Article
Pharmacology & Pharmacy
J. -S. Du, M. Guan, X. -L. Dun, G. -Y. Wang, W. Xiong
Summary: This study aimed to explore the biomechanics of ventral facetectomy in the lumbar spine and determine the appropriate extent of resection. By analyzing the radiological parameters of the lumbar vertebral discs, it was found that the bony intervertebral foramen was generally narrower than the diameter of commercially available working cannulas, with gender differences observed. The biomechanical evaluation revealed that the range of motion increased gradually with the expansion of the resection extent, and inappropriate resection may destabilize lumbar motion segments.
EUROPEAN REVIEW FOR MEDICAL AND PHARMACOLOGICAL SCIENCES
(2023)
Article
Orthopedics
Lu Mao, Kun Wang, Yong Huang, Feng Wang, Rui Zhang, Bin Zhu, Xiaotao Wu
Summary: Transforaminal endoscopic lumbar discectomy is an effective and valid option for the treatment of lumbosacral junction adolescent lumbar disc herniation with high iliac crest. The surgery can effectively overcome anatomical obstacles and achieve excellent patient outcomes.
ORTHOPAEDIC SURGERY
(2022)
Article
Surgery
Yingbo Wang, Jian Wu, Tengyu Wang, Yaoyao Liu, Mei Jiang, Zhong Wang, Rui Chao, Peng Liu, Jungang Pu, Weili Fan
Summary: This study introduces a modified TELD technique using a power-aided reciprocating burr, which significantly reduces the learning curve for beginners in performing foraminoplasty. The results demonstrate the safety and efficacy of this technique in treating lumbar disc herniation.
FRONTIERS IN SURGERY
(2023)
Article
Medicine, General & Internal
Seong Son, Yong Ahn, Sang Gu Lee, Woo Kyung Kim, Byung Rhae Yoo, Jong Myung Jung, Joon Cho
Summary: The study evaluated the learning curve of PETLD surgery and found that the operation time and outcomes improved with an increase in case number. There was a significant difference in operation time between the two surgical groups, but other outcomes did not show significant variations.
Article
Clinical Neurology
Omri Maayan, Anthony Pajak, Pratyush Shahi, Tomoyuki Asada, Tejas Subramanian, Kasra Araghi, Nishtha Singh, Maximillian K. Korsun, Sumedha Singh, Olivia C. Tuma, Evan D. Sheha, James E. Dowdell, Sheeraz A. Qureshi, Sravisht Iyer
Summary: This study aimed to describe the learning curve for percutaneous transforaminal endoscopic discectomy (PTED) and demonstrate its efficacy in treating lumbar disc herniation. The learning curve was determined to be 31 cases through cumulative sum analysis of operative and fluoroscopy time. The results showed significant improvement in all patient-reported outcome measures (PROMs) for both early and late-phase PTED cases, with no differences in PROMs compared to tubular microdiscectomy cases.
Article
Orthopedics
Zhi Zhou, Hai-jian Ni, Shuo Hu, Yun-shan Fan, Chuan-feng Wang, Xin Chen, Yan-jie Zhu, Gang Li, Fei Liu, Chao-bo Feng, Shi-sheng He
Summary: The study introduced the use of the uniportal-bichannel spinal endoscopic system (UBiSES) in lumbar foraminoplasty during percutaneous endoscopic transforaminal discectomy (PETD). Results demonstrated that UBiSES was effective and safe in expanding the foramen and providing satisfactory outcomes for postoperative recovery.
ORTHOPAEDIC SURGERY
(2021)
Review
Medicine, General & Internal
Ding-Wen He, Yan-Jie Xu, Wei-Cai Chen, Xin-Xin Miao, Hui Wu, Tian-Long Wu, Jing-Yu Jia, Xi-Gao Cheng
Summary: The study compared TF-PELD and IL-PELD for lumbar disc herniation treatment based on randomized trials and found that IL-PELD had significantly shorter surgery duration and less fluoroscopy time, while producing similar postoperative outcomes compared to TF-PELD. The findings suggest that IL-PELD approach may be preferred over TF-PELD in certain cases of lower lumbar disc herniation.
Article
Clinical Neurology
Hengrui Chang, Jiaxin Xu, Dalong Yang, Jiayuan Sun, Xianda Gao, Wenyuan Ding
Summary: This study evaluated the clinical outcomes of full-endoscopic foraminoplasty and lumbar discectomy (FEFLD), unilateral biportal endoscopic (UBE) discectomy, and microdiscectomy (MD) in the treatment of symptomatic lumbar disc herniation (LDH). The results showed that FEFLD and UBE endoscopic surgeries were comparable to conventional MD in terms of pain relief and functional outcomes. Additionally, FEFLD and UBE surgeries resulted in reduced back pain immediately after the operation. FEFLD offers the advantage of rapid recovery, while MD remains an efficient and cost-effective surgical procedure.
EUROPEAN SPINE JOURNAL
(2023)
Article
Surgery
Zhihua Wu, Jiahui He, Huantong Cheng, Shaohao Lin, Peng Zhang, De Liang, Xiaobing Jiang, Jianchao Cui
Summary: This study compared the clinical efficacy of percutaneous transforaminal endoscopic discectomy (PTED) under local anesthesia (LA) and general anesthesia (GA). The results showed no significant differences in gender, age, course of disease, body mass index, and other factors between the two groups. However, the GA group had better short-term outcomes in terms of back pain scores and functional disability index. Additionally, the total hospitalization costs were significantly lower in the LA group. Further analysis revealed that the GA group had better short-term outcomes in middle-aged and elderly patients. In conclusion, the long-term outcomes were similar for both LA and GA in PTED.
FRONTIERS IN SURGERY
(2023)
Article
Orthopedics
Yuan-Pei Cheng, Xiao-Kang Cheng, Han Wu
Summary: This study compared the clinical efficacy of PEID and PETD in the treatment of L5-S1 CLDH. The results showed that PEID had similar excellent and good rates as PETD for CLDH, but had the advantages of shorter operative time and a reduced number of fluoroscopy times compared to PETD.
BMC MUSCULOSKELETAL DISORDERS
(2022)
Article
Surgery
Xiaokang Cheng, Beixi Bao, Yuxuan Wu, Yuanpei Cheng, Chunyang Xu, Yang Ye, Chentao Dou, Bin Chen, Hui Yan, Jiaguang Tang
Summary: This study compared the clinical outcomes of percutaneous transforaminal endoscopic discectomy (PTED) and unilateral biportal endoscopic discectomy (UBE) for the treatment of single-level lumbar disc herniation (LDH). The results showed that PTED provided better short-term relief of back pain and improved postoperative quality of life.
FRONTIERS IN SURGERY
(2023)
Article
Orthopedics
Xincheng Fan, Qiting He, Chaofan Yi, Wei Zhao, Derui Xu, Guoqing Peng, Feng Liu, Lei Cheng
Summary: This study demonstrates the clinical effectiveness of a new body surface-assisting puncture device in percutaneous transforaminal endoscopic lumbar discectomy surgery. The device significantly reduces the number of punctures, X-ray fluoroscopy radiation dose, and operation time without increasing surgical complications.
BMC MUSCULOSKELETAL DISORDERS
(2022)
Article
Health Care Sciences & Services
Feifei Chen, Guihe Yang, Jinjin Wang, Zhongpeng Ge, Heran Wang, Yifei Guo, Heng Yang, Xingzhi Jing, Xiaoyang Liu, Xingang Cui
Summary: This study defined the characteristics of Mini LDH, developed new diagnostic references, and examined the clinical efficacy of TF-PELD for it. The results showed that Mini LDH has specific clinical and imaging characteristics. All patients achieved pain relief after TF-PELD surgery, and TF-PELD was found to be an effective treatment for Mini LDH.
JOURNAL OF PERSONALIZED MEDICINE
(2023)
Article
Oncology
Rile Ge, Zhongdi Liu, Wei Huang
Summary: In this study, we compared the safety and efficacy of PTED and FD in the treatment of LDH. We found that PTED had shorter surgical duration, length of surgical incision, postoperative ambulation start time, and length of hospital stay. The PTED group also had lower VAS and ODI scores, higher JOA scores, higher success rate, and lower complication rate. There were no significant differences in patient quality of life between the two groups.
AMERICAN JOURNAL OF TRANSLATIONAL RESEARCH
(2022)
Article
Clinical Neurology
Yiwei Zhao, Suomao Yuan, Yonghao Tian, Xinyu Liu
Summary: This study evaluated the role of foraminoplasty during PETD and compared the 2-year clinical outcomes of patients who underwent PETD with and without foraminoplasty. The results showed that most PETD procedures at L3-S1 levels could achieve the therapeutic target without foraminoplasty, but the rate of foraminoplasty was higher at L5-S1.
BRITISH JOURNAL OF NEUROSURGERY
(2023)