Article
Surgery
Hui-gen Lu, Xue-kang Pan, Min-jie Hu, Jian-qiao Zhang, Jian-ming Sheng, Bao Chen, Xiao Zhou, Yefeng Yu, Xu-qi Hu
Summary: The study evaluated the treatment efficacy of lateral spinal stenosis through multiple planar endoscopic decompression for 52 patients. Results showed significant improvements in VAS and ODI scores at postoperative 3 days, 3 months, 6 months, and the last follow-up. The intervertebral foramen area also significantly increased postoperatively.
FRONTIERS IN SURGERY
(2021)
Article
Clinical Neurology
Xiaokang Cheng, Yuxuan Wu, Bin Chen, Jiagang Tang
Summary: The purpose of this study was to compare the efficacy of unilateral biportal endoscopic decompression (UBE) and percutaneous transforaminal endoscopic decompression (PTED) in the treatment of elderly patients with single-level lumbar lateral recess stenosis (LRS). The results showed that PTED and UBE achieved favorable outcomes in treating single-level LRS. UBE had advantages in operative time and X-ray times, while PTED offered better estimates of blood loss, incision length, and drainage volume.
JOURNAL OF PAIN RESEARCH
(2023)
Article
Orthopedics
Yubo Li, Xiaokang Cheng, Bin Chen
Summary: This study compared the safety and short-term clinical efficacy of two surgical techniques (PTED and MIS-TLIF) for the treatment of lateral recess stenosis associated with degenerative lumbar spondylolisthesis in geriatric patients. The results showed that both PTED and MIS-TLIF led to favorable outcomes, but PTED had advantages in terms of shorter operative time, less trauma, and fewer complications. Therefore, PTED could be used as a supplement to MIS-TLIF in the treatment of this condition in geriatric patients.
JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH
(2023)
Article
Clinical Neurology
Qichao Wu, Shuo Yuan, Lei Zang, Tianyi Wang, Xuanyu Lu, Aobo Wang, Fangda Si, Ning Fan, Peng Du
Summary: This study investigated the correlation between postoperative imaging parameters and clinical outcomes in patients with foraminal stenosis (FS) and lateral recess stenosis (LRS) undergoing percutaneous endoscopic transforaminal decompression (PETD). The results showed that PETD achieved good clinical outcomes in both LRS and FS patients. Postoperative facet joint length was negatively correlated with clinical outcomes in LRS patients, while the variation in foraminal width and nerve root-facet distance in FS patients were positively correlated with clinical outcomes.
JOURNAL OF PAIN RESEARCH
(2023)
Article
Clinical Neurology
Withawin Kesornsak, Verapan Kuansongtham, Khin Myat Myat Lwin, Krit Pongpirul
Summary: The purpose of this study was to share the long-term clinical outcomes and experience with full-endoscopic interlaminar decompression (FEI) for lateral recess stenosis (LRS). The results showed that FEI had good effectiveness in treating LRS, with 93.02% of patients experiencing significant pain relief and satisfaction at three months post-surgery. However, during the 10-year follow-up, it was found that some patients required reoperation to improve symptoms.
EUROPEAN SPINE JOURNAL
(2023)
Article
Medicine, General & Internal
Yong Ahn, Han-Byeol Park
Summary: This study aimed to demonstrate the surgical technique and clinical outcomes of transforaminal endoscopic lumbar foraminotomy (TELF) for the treatment of juxta-fusional foraminal stenosis. Full-scale foraminal decompression was performed via a transforaminal endoscopic approach under local anesthesia. After a two-year follow-up period, the visual analog scale and Oswestry Disability Index scores significantly improved, with a 90.91% symptomatic improvement rate and no significant surgical complications.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Medicine, General & Internal
Ji Yeon Kim, Hyeun Sung Kim, Jun Bok Jeon, Jun Hyung Lee, Jun Hwan Park, Il-Tae Jang
Summary: The uniportal endoscopic interlaminar contralateral approach is an effective procedure for treating combined stenosis at the L5-S1 level, providing relief for patients' pain and achieving favorable clinical outcomes.
JOURNAL OF CLINICAL MEDICINE
(2021)
Review
Clinical Neurology
Enrico Giordan, Domenico Billeci, Jacopo Del Verme, Giustino Varrassi, Flaminia Coluzzi
Summary: Transforaminal endoscopic lumbar foraminotomy (TELF) shows significant efficacy in patients with lumbar stenosis, with postoperative pain relief and functional improvement. Accurate preoperative planning for foraminal size and endoscope trajectory is crucial, and the use of a diamond burr is recommended for bleeding control and complication avoidance.
Article
Multidisciplinary Sciences
Cafer Ikbal Gulsever, Duran Sahin, Sefa Ozturk, Tural Ahmadov, Pulat Akin Sabanci
Summary: Laminectomy is commonly used for the treatment of lateral recess stenosis, but tissue-sparing surgeries are gaining popularity. The full-endoscopic interlaminar approach provides a less invasive and faster recovery option. This technique has shown to be feasible with shorter operation time and fewer complications.
JOVE-JOURNAL OF VISUALIZED EXPERIMENTS
(2023)
Article
Orthopedics
Tsung-Mu Wu, Moon-Chan Kim, Jin-Ho Hwang, Dae-Jung Choi
Summary: This study explored the endoscopic decompression method for adult isthmic spondylolisthesis. The results showed that the transforaminal approach yielded less satisfactory outcomes, possibly due to the broad spanning isthmic spur extending to the adjacent lateral recess. Therefore, the craniocaudal interlaminar approach was proposed as a better option for surgical treatment of adult isthmic spondylolisthesis.
BMC MUSCULOSKELETAL DISORDERS
(2023)
Article
Clinical Neurology
Bertrand Baussart, Stephan Gaillard
Summary: This article introduces an endoscopic technique for treating CSF leak or tumors located within the lateral recess of the sphenoid sinus. The technique is reliable and safe.
ACTA NEUROCHIRURGICA
(2023)
Article
Otorhinolaryngology
Zhenxiao Huang, Qian Huang, Shunjiu Cui, E. Qiu, Junfang Xian, Bentao Yang, Mingrui Huo, Bing Zhou
Summary: This retrospective study assessed the effectiveness of 3 endoscopic endonasal approaches for the management of cerebrospinal fluid leaks and meningoencephaloceles. The study found that endoscopic closure is a safe and effective method for the treatment of these conditions.
OTOLARYNGOLOGY-HEAD AND NECK SURGERY
(2022)
Article
Clinical Neurology
Tianyi Wang, Aobo Wang, Lei Zang, Ning Fan, Qichao Wu, Xuanyu Lu, Shuo Yuan
Summary: This retrospective cohort study aimed to investigate the incidence and predictors of reoperation in patients with lumbar spinal stenosis (LSS) treated with percutaneous endoscopic transforaminal decompression (PETD). The results showed that the incidence of reoperation was 6.7% in a mean follow-up of 3 years. Younger age was identified as the independent predictor for reoperation. Younger patients with a duration of symptoms >= 12 months or without heart problems were more likely to undergo a second operation.
GLOBAL SPINE JOURNAL
(2023)
Review
Clinical Neurology
Guilherme B. F. Porto, Sarah E. Cisewski, Laura Wolgamott, Bruce M. Frankel
Summary: Surgical management of lateral lumbar radiculopathy is evolving, with TMD and TELD emerging as viable MIS treatments. Both procedures showed similar clinical outcomes, but higher-grade foraminal stenosis correlated with poorer outcomes, especially in TELD where the severity of preoperative LFS significantly affected clinical results.
CLINICAL NEUROLOGY AND NEUROSURGERY
(2021)
Article
Orthopedics
Ning Fan, Shuo Yuan, Peng Du, Qichao Wu, Tianyi Wang, Aobo Wang, Jian Li, Xiaochuan Kong, Wenyi Zhu, Lei Zang
Summary: Complications of PETD in treating LSS include rLSS, persistent lumbosacral or lower extremity pain, dural tear, incomplete decompression, surgical site infection, epidural hematoma, and intraoperative posterior neck pain. Furthermore, older age, severe grade of surgical-level disc degeneration, and more disc degeneration levels significantly increase the incidence of complications.
BMC MUSCULOSKELETAL DISORDERS
(2021)
Article
Clinical Neurology
Guilu He, Jianhao Lin, Jing Ye, Fobao Huang, Changzhi Yan, Zesi Liu, Xiuming Zhou, Qiao Li, Liang Zhang
Summary: This article introduces long tunneled external ventricular drain (LTEVD), which effectively avoids multiple surgeries by connecting an external shunt valve. It allows visual control of drainage flow, prolongs catheter indwelling time, and eliminates the need for multiple surgeries.
WORLD NEUROSURGERY
(2024)
Article
Clinical Neurology
Vinay Suresh, H. S. Suresh, Bharath Raju, Himanshu Jindal, Ahmad Ozair
Summary: This study investigated the outcomes of postoperative discitis treated with debridement and a novel technique focused on reducing outpatient antibiotic requirement in a low- and middle-income country (LMIC) setting. The results showed that patients with medically refractory postoperative discitis potentially have good outcomes after debridement plus 2-week local antibiotic instillation in LMICs.
WORLD NEUROSURGERY
(2024)
Editorial Material
Clinical Neurology
Beatrice C. Bono, Davide Milani, Fabio Ferreli, Simone Olei, Luca Raspagliesi, Maria Pia Tropeano, Giovanni B. Lasio, Federico Pessina
WORLD NEUROSURGERY
(2024)
Article
Clinical Neurology
Avi A. Gajjar, Shrey Patel, Raj Swaroop Lavadi, Rida Mitha, Rohit Prem Kumar, Tavis Taylor, Galal A. Elsayed, D. Kojo Hamilton, Nitin Agarwal
Summary: Art in neurosurgery has played a crucial role in the discipline for centuries. Medical illustrations help visualize anatomy and surgical procedures, contributing to education, surgical planning, and navigation.
WORLD NEUROSURGERY
(2024)
Article
Clinical Neurology
Joaquin Perez Zabala, Yamila Basilotta Marquez, Romina Arganaraz, Beatriz Mantese
Summary: We present a low-cost and easily accessible adaptation system for stereotactic procedures in infants. By using a headband cast technique, a stereotactic biopsy was successfully performed in a 5-month-old patient, achieving precise targeting, histopathological diagnosis, and no associated complications.
WORLD NEUROSURGERY
(2024)
Editorial Material
Clinical Neurology
Muhammad Kusdiansah, Arnau Benet, Yosuke Suzuki, Kenichi Haraguchi, Nakao Ota, Kosumo Noda, Rokuya Tanikawa
Summary: Fusiform vertebral artery aneurysms are difficult to treat, and endovascular and open microsurgical treatments are used for different situations. This report presents a case with complex anatomy and branch involvement and describes the treatment strategy used.
WORLD NEUROSURGERY
(2024)
Review
Clinical Neurology
Victor M. Lu
Summary: This review emphasizes four essential domains that should be considered when interpreting pediatric neurosurgical SRMAs and provides examples to ensure accurate and effective interpretation of findings in this niche.
WORLD NEUROSURGERY
(2024)
Review
Clinical Neurology
Lapo Bonosi, Angelo Torrente, Filippo Brighina, Cateno Concetto Tito Petralia, Pietro Merlino, Chiara Avallone, Vincenzo Gulino, Roberta Costanzo, Lara Brunasso, Domenico Gerardo Iacopino, Rosario Maugeri
Summary: Corticocortical evoked potentials (CCEPs) have emerged as a valuable intraoperative monitoring technique in eloquent brain tumor surgery, aiding in preserving critical functional areas. Current research shows the potential of CCEPs in guiding surgical decision making, reducing the risk of postoperative neurological deficits, and mapping functional connectivity, but further research and standardization are needed.
WORLD NEUROSURGERY
(2024)
Review
Clinical Neurology
Yuchen Duan, Dagang Feng, Min Zhu, Heng Qiu, Tong Li, Zhen Chen, Leiming Jiang, Yong Huang
Summary: This study aimed to compare the effect of different Modic changes (MC) grades on the cage subsidence rate after spinal interbody fusion surgery. A meta-analysis was conducted on relevant randomized controlled trials and cohort studies. The results showed that MC may be associated with a higher cage subsidence rate. With the increase in MC grades, the incidence of subsidence decreased gradually, but it was always higher than that in the non-Modic changes (NMC). Oblique lumbar interbody fusion may be a better treatment choice for lumbar degenerative disease with MC.
WORLD NEUROSURGERY
(2024)
Editorial Material
Clinical Neurology
Brian F. Saway, Conor M. Cunningham, Mustafa Ismail, Alejandro M. Spiotta
WORLD NEUROSURGERY
(2024)
Review
Clinical Neurology
Joanna M. Roy, Michael M. Covell, Carmelo Venero Jr, Christian A. Bowers
Summary: Early exposure to neurosurgery during medical school is critical for improving recruitment into the specialty. However, about 30% of medical schools in the U.S. lack a neurosurgery program, limiting students' exposure to the field. Virtual education, facilitated by webinars during the pandemic, has advantages such as global outreach and accessibility for international medical students. This review identifies and describes 16 educational resources, serving as a guide for medical students interested in neurosurgery.
WORLD NEUROSURGERY
(2024)
