scholarly journals Neuroendoscopy for spinal disorders: a brief review

2005 ◽  
Vol 19 (6) ◽  
pp. 1-6 ◽  
Author(s):  
Eli M. Baron ◽  
Howard B. Levene ◽  
Joshua E. Heller ◽  
Jack I. Jallo ◽  
Christopher M. Loftus ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Spine Surgery ◽  
Therapeutic Modality ◽  
Lumbar Spine Surgery ◽  
Spinal Disorders ◽  
Thoracic Spinal ◽  
Disc Herniations ◽  
Spine Surgeon ◽  
Thoracic Disc ◽  
Novice Surgeon

Neuroendoscopy has grown rapidly in the last 20 years as a therapeutic modality for treating a variety of spinal disorders. Spinal endoscopy has been widely used to treat patients with cervical, thoracic, and lumbosacral disorders safely and effectively. Although it is most commonly used with minimally invasive lumbar spine surgery, endoscopy has gained widespread acceptance for the treatment of thoracic disc herniations and for anterior release and rod implantation in the correction of thoracic spinal deformity. The authors review the use of endoscopy in spine surgery and in the treatment of spinal disorders as well as in the treatment of intrathoracic nonspinal lesions. Endoscopy has some significant advantages over open or other minimally invasive techniques in that it can allow for better visualization of the lesion, smaller incision sizes with reduced morbidity and mortality, reduced hospital stays, and ultimately lower cost. In addition, spinal endoscopy allows observers and operating room staff to be more involved in each case and fosters education. Spinal endoscopy, like any novel modality, carries with it additional risks and the surgeon must always be prepared to convert to an open procedure. The learning curve for spinal endoscopy is steep and the procedure should not be attempted alone by a novice surgeon. Nevertheless, with training and experience, the spine surgeon can achieve better outcomes, reduced morbidity, and better cosmesis with spinal endoscopy, and the operating times are comparable to open procedures. As technology evolves and more experience is obtained, neuroendoscopy will likely achieve further roles as a mainstay in spine surgery.

Complication management with minimally invasive spine procedures

2011 ◽  
Vol 31 (4) ◽  
pp. E2 ◽  
Author(s):  
Namath S. Hussain ◽  
Mick J. Perez-Cruet
Keyword(s):  
Minimally Invasive ◽  
Spine Surgery ◽  
Management Options ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Minimally Invasive Surgical ◽  
Minimally Invasive Spine ◽  
Spine Surgeon ◽  
Improve Patient

Spine surgery as we know it has changed dramatically over the past 2 decades. More patients are undergoing minimally invasive procedures. Surgeons are becoming more comfortable with these procedures, and changes in technology have led to several new approaches and products to make surgery safer for patients and improve patient outcomes. As more patients undergo minimally invasive spine surgery, more long-term outcome and complications data have been collected. The authors describe the common complications associated with these minimally invasive surgical procedures and delineate management options for the spine surgeon.

Maximizing the potential of minimally invasive spine surgery in complex spinal disorders

2008 ◽  
Vol 25 (2) ◽  
pp. E19 ◽  
Author(s):  
Patrick C. Hsieh ◽  
Tyler R. Koski ◽  
Daniel M. Sciubba ◽  
Dave J. Moller ◽  
Brian A. O'shaughnessy ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Spine Surgery ◽  
Spinal Diseases ◽  
Spinal Deformities ◽  
Degenerative Spine ◽  
Spinal Disorders ◽  
The Past ◽  
Prolonged Recovery ◽  
Minimally Invasive Spine ◽  
Spine Disorders

Minimally invasive surgery (MIS) in the spine was primarily developed to reduce approach-related morbidity and to improve clinical outcomes compared with those following conventional open spine surgery. Over the past several years, minimally invasive spinal procedures have gained recognition and their utilization has increased. In particular, MIS is now routinely used in the treatment of degenerative spine disorders and has been shown to be as effective as conventional open spine surgeries. Although the procedures are not yet widely recognized in the context of complex spine surgery, the true potential in minimizing approach-related morbidity is far greater in the treatment of complex spinal diseases such as spinal trauma, spinal deformities, and spinal oncology. Conventional open spine surgeries for complex spinal disorders are often associated with significant soft tissue disruption, blood loss, prolonged recovery time, and postsurgical pain. In this article the authors review numerous cases of complex spine disorders managed with MIS techniques and discuss the current and future implications of these approaches for complex spinal pathologies.

scholarly journals Outpatient endoscopic resection of large calcified thoracic disc herniation with caudal displacement

2022 ◽  
Vol 6 (1) ◽  
pp. V18
Keyword(s):  
Spinal Cord ◽  
Intensive Care ◽  
Minimally Invasive ◽  
Endoscopic Approach ◽  
Tube Placement ◽  
Thoracic Disc Herniation ◽  
Intensive Care Admission ◽  
Chest Tube Placement ◽  
Disc Herniations ◽  
Thoracic Disc

Thoracic disc herniations can cause radiculopathy and myelopathy from neural compression. Surgical resection may require complex, morbid approaches. To avoid spinal cord retraction, wide exposures requiring extensive tissue, muscle, and bony disruption are needed, which may require instrumentation. Anterior approaches may require vascular surgeons, chest tube placement, and intensive care admission. Large, calcified discs or migrated fragments can pose additional challenges. Previous literature has noted the endoscopic approach to be contraindicated for calcified thoracic discs. The authors describe an ultra–minimally invasive, ambulatory endoscopic approach to resect a large calcified thoracic disc with caudal migration and avoidance of conventional approaches. The video can be found here: https://stream.cadmore.media/r10.3171/2021.10.FOCVID2112

Thoracic Spine Pain

2018 ◽  
Author(s):  
Mark R. Jones ◽  
Matthew Novitch ◽  
Graham R. Hadley ◽  
Alan D. Kaye ◽  
Sudhir A. Diwan
Keyword(s):  
Genetic Research ◽  
Spinal Pain ◽  
Thoracic Pain ◽  
Spine Pain ◽  
Thoracic Spinal ◽  
Threatening Condition ◽  
Disc Herniations ◽  
Life Threatening ◽  
The Individual ◽  
Thoracic Disc

Thoracic spinal pain (TSP) tends to receive less attention from clinical, epidemiologic, and genetic research communities owing to a reduced incidence in comparison to pain arising from cervical and lumbar derangement. Nevertheless, TSP can be similarly disabling to other forms of spinal pain, imposing significant burdens on the individual and society. Thoracic pain may arise from a multitude of underlying pathologies, including angina pectoris, herpes zoster infection, thoracic disc herniations, pulmonary or pleural tumors, and aneurysms. This chapter focuses on TSP of musculoskeletal origin; however, a thorough history and physical are imperative to avoid overlooking a potentially life-threatening condition.

Incorporation of MISS in Routine Spine Practice

2021 ◽  
Vol 2 (1) ◽  
Keyword(s):  
Minimally Invasive ◽  
Spine Surgery ◽  
Gold Standard ◽  
Functional Outcomes ◽  
Standard Procedure ◽  
Routine Clinical Practice ◽  
Minimally Invasive Spine Surgery ◽  
Steep Learning Curve ◽  
Minimally Invasive Spine ◽  
Spine Surgeon

Traditional open spine surgery is the gold standard procedure in spine practice. Minimally invasive spine surgery (MISS) since last two decades have tremendously improved in technique and technology improving the clinical and functional outcomes of the surgery and patients. But still MISS has steep learning curve, many challenges and hurdles to inculcate it in the routine spine practice of the surgeon who may be either a novice or even an established in spine practice. The author has tried to identify the hurdles in incorporating MISS in routine spine practice and suggested methods to overcome these hurdles to incorporate MISS in routine clinical practice. Keywords: Minimally Invasive Spine Surgery (MISS); Spine practice; Spine Surgeon.

Minimally invasive retroperitoneal approach for lumbar corpectomy and anterior reconstruction

2000 ◽  
Vol 93 (1) ◽  
pp. 161-167 ◽  
Author(s):  
Manfred Mühlbauer ◽  
Wolfgang Pfisterer ◽  
Richard Eyb ◽  
Engelbert Knosp
Keyword(s):  
Lumbar Spine ◽  
Minimally Invasive ◽  
Spinal Fusion ◽  
Spine Surgery ◽  
Lumbar Spine Surgery ◽  
Content Type ◽  
Anterior Reconstruction ◽  
Fine Print ◽  
Lumbar Corpectomy

✓ The anterior decompressive procedure in which spinal fusion is performed is considered an effective treatment for thoracolumbar fractures and tumors. However, it is also known to be associated with considerable surgery-related trauma. The purpose of this study was to show that lumbar corpectomy and anterior reconstruction can be performed via a minimally invasive retroperitoneal approach (MIRA) and therefore the surgical approach—related trauma can be reduced. The authors studied retrospectively the hospital records and radiological studies obtained in five patients (mean age 67.4 years, range 59–76 years) who underwent lumbar corpectomy and spinal fusion via an MIRA followed by posterior fixation. Four patients presented with osteoporotic compression fractures at L-2 and L-3, and one patient presented with metastatic disease in L-4 from prostate cancer. Neurological deficits due to cauda equina compression were demonstrated in all patients. The MIRA provided excellent exposure to facilitate complete decompression and anterior reconstruction in all patients, as verified on follow-up radiographic studies. All patients improved clinically. A 1-year follow-up record is available for four patients and a 6-month follow-up record for the fifth patient; continuing clinical improvement has been observed in all. Radiography demonstrated anatomically correct reconstruction in all patients, as well as a solid fusion or a stable compound union in the four patients for whom 1-year follow-up records were available. The MIRA allows the surgeon to perform anterior lumbar spine surgery via a less invasive approach. The efficacy and safety of this technique and its potential to reduce perioperative morbidity compared with conventional retroperitoneal lumbar spine surgery should be further investigated in a larger series.

Sign in / Sign up

Export Citation Format

Share Document