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
Orthopedics
Siegfried J. Adelhoefer, Jessica Berger, Catherine Mykolajtchuk, Jaskeerat Gujral, Blake I. Boadi, Brian Fiani, Roger Haertl
Summary: The use of unilateral laminotomy for bilateral decompression (ULBD) combined with navigation system can safely and effectively resolve symptoms in patients with multi-segmental lumbar spinal stenosis (LSS).
BMC MUSCULOSKELETAL DISORDERS
(2023)
Article
Medicine, General & Internal
Erland Hermansen, Ivar Magne Austevoll, Christian Hellum, Kjersti Storheim, Tor Age Myklebust, Jorn Aaen, Hasan Banitalebi, Masoud Anvar, Frode Rekeland, Jens Ivar Brox, Eric Franssen, Clemens Weber, Tore K. Solberg, Havard Furunes, Oliver Grundnes, Helena Brisby, Kari Indrekvam
Summary: This study compared the effectiveness of three minimally invasive posterior decompression techniques for lumbar spinal stenosis and found no differences in clinical outcomes or complication rates among the three techniques.
Article
Clinical Neurology
Madeline E. Greil, Julia Bergquist, Osama N. Kashlan, Woo-Keun Kwon, Sharon Durfy, Christoph P. Hofstetter
Summary: This study retrospectively analyzed a single surgeon's 5.5-year experience with lumbar endoscopic unilateral laminotomy for bilateral decompression (LE-ULBD) to investigate the incidence of dural lacerations and the outcomes of a novel full-endoscopic bimanual durotomy repair. The results showed that sustaining a durotomy might increase the length of hospital stay, but did not significantly affect the rate of complications, revision surgeries, or functional outcomes.
EUROPEAN SPINE JOURNAL
(2023)
Article
Clinical Neurology
Pang Hung Wu, Brian Zhao Jie Chin, Peng Lee, Chang Yi Woon, Hyeun Sung Kim, Rajeesh George, Shuxun Lin, Yu-Heng Gamaliel Tan
Summary: This study compared the efficacy of uniportal lumbar endoscopic unilateral laminotomy with bilateral decompression (UPE) and biportal endoscopic unilateral laminotomy with bilateral decompression (BPE) in the treatment of lumbar spinal stenosis. The results showed no significant differences in operative duration, intraoperative blood loss, and length of hospital stay between UPE and BPE. However, the UPE group had a higher rate of intraoperative complications. Both endoscopic decompression techniques showed significant clinical improvement during the follow-up period.
EUROPEAN SPINE JOURNAL
(2023)
Article
Clinical Neurology
Koichi Yoshikane, Katsuhiko Kikuchi, Ken Okazaki
Summary: The study investigated and compared the clinical and radiological outcomes of lumbar endoscopic unilateral laminotomy for bilateral decompression (LE-ULBD) for lumbar spinal stenosis (LSS) patients with and without degenerative spondylolisthesis (DS). The results showed that both groups had favorable clinical outcomes postoperatively, and postoperative segmental instability was not common in patients with DS.
WORLD NEUROSURGERY
(2021)
Editorial Material
Clinical Neurology
Sertac Kirnaz, Gary Kocharian, Fabian Sommer, Lynn B. McGrath, Jacob L. Goldberg, Roger Haertl
Summary: The article presents a new minimally invasive surgical technique for treating giant disc herniation, successfully performing discectomy while providing adequate decompression. This technique has been shown to effectively treat GDH and should not be considered a contraindication for tubular decompression.
OPERATIVE NEUROSURGERY
(2021)
Article
Clinical Neurology
Hyun-Seo Cho, Se-Hoon Kim, Jeong Su Han, Bum-Joon Kim
Summary: Unilateral laminotomy for bilateral decompression (ULBD) is a minimally invasive surgical technique used in patients with lumbar spinal stenosis and low-grade spondylolisthesis. This study found that ULBD improved coronal balance and did not have significant negative effects on lumbar stability, regardless of discectomy.
WORLD NEUROSURGERY
(2023)
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.
Article
Clinical Neurology
Fabian Sommer, Lynn McGrath, Sertac Kirnaz, Jacob Goldberg, Branden Medary, Franziska A. Schmidt, Lior Shtayer, Pravesh S. Gadjradj, Roger Hartl
Summary: The study reported the experience of treating lumbar GDHs using tubular minimally invasive surgery. By modifying the standard tubular diskectomy technique, the method showed to be a safe and effective treatment alternative for GDH.
OPERATIVE NEUROSURGERY
(2022)
Article
Clinical Neurology
Ching -Yu Lee, Pei-Chin Chen, Meng-Huang Wu, Tsung-Jen Huang, Chun-Chao Chang, Po-Yao Wang, Yuarn-Jang Lee
Summary: Unilateral laminotomy for bilateral decompression (ULBD) is a safe and effective treatment for extensive spinal epidural abscesses, particularly in critically ill patients.
WORLD NEUROSURGERY
(2022)
Article
Orthopedics
Kuo-Tai Chen, Kyung-Chul Choi, Hyeong-Ki Shim, Dong-Chan Lee, Jin-Sung Kim
Summary: LE-ULBD is comparable to microscopic ULBD in terms of clinical and radiological outcomes, with enhanced post-operative recovery.
INTERNATIONAL ORTHOPAEDICS
(2022)
Article
Orthopedics
Laura Marie-Hardy, Marc Khalife, Peter Upex, Guillaume Riouallon, Stephane Wolff
Summary: The goal of this study was to precisely measure the decompression of central stenosis by unilateral MIS approaches using MRI. The analysis of 42 patients showed that the dural sac cross-sectional area and anteroposterior diameter increased significantly postoperatively, indicating a successful decompression.
ORTHOPAEDICS & TRAUMATOLOGY-SURGERY & RESEARCH
(2023)
Article
Clinical Neurology
Jack Horan, Mohammed Ben Husien, Ciaran Bolger
Summary: The study compared the outcomes of minimally invasive bilateral laminotomy via unilateral approach and open laminectomy in the treatment of lumbar spinal stenosis. The results showed that minimally invasive procedures were superior in improving pain and disability outcomes compared to open laminectomy, with advantages in shorter hospital stays and lower complication rates.
BRITISH JOURNAL OF NEUROSURGERY
(2021)
Article
Clinical Neurology
Jacob L. Goldberg, Christoph Wipplinger, Sertac Kirnaz, Jimmy Xia, Fabian Sommer, Alicia Meng, Justin Schwarz, Alexandra Giantini-Larsen, Ross M. Meaden, Rafael Sugino, Pravesh Gadjradj, Branden Medary, Joseph A. Carnevale, Rodrigo Navarro, A. John Tsiouris, Ibrahim Hussain, Roger Hartl
Summary: This study investigates the relationship between redundant nerve roots (RNRs) and clinical outcomes after minimally invasive tubular decompression for symptomatic lumbar spinal stenosis (LSS). The study found that preoperative RNRs are associated with increased age, symptom duration, and lumbar stenosis severity. However, patients improved after surgery regardless of RNR presence. Further research is needed to assess the long-term significance of RNRs.
WORLD NEUROSURGERY
(2022)