Historical aspects of video endoscopic surgery of the lumbar spine

2021 ◽  
Vol 18 (1) ◽  
pp. 70-77
Author(s):  
M. N. Kravtsov

The literature review is devoted to the history of the development of endoscopic surgery of the lumbar spine: from open surgical interventions and puncture procedures – to percutaneous intracanal endoscopic operations, combining interventional and video endoscopic technologies and referred to in the English literature as “full-endoscopy”. The article also touches upon the historical aspects of fibroendoscopic and laparoscopic interventions on the lumbar spine. In conclusion, the principle of classification of endoscopic techniques is proposed.

Neurosurgery ◽  
2008 ◽  
Vol 63 (suppl_3) ◽  
pp. A25-A39 ◽  
Author(s):  
Charles Kuntz ◽  
Christopher I. Shaffrey ◽  
Stephen L. Ondra ◽  
Atiq A. Durrani ◽  
Praveen V. Mummaneni ◽  
...  

ABSTRACT OBJECTIVE In this literature review, the authors analyze data from previously published studies that evaluated neutral upright spinal alignment (NUSA) from the occiput to the pelvis in asymptomatic individuals. Based on the data for NUSA in asymptomatic volunteers, a new classification is proposed for spinal deformity. METHODS A review of the English literature was conducted to identify studies evaluating NUSA from the occiput to the pelvis in asymptomatic juvenile, adolescent, adult, and geriatric volunteers. From the literature review, 17 angles and displacements were selected to depict neutral upright coronal and axial spinal alignment, and 21 angles and displacements were selected to depict neutral upright sagittal spinal alignment. Pooled estimates of the mean and variance were calculated for the angles and displacements from the articles that met inclusion criteria. A new classification of spinal deformity was then developed based on age-dependent NUSA; spinal abnormality; deformity curve location, pattern, magnitude, and flexibility; and global spinal alignment. RESULTS Despite a wide variation in the regional curves from the occiput to the pelvis in asymptomatic volunteers, global spinal alignment is maintained in a narrow range for preservation of horizontal gaze and balance of the spine over the pelvis and femoral heads. CONCLUSION A new classification of spinal deformity is proposed that provides a structure for defining deformity of all patient ages and spinal abnormalities.


2020 ◽  
Vol 19 (1) ◽  
pp. 124-128
Author(s):  
M. Gresko ◽  
A. Gresko

The main stages of formation of endoscopic surgery are analyzed in chronological sequence. It is shown that the development of surgical technologies at the end of 20th century was due to the fruitful work of individual surgeons, who, in close cooperation with engineers, "broke" the classic vision of the development of surgery of their colleagues. Their talent and persistence in the introduction of new therapies tended to reduce the traumaticity of the various methods of diagnosis and treatment and made it possible to perform high-tech surgeries with a high level of rehabilitation. Since 1992, endoscopic techniques have become widely used in hospitals in different cities of Ukraine and in 1996 were introduced in Bukovyna. Bukovynian surgeons continue to improve the methods of endoscopic treatment of patients, keeping in mind that this is the key to the progress of treatment and the prevention of intra - and postoperative complications. 


2021 ◽  
Vol 23 (2) ◽  
pp. 91-98
Author(s):  
Gennady G. Bulyschenko ◽  
Alexey I. Gayvoronsky ◽  
Pavel S. Liev ◽  
Mikhail V. Kuznetsov ◽  
Dmitry V. Svistov

A clinical case of treatment of a patient with long-term consequences of a gunshot wound to the lumbar spine with a follow-up period of fifteen years is presented. In the last year and a half, the repeatedly recurrent retroperitoneal phlegmon associated with a foreign body of the lumbar spine has prompted a decision on the issue of surgical treatment (removal of a foreign body - a bullet). The location of the foreign body and previous experience with endoscopic foreign body removal played a decisive role in the choice of surgical tactics. Removal of the wounding projectile was performed using a percutaneous transforaminal endoscopic approach. The choice of such an approach was dictated by the peculiarity of the location of the foreign body (coaxial with the endoscopic tube in the foraminal approach), as well as sufficient experience in using the technique of percutaneous endoscopic surgery. At the same time, the conversion plan was worked out in sufficient detail with both posterolateral and anterior open approaches with the involvement of appropriate specialists. So, in case of failure, it was planned to transfer endoscopic access to open, using the already installed working tube of the endoscope as a conductor to a foreign body. In case of inefficiency, for some reason, this version of the operation was planned for the next, third stage: wound suturing, patient turning on the back with a right-hand retroperitoneal approach to the anterior-lateral surface of LI and LII bodies. Fortunately, the purpose of the operation was achieved using the most gentle version of the allowance. The given clinical case testifies that the technique of percutaneous transforaminal endoscopic surgery is not limited in indications to the treatment of degenerative-dystrophic diseases of the spine.


2014 ◽  
Vol 33 (01) ◽  
pp. 52-55 ◽  
Author(s):  
Carlos Augusto Ferreira Lobão ◽  
Albedy Moreira Bastos ◽  
Rafael Brito Santos ◽  
Eduardo Anderson Duarte Cavalcante

Abstract Objective: The study aim is to present the clinical, radiological aspects and treatment of this disease from the neurosurgical standpoint using a literature review and an illustrative case. Methods: A PubMed research was done with the terms “tophaceous gout”, “spine”, and “diagnosis”. We reviewed these articles and compared it with an illustrative case here presented. Results: According to a research done, this is the fifty-second case of tophaceous gout of the spine described in the English literature. The case and literature review presented demonstrate the difficulty in diagnosis, especially when the patient has no previous history of gout. Conclusion: It is important to consider tophaceous gout of the spine among the differential diagnoses that occur in the spine. Clinical and neurosurgical treatment may be required considering each case.


2020 ◽  
Vol 129 (8) ◽  
pp. 829-832 ◽  
Author(s):  
Charles B. Poff ◽  
Noga Lipschitz ◽  
Gavriel D. Kohlberg ◽  
Joseph T. Breen ◽  
Ravi N. Samy

Objectives: To report a rare case of idiopathic intracranial hypertension (IIH) presenting with hemifacial spasm (HFS) and review the current literature. Methods: Case report and literature review. The patient’s medical record was reviewed for demographic and clinical data. For literature review, all case reports or other publications published in English literature were identified using PUBMED. Results: A 43-year-old obese female presented with a 2-year history of left HFS. Electroencephalography and head computed tomography were unremarkable. Magnetic resonance imaging demonstrated bilateral anterior inferior cerebellar artery vascular loops involving the internal auditory canals as well as IIH-associated findings. A lumbar puncture was performed and revealed an elevated opening pressure of 26 cm H20 cerebrospinal fluid. Acetazolamide treatment was then initiated, resulting in complete resolution of the HFS. Conclusion: HFS may be a rare presenting manifestation of IIH, and treatment of IIH may result in improvement of HFS symptoms. This is the first report of IIH presenting with HFS in the absence of headache or visual change. As a result, this is the first report of HFS as a presenting manifestation of IIH in Otolaryngology literature.


2015 ◽  
Vol 16 (3) ◽  
pp. 296-300 ◽  
Author(s):  
Linton T. Evans ◽  
Jack Van Hoff ◽  
William F. Hickey ◽  
Miriam J. Smith ◽  
D. Gareth Evans ◽  
...  

Clear cell meningioma (CCM) is an uncommon variant of meningioma. The authors describe a case of a pediatric CCM localized to the lumbar spine. After resection, sequencing revealed an inactivating mutation in the SWI/SNF chromatin remodeling complex subunit SMARCE1, with loss of the second allele in the tumor. The authors present a literature review of this mutation that is associated with CCM and a family history of spine tumors.


Teosofia ◽  
2020 ◽  
Vol 9 (2) ◽  
pp. 251-274
Author(s):  
Mokhamad Rohma Rozikin

As one of disciplines, Sufism has undergone the stages of scientific development. It is difficult to reach an agreement related to the classification of Sufism schools from the first time it appeared until today. However, by taking the characteristics of each thought into account, Sufism can be classified into several schools, namely Rajā 'wa khauf Sufism, Maḥabbah Sufism, Happy Sufism, Al-Ḥallāj Sufism, Al-Gazzālī Sufism, Philosophical Sufism, and Ibn Taimiyyah Sufism. Sufism that grew in the early days, in the first and second centuries of Hegira, such as Maḥabbah and Rajā' wa khauf Sufism, was in general undisputed because it was still far from the influence of foreign elements and had strong attachments to Al-Qur'an and Sunah. Sufism in the third and fourth centuries of Hijra, although from the scientific side is more established, systematic, and structured, the symptoms of conflict with Fiqh began to grow which reached its peak in the time of Al-Hallāj. Sufism in the fifth century, at the time of Al-Gazzālī, was the most beautiful period in the history of Sufism because Sufism and Fiqh could be integrated. Sufism in the next period began to had another conflict because of the influence of philosophy until the time of Ibn Taimiyyah who wanted to return Sufism to its origin. This paper conducted a literature review on the history of Sufism to capture the schools that have emerged since its inception. In the final section, a critical analysis of the Sufism schools was carried out and it was closed with a few ideas on how to eclectically adapt the results of this critical analysis for the Islamic Education learning.


2020 ◽  
pp. 121-129
Author(s):  
A. V. Boldin ◽  
S. B. Sokolin ◽  
M. V. Tardov ◽  
E. I. Haimov

This article provides a review of the literature regarding the original Fascial Distortion Model (FDM). Model was proposed by the American osteopathic doctor S. Typaldos. The article gives brief data on his biography, provides information about the history of the method discovery. Information on the properties and physiology of connective tissue and fascia is presented in sufficient detail. The classification of fascial structures proposed by S. Typaldos with regard to their anatomical and functional features is given. The diagnostic criteria of the six variants of fascial distortions described by S. Typaldos are represented in detail. The principles of FDM treatment are described. Contraindications and possible undesirable reactions that may occur during treatment or after FDM therapy are given. Data on clinical trials conducted in this area are presented.


2013 ◽  
Vol 2013 ◽  
pp. 1-5 ◽  
Author(s):  
Ahmed Abu-Zaid ◽  
Ayman Azzam ◽  
Hussam Abou Al-Shaar ◽  
Abdullah M. Alshammari ◽  
Tarek Amin ◽  
...  

Pancreatic schwannomas are exceedingly uncommon neoplasms. According to a recent study in 2012, less than 50 cases of pancreatic schwannoma have been described in the English literature over the past thirty years. The vast majority of pancreatic schwannomas take place in the head and body of pancreas, respectively. Herein, we report the case of pancreatic tail ancient schwannoma in a 44-year-old man who presented with a 4-month history of epigastric pain. On physical examination, epigastric region was moderately tender to palpation without evidence of a palpable mass. All laboratory tests were normal. Contrast-enhanced computed tomography (CT) scan showed a 9.2 × 9.5 × 11.5 cm, huge, and well-defined left suprarenal mass arising either from adrenal gland, pancreas, or retroperitoneum. The mass demonstrated mild heterogeneous enhancement with central cystic/necrotic area. No evidence of distant metastasis was identified. At laparoscopy, the mass was noticed to originate from pancreatic tail. Patient underwent surgical resection of pancreatic tail. Microscopic and immunohistochemical examination of the pancreatic tail specimen showed ancient schwannoma. Patient received no adjuvant therapy. At a postoperative 6-month followup, patient was completely asymptomatic and CT scan imaging showed no evidence of tumor recurrence. Moreover, a literature review on pancreatic schwannomas is presented.


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