcomes [21,22]. Among them, the minimally invasive surgical (MIS) decompression via a unilateral laminotomy with bilateral decompression-the 'over-the-top' approach, is thought to be less destabilizing than all other techniques [23][24][25][26].…”

mentioning

confidence: 99%

Outcomes of Microscopic-Assisted Decompression Surgery Without Instrumented Fixation in Patients With Spinal Canal Stenosis and First-Degree Degenerative Spondylolisthesis: A Prospective Case Series

Mahmoud,

Maniar

et al. 2023

J Minim Invasive Spine Surg Tech

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Objective: To describe the minimally invasive, microscopic-assisted over-the-top technique and report its clinical and radiological outcomes in cases of spinal canal stenosis and first-degree degenerative lumbar spondylolisthesis.Methods: Twenty-two patients with grade I degenerative spondylolisthesis and spinal canal stenosis who underwent microscopic decompression without fusion between April 2017 and December 2020 were included in the study. Results: The study population included 13 men and 9 women, with an average age of 66.7 years (range, 55–79 years) and a mean duration of symptoms of 14.8 ± 11.6 months. The mean follow-up was 49.3 months (range, 24–67 months). At the last follow-up, 13 patients were fully satisfied, 7 patients were partially satisfied, and 2 patients (9%) were not satisfied and required revision surgery with fusion. At the final follow-up, the mean leg pain numerical pain rating scale (NPRS), back pain NPRS, Oswestry Disability Index score, and Japanese Orthopaedic Association Back Pain Evaluation Questionnaire showed significant improvements in all patients, and no patients showed progression of the degree of spondylolisthesis.Conclusion: The minimally invasive, over-the-top technique using surgical microscopy is a viable option in cases with first-degree degenerative spondylolisthesis and predominantly stenosis symptoms.

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Rationale of Endoscopic Spine Surgery: A New Paradigm Shift In Spine Surgery From Patient’s benefits to Public Interest In This New Era of Pandemic

Cited by 5 publications

References 22 publications

Application of three-dimensional printed biomodels in endoscopic spinal surgery

Application of three-dimensional printed biomodels in endoscopic spinal surgery

Lumbar Foraminal Stenosis Is a Combined Pathology With Spinal Canal Stenosis, Leading to the Emergence of New Concepts in Spinal Endoscopic Approaches for Its Treatment

Outcomes of Microscopic-Assisted Decompression Surgery Without Instrumented Fixation in Patients With Spinal Canal Stenosis and First-Degree Degenerative Spondylolisthesis: A Prospective Case Series

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