Symptomatic Lumbar Juxtafacet Cyst Treated by Full Endoscopic Surgery

Wu, Hsuan-Han; Wang, Guan-Chyuan; Sun, Liwei; Chang, Kai-Sheng; Yang, Jun-Song; Chu, Lei; Chen, Chien‐Min

doi:10.1016/j.wneu.2019.06.168

Cited by 14 publications

(10 citation statements)

References 11 publications

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“…However, selected patients with a facet cyst causing lateral recess stenosis can be www.e-neurospine.org S23 treated with TELD with good clinical results, sparing excessive soft tissue injuries, reducing facet damage, and conserving spinal stability as compared to open posterior decompression. [48][49][50] Tumor debulking using the transforaminal approach has been described sparingly in the literature. The main application is for palliative relief of symptoms in patients who had a pathological tissue sample obtained previously with a primary tumor identified.…”

Section: ) Less Common Indications Of Transforaminal Endoscopic Techmentioning

confidence: 99%

“…Facet cyst is a common clinical entity that is traditionally decompressed via the posterior approach. However, selected patients with a facet cyst causing lateral recess stenosis can be treated with TELD with good clinical results, sparing excessive soft tissue injuries, reducing facet damage, and conserving spinal stability as compared to open posterior decompression [ 48 - 50 ]. Tumor debulking using the transforaminal approach has been described sparingly in the literature.…”

Section: Transforaminal Approach: Transforaminal Endoscopic Lumbar DImentioning

confidence: 99%

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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: ) Less Common Indications Of Transforaminal Endoscopic Techmentioning

confidence: 99%

Section: Transforaminal Approach: Transforaminal Endoscopic Lumbar DImentioning

confidence: 99%

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

Kim

Jang

2020

Neurospine

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“…10 The transforaminal FELFD surgical technique was similar to that of our previous report. 11 The procedure was performed under local anesthesia in prone position on the radiolucent table in all 15 patients. All the procedures were performed by a single senior surgeon.…”

Section: Surgical Techniquementioning

confidence: 99%

A Pilot Study of Radiculopathy Following Osteoporotic Vertebral Fracture in Elderly Patients: An Algorithmic Approach to Surgical Management

Lin

Sun

Jhang

et al. 2021

Geriatr Orthop Surg Rehabil

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Background: Osteoporotic vertebral compression fractures (OVCF) due to severe and refractory back pain or neurological complications require surgical treatment. In this study, patients with radiculopathy due to foraminal stenosis following OVCF were surgically managed by performing transforaminal full-endoscopic lumbar foraminoplasty and/or discectomy (FELFD). Methods: From May 2015 to November 2019, fifteen patients underwent transforaminal FELFD. Patient data, Charlson comorbidity index (CCI), and American Society of Anesthesiologists (ASA) score were collected. Clinical outcomes, including pre- and postoperative Visual Analog Scale (VAS) scores for back and leg pain, Oswestry Disability Index (ODI), and MacNab criteria of response to surgical treatment, were evaluated. Results: Mean of age, bone mineral density (T-score), CCI, ASA, and follow-up duration were 69.5 ± 6.6 years, −2.6 ± 0.8, 5.2 ± 2.3, 2.4 ± 0.5, and 24.5 ± 8.8 months, respectively. Mean VAS for leg pain significantly decreased from 6.9 ± 0.8 preoperatively to 2.9 ± 1.1 ( P < .05). Mean ODI decreased from 39.9 ± 3.2 preoperatively to 19.3 ± 4.6 postoperatively ( P < .05). The satisfaction rate is 86.7% (based on Macnab criteria), showed six patients had excellent outcomes and seven had good outcomes. Conclusions: Transforaminal FELFD is an effective treatment option for patients with radiculopathy due to lumbar OVCF, including those with severe osteoporosis and elderly patients.

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“…These two corridors are the foundation of modern full endoscopic lumbar spinal surgery. Several studies have discussed the indications and benefits of each surgical corridor[ 4 5 10 ]. However, there are no quantifying methods for assessing the best surgical approach for each patient.…”

Section: Introductionmentioning

confidence: 99%

“…The use of spinal endoscopes for treating lumbar degenerative diseases had been increasing in recent years[ 1 2 ]. With advancements in endoscopic instruments and techniques, these devices are applied to not only herniated disc but also facet cyst, tumor, and lumbar stenosis[ 3 4 5 ]. The transforaminal and interlaminar approaches are the two main surgical corridors of full endoscopic lumbar surgery.…”

Section: Introductionmentioning

confidence: 99%

Use artificial neural network to recommend the lumbar spinal endoscopic surgical corridor

Wang¹,

Chen²,

Chen³

et al. 2022

Tzu Chi Medical Journal

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Objectives: The transforaminal and interlaminar approaches are the two main surgical corridors of full endoscopic lumbar surgery. However, there are no quantifying methods for assessing the best surgical approach for each patient. This study aimed to establish an artificial intelligence (AI) model using an artificial neural network (ANN). Materials and Methods: Patients who underwent full endoscopic lumbar spinal surgery were enrolled in this research. Fourteen pre-operative factors were fed into the ANN. A three-layer deep neural network was constructed. Patient data were divided into the training, validation, and testing datasets. Results: There were 899 patients enrolled. The accuracy of the training, validation, and test datasets were 87.3%, 85.5%, and 85.0%, respectively. The positive predictive values for the transforaminal and interlaminar approaches were 85.1% and 89.1%, respectively. The area under the curve of the receiver operating characteristic was 0.91. The SHapley Additive exPlanations algorithm was utilized to explain the relative importance of each factor. The surgical lumbar level was the most important factor, followed by herniated disc localization and migrating disc zone level. Conclusion: ANN can effectively learn from the choice of an experienced spinal endoscopic surgeon and can accurately predict the appropriate surgical approach.

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Symptomatic Lumbar Juxtafacet Cyst Treated by Full Endoscopic Surgery

Cited by 14 publications

References 11 publications

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

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

A Pilot Study of Radiculopathy Following Osteoporotic Vertebral Fracture in Elderly Patients: An Algorithmic Approach to Surgical Management

Use artificial neural network to recommend the lumbar spinal endoscopic surgical corridor

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