Article
Orthopedics
Ofir Uri, Liad Alfandari, Yoram Folman, Amit Keren, William Smith, Inbar Paz, Eyal Behrbalk
Summary: This study compared the incidence of acute disc herniation following mini-open and minimally invasive decompression of lumbar spinal stenosis. The results showed that the incidence of postoperative disc herniation was significantly lower in the minimally invasive group compared to the mini-open group.
JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH
(2023)
Article
Integrative & Complementary Medicine
Xiang Yu, Hongwei Yue, Huawei Wei, Quanjin Li, Zhiming Li
Summary: This study aimed to compare the efficacy of unilateral biportal endoscopic (UBE) surgery and traditional open surgery in the treatment of lumbar disc herniation (LDH), as well as discuss the complications and learning curve of UBE surgery. The results showed that both UBE and traditional open surgery were effective in treating LDH. The UBE surgery group had better early pain relief and a lower incidence of long-term chronic low back pain compared to the traditional open surgery group, but the UBE group had a higher incidence of early complications compared to the traditional open surgery group.
ALTERNATIVE THERAPIES IN HEALTH AND MEDICINE
(2023)
Review
Clinical Neurology
Martin J. Gagliardi, Alfredo J. Guiroy, Gaston Camino-Willhuber, Andrei F. Joaquim, Charles A. Carazzo, Ezequiel Yasuda, Juan P. Cabrera, Alejandro R. Morales Ciancio
Summary: Indirect and direct decompression and fusion techniques are similarly effective in treating lumbar spinal stenosis and instability. The indirect decompression and fusion group had significantly less intraoperative blood loss and surgical time values.
GLOBAL SPINE JOURNAL
(2023)
Article
Clinical Neurology
Aristeidis Prassas, Georgios A. Alexiou, Paraskevi Pourni, John Magras, Kalliopi Tsoleka, Christos A. Tsonidis, Parmenion P. Tsitsopoulos
Summary: This study compared the clinical outcomes of short and long fusion following surgery for lumbar spinal stenosis, finding that patients in both groups showed significant clinical improvement at one year, with similar favorable outcomes. Older patients with multilevel stenosis and more co-morbidities were associated with longer instrumentation, but complications and clinical outcomes were equally favorable compared to short instrumented fusion for fewer levels of disease.
CLINICAL NEUROLOGY AND NEUROSURGERY
(2021)
Article
Medicine, General & Internal
Hyeun-Sung Kim, Sagar B. Sharma, Harshavardhan D. Raorane, Kyeong-Rae Kim, Il-Tae Jang
Summary: This retrospective study examined the outcomes of full-endoscopic decompression in patients with lumbar central canal stenosis. The results showed significant improvement in back and leg pain, functional recovery, and radiographic changes that were maintained at the 1-year follow-up. The study suggests that full endoscopic outside-in decompression is a safe and effective option for this condition with minimal invasive advantages.
Article
Clinical Neurology
Koichi Yoshikane, Katsuhiko Kikuchi, Ken Okazaki
Summary: This retrospective cohort study investigated the usefulness of selective single-level lumbar endoscopic unilateral laminotomy for bilateral decompression (LE-ULBD) in patients with radiological multilevel lumbar spinal stenosis (LSS). The study found that selective single-level LE-ULBD provided favorable results for multilevel LSS.
GLOBAL SPINE JOURNAL
(2023)
Article
Orthopedics
Jwalant Patel, Vishal Kundnani, Suraj Kuriya
Summary: The study showed a 12.96% overall incidence of peri-operative complications with higher rates (29.8%) in the initial three years and lower rates (8.78%) in the last seven years. The most common complication was urinary tract infections. Risk factors for complications included comorbidities, specific levels of stenosis, and types of decompression approach. More than 95% of patients had excellent to good outcomes at the final follow-up.
INTERNATIONAL ORTHOPAEDICS
(2021)
Article
Clinical Neurology
Jung-Hoon Kim, Young-Jin Kim, Kyeong-Sik Ryu, Jin-Sung Kim
Summary: This study aimed to compare the short-term clinical and radiological outcomes of full-endoscopic lumbar laminotomy (FEL) and subtotal lumbar laminectomy (STL) for lumbar spinal stenosis (LSS). The results showed that both groups had significant improvements in pain scores and functional disability after the surgery. The FEL group had a significantly shorter hospital stay, and improvements in lumbar lordosis and segmental angle were observed in both groups. Additionally, exacerbation or development of spondylolisthesis was higher in the STL group, while improvement was seen in the FEL group. Overall, FEL was comparable to STL in clinical outcomes but superior in terms of shorter hospital stay and radiologic instability. Therefore, FEL can be considered as a surgical method comparable to STL for LSS.
GLOBAL SPINE JOURNAL
(2023)
Article
Clinical Neurology
Jose A. Canseco, Brian A. Karamian, Mark J. Lambrechts, Tariq Z. Issa, William Conaway, Paul D. Minetos, Daniel Bowles, Tyler Alexander, Matthew Sherman, Gregory D. Schroeder, Alan S. Hilibrand, Alexander R. Vaccaro, Christopher K. Kepler
Summary: To reduce healthcare costs, some surgeons are transitioning lumbar decompression patients to outpatient procedure centers. A risk stratification calculator based on machine learning algorithms was developed to improve the surgeon's ability to predict whether a patient undergoing lumbar decompression will meet inpatient or outpatient criteria.
Article
Medicine, General & Internal
Morsi Khashan, Dror Ofir, Uri Hochberg, Haggai Schermann, Gilad J. Regev, Zvi Lidar, Khalil Salame
Summary: This study compared the effect of smoking on the outcome of spinal decompression surgery. Retrospective analysis of 188 cases of MIS lumbar decompression surgery found no significant difference in perioperative complications and revision surgery rates between smokers and non-smokers, but smoking may delay the improvement of leg pain and disability.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Medicine, General & Internal
Babak Saravi, Alisia Zink, Sara Uelkuemen, Sebastien Couillard-Despres, Frank Hassel, Gernot Lang
Summary: Machine learning and deep learning algorithms can predict whether patients will experience an increased length of stay (LOS) following lumbar decompression surgery, enabling more appropriate allocation of medical resources to patients at risk of prolonged LOS.
JOURNAL OF CLINICAL MEDICINE
(2022)
Review
Clinical Neurology
Jun Zhang, Tang-Fen Liu, Hua Shan, Zhong-Yuan Wan, Zhe Wang, Omar Viswanath, Antonella Paladini, Giustino Varrassi, Hai-Qiang Wang
Summary: Lumbar spinal stenosis (LSS) is a common disease in the elderly population, often requiring surgery. Minimally invasive spine surgery (MISS), including techniques like endoscopic spine surgery (ESS), is gaining popularity as a potential replacement for traditional open surgery in the treatment of LSS associated with degenerative spondylolisthesis (DS).
Article
Medicine, General & Internal
Hyeun-Sung Kim, Pang-Hung Wu, Giovanni Grasso, Jin-Woo An, Myeonghun Kim, Inkyung Lee, Jong-Seon Park, Jun-Hyoung Lee, Sangsoo Kang, Jeongshik Lee, Yeonjin Yi, Jun-Hyung Lee, Jun-Hwan Park, Jae-Hyeon Lim, Il-Tae Jang
Summary: This study examined 126 patients undergoing Uniportal Lumbar Endoscopic Unilateral Laminotomy for Bilateral Decompression and identified four patterns of spinal canal remodeling, all of which showed significant improvement in pain scores and disability index at follow-up.
Review
Clinical Neurology
Po -Lin Chiang, Ying-Yu Chen, Ko-Ta Chen, Jason C. Hsu, Christopher Wu, Ching -Yu Lee, Tsung-Jen Huang, Yi-Hung Huang, Chien -Min Chen, Meng -Huang Wu
Summary: Lumbar spinal stenosis is a common condition, and full-endoscopic uniportal interlaminar decompression (FEUID) provides satisfactory outcomes with lower complication rates. Technical methods and surgical skill level significantly affect surgical outcomes.
WORLD NEUROSURGERY
(2022)
Article
Clinical Neurology
Chul-Woo Lee, Kang-Jun Yoon
Summary: Endoscopic spinal surgery has become a standard treatment for various lumbar spinal diseases, but it has limitations such as steep learning curves and a relatively high complication rate compared with conventional techniques.
WORLD NEUROSURGERY
(2021)