Efficacy and Safety of Full-endoscopic Decompression via Interlaminar Approach for Central or Lateral Recess Spinal Stenosis of the Lumbar Spine

Spine ◽  
2019 ◽  
Vol 44 (4) ◽  
pp. E258 ◽  
Keyword(s):  
Lumbar Spine ◽  
Spinal Stenosis ◽  
Efficacy And Safety ◽  
Lateral Recess ◽  
Endoscopic Decompression ◽  
Interlaminar Approach

Efficacy and Safety of Full-endoscopic Decompression via Interlaminar Approach for Central or Lateral Recess Spinal Stenosis of the Lumbar Spine

Spine ◽  
2018 ◽  
Vol 43 (24) ◽  
pp. 1756-1764 ◽  
Author(s):  
Chang-Hyun Lee ◽  
Miyoung Choi ◽  
Dal Sung Ryu ◽  
Il Choi ◽  
Chi Heon Kim ◽  
...  
Keyword(s):  
Lumbar Spine ◽  
Spinal Stenosis ◽  
Efficacy And Safety ◽  
Lateral Recess ◽  
Endoscopic Decompression ◽  
Interlaminar Approach

scholarly journals Efficacy and safety of percutaneous endoscopic decompression via transforaminal and interlaminar approaches for lumbar spine stenosis

Medicine ◽  
2020 ◽  
Vol 99 (1) ◽  
pp. e18555
Author(s):  
Yuan Zhen Li ◽  
Hong Wei Zhang ◽  
Xiao Gang Zhang ◽  
Hui Zhang ◽  
Li Pan ◽  
...  
Keyword(s):  
Lumbar Spine ◽  
Efficacy And Safety ◽  
Endoscopic Decompression

Simplified Universal Grading of Lumbar Spine MRI Degenerative Findings: Inter-Reader Agreement of Non-Radiologist Spine Experts

Pain Medicine ◽  
2021 ◽  
Author(s):  
Nityanand Miskin ◽  
Zacharia Isaac ◽  
Yi Lu ◽  
Melvin C Makhni ◽  
Danielle L Sarno ◽  
...  
Keyword(s):  
Lumbar Spine ◽  
Spinal Stenosis ◽  
Degenerative Changes ◽  
Grading System ◽  
Foraminal Stenosis ◽  
Substantial Agreement ◽  
Lateral Recess ◽  
Lateral Recess Stenosis ◽  
Facet Arthropathy ◽  
Spine Mri

Abstract Objective 1) To describe a simplified multidisciplinary grading system for the most clinically relevant lumbar spine degenerative changes. 2) To measure the inter-reader variability among non-radiologist spine experts in their use of the classification system for interpretation of a consecutive series of lumbar spine magnetic resonance imaging (MRI) examinations. Methods ATS multidisciplinary and collaborative standardized grading of spinal stenosis, foraminal stenosis, lateral recess stenosis, and facet arthropathy was developed. Our institution’s picture archiving and communication system was searched for 50 consecutive patients who underwent non-contrast MRI of the lumbar spine for chronic back pain, radiculopathy, or symptoms of spinal stenosis. Three fellowship-trained spine subspecialists from neurosurgery, orthopedic surgery, and physiatry interpreted the 50 exams using the classification at the L4–L5 and L5–S1 levels. Inter-reader agreement was assessed with Cohen’s kappa coefficient. Results For spinal stenosis, the readers demonstrated substantial agreement (κ = 0.702). For foraminal stenosis and facet arthropathy, the three readers demonstrated moderate agreement (κ = 0.544, and 0.557, respectively). For lateral recess stenosis, there was fair agreement (κ = 0.323). Conclusions A simplified universal grading system of lumbar spine MRI degenerative findings is newly described. Use of this multidisciplinary grading system in the assessment of clinically relevant degenerative changes revealed moderate to substantial agreement among non-radiologist spine physicians. This standardized grading system could serve as a foundation for interdisciplinary communication.

Effects of X-Stop Device on Sagittal Lumbar Spine Kinematics in Spinal Stenosis

2006 ◽  
Vol 19 (5) ◽  
pp. 328-333 ◽  
Author(s):  
Manal Siddiqui ◽  
Efthimios Karadimas ◽  
Malcolm Nicol ◽  
Francis W. Smith ◽  
Douglas Wardlaw
Keyword(s):  
Lumbar Spine ◽  
Spinal Stenosis ◽  
Spine Kinematics

scholarly journals Universal approach for full endoscopic decompression and percutaneous transpedicular fixation of the lumbar spine

Medicine ◽  
2021 ◽  
Vol 100 (23) ◽  
pp. e26310
Author(s):  
Víctor Hugo Malo-Camacho ◽  
Gerardo Enrique Bañuelos-Díaz ◽  
Víctor Hugo Martínez-Velázquez ◽  
Luis López-Ortega ◽  
Oscar Malo-Macías ◽  
...  
Keyword(s):  
Lumbar Spine ◽  
Transpedicular Fixation ◽  
Endoscopic Decompression ◽  
Universal Approach

scholarly journals Comparative Analysis of Non-Full and Full Endoscopic Spine Technique via Interlaminar Approach for the Treatment of Degenerative Lumbar Spinal Stenosis: A Retrospective, Single Institute, Propensity Score-Matched Study

2021 ◽  
pp. 219256822110391
Author(s):  
Qiang Jiang ◽  
Yu Ding ◽  
Zhengcao Lu ◽  
Hongpeng Cui ◽  
Jianjun Zhang ◽  
...  
Keyword(s):  
Propensity Score ◽  
Radiation Exposure ◽  
Spinal Stenosis ◽  
Lumbar Spinal Stenosis ◽  
Clinical Efficacy ◽  
Operation Time ◽  
Degenerative Lumbar Spinal Stenosis ◽  
Interlaminar Approach ◽  
Intraoperative Fluoroscopy ◽  
Lumbar Spinal

Study Design: Retrospective study. Objective: To compare the clinical efficacy of posterior lumbar laminectomy decompression under full endoscopic technique (Endo-LOVE) and percutaneous endoscopic medial foraminal decompression (PE-MFD) in the treatment of degenerative lumbar spinal stenosis (DLSS). Methods: Between April 2017 and April 2018, 96 patients with DLSS underwent Endo-LOVE or PE-MFD, including 58 with Endo-LOVE and 38 with PE-MFD. After propensity score matching (PSM), patient characteristics, operation time, intraoperative fluoroscopy times, postoperative bedridden time, hospital stay and postoperative complications were recorded and compared. The clinical efficacy was evaluated according to Oswestry disability index (ODI), visual analogue scale (VAS), lumbar disease JOA and modified MacNab criteria. Results: A total of 96 patients with DLSS were included in the study. After PSM, the 2 groups were comparable in patient demographic and baseline characteristics. The operation time and intraoperative fluoroscopy times in PE-MFD group were significantly more than those in Endo-LOVE group ( P < .05). The operation time in PE-MFD group was significantly less than that in Endo-LOVE group ( P < .05). The intraoperative fluoroscopy times in PE-MFD group were significantly more than that in Endo-LOVE group ( P < .05). The ODI, VAS and lumbar disease JOA in the 2 groups were significantly improved comparing with those before operation ( P < .05). According to the modified MacNab criteria, the excellent and good rates of the 2 groups were 93.5% in Endo-LOVE group and 87.1% in PE-MFD group ( P > .05). Conclusion: Endo-LOVE and PE-MFD technique can both effectively treat DLSS, and the short-term follow-up results are positive. Endo-LOVE technique has the advantages of fast puncture positioning, less radiation exposure and wider indications. However, PE-MFD needs more radiation exposure and has the possibility of incomplete decompression for complex multiplanar spinal stenosis.

Long-Term Outcomes of Surgical and Nonsurgical Management of Lumbar Spinal Stenosis: 8 to 10 Year Results from the Maine Lumbar Spine Study

Spine ◽  
2005 ◽  
Vol 30 (8) ◽  
pp. 936-943 ◽  
Author(s):  
Steven J. Atlas ◽  
Robert B. Keller ◽  
Yen A. Wu ◽  
Richard A. Deyo ◽  
Daniel E. Singer
Keyword(s):  
Lumbar Spine ◽  
Spinal Stenosis ◽  
Lumbar Spinal Stenosis ◽  
Long Term Outcomes ◽  
Nonsurgical Management ◽  
Lumbar Spinal
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