Transforaminal endoscopic decompression of a postoperative dislocated bone fragment after a 2-level lumbar total disc replacement: case report

Abstract

<jats:p>The proposed advantages of total disc replacement (TDR) over fusion in the lumbar spine are the preservation of motion and the avoidance of adjacent-level disease. One of the complications inherent in TDR is the possibility of vertebral body fracture due to trauma or a malpositioned implant. The resulting dilemma is that posterior decompression of the displaced bone fragment could then have a destabilizing effect and possibly require fusion, thus obviating the benefit of an arthroplasty procedure. In this study, the authors describe the technical considerations and feasibility of the treatment of a postoperative L-5 paresis that resulted from a dislocated bone fragment at L4–5 during a 2-level lumbar TDR.</jats:p>

An endoscopic surgical technique for treating radiculopathy secondary to S1 nerve compression from a pedicle screw: technical note

“…One interesting feature of the literature on endoscopic spine surgery is how it is used as a rescue procedure for complications associated with many spine surgical procedures: kyphoplasty (11), minimally invasive surgery (MIS) TLIF (12,13), lumbar fusion (14,15), and artificial lumbar disc replacement (16,17). Many advances in spine surgery today are fueled by a rapid influx of new implants.…”

Historical aspects of video endoscopic surgery of the lumbar spine

“…Если еще в 2010 г. в «Стандартах перкутанной эндоскопической хирургии позвоночника» [60] насчитывалось всего три нозологии, где рассматривали применение этого вида хирургии (грыжи межпозвонковых дисков, стеноз позвоночного канала и межпозвонкового отверстия, кисты межпозвонковых суставов), то к настоящему времени спектр применения чрескожной эндоскопии позвоночника расширился. Перечень нозологий дополнительно включает рецидивы грыж межпозвонковых дисков [61,62], кисты [63], спондилолистезы [64,65], деформации позвоночника [66], хроническую боль в спине [27], радикулопатии, обусловленные патологическими переломами, осложнениями металлоостеосинтеза, эндопротезирования межпозвонковых дисков и аугментации позвонков [67][68][69][70][71][72]. Кроме того, чрескожные эндоскопические технологии апробированы при стабилизации позвоночника [73,74], спондилодисцитах, опухолях, хронической эпидуральной гематоме позвоночника [75][76][77], огнестрельных ранениях [78,79].…”

The benefit zone of full-endoscopic spine surgery

“…As endoscopic spine surgery continues to enjoy wider adoption, spine surgeons are expanding potential indications for use of this technology. Numerous case series have shown potential applications in patients with complex pathology including burst fractures (113), BMP related heterotopic ossification (114,115), synovial cysts (116,117), migrated hardware (115), discitis (118), spinal cord untethering (119), and tumors (120) (Figure 8). While direct comparisons to more traditional techniques for these complex scenarios is limited, current available evidence highlights the versatility of endoscopic spine surgery in achieving favorable outcome with minimal morbidity.…”