Percutaneous Endoscopic Transforaminal Outside-In Outside Technique for Foraminal and Extraforaminal Lumbar Disc Herniations—Operative Technique
Background: Different transforaminal endoscopic approaches have been developed for the surgical treatment of lumbar disc herniation: Kambin (intradiscal), Yeung (intraforaminal intradiscal), Ruetten (extreme lateral), transforaminal endoscopic surgical system (intraforaminal extradiscal) approach, a...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Fiorenza, Vito [verfasserIn] Ascanio, Francesco [verfasserIn] |
|---|
| Format: |
E-Artikel |
|---|---|
| Sprache: |
Englisch |
| Erschienen: |
2019 |
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| Schlagwörter: |
Extraforaminal lumbar disc herniation Foraminal lumbar disc herniation |
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| Übergeordnetes Werk: |
Enthalten in: World neurosurgery - Amsterdam : Elsevier, 2010, 130, Seite 244-253 |
|---|---|
| Übergeordnetes Werk: |
volume:130 ; pages:244-253 |
| DOI / URN: |
10.1016/j.wneu.2019.07.005 |
|---|
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ELV002941503 |
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| 520 | |a Background: Different transforaminal endoscopic approaches have been developed for the surgical treatment of lumbar disc herniation: Kambin (intradiscal), Yeung (intraforaminal intradiscal), Ruetten (extreme lateral), transforaminal endoscopic surgical system (intraforaminal extradiscal) approach, and modifications. The operative technique for the treatment of foraminal and extraforaminal lumbar disc herniation through these surgical approaches has not been well described in reported studies. Moreover, each of these surgical approaches has limitations in the removal of migrated intra- or extraforaminal disc herniation. We have described, step by step, the operative technique of a modified percutaneous endoscopic transforaminal approach we have termed the ”percutaneous endoscopic intra- and extraforaminal extradiscal approach or transforaminal outside-in outside [TOIO] approach” for the treatment of foraminal and extraforaminal lumbar disc herniation.Methods: From 2012 to 2018, 48 patients had undergone the percutaneous endoscopic TOIO approach for symptomatic foraminal and extraforaminal lumbar disc herniation. The inclusion criteria were the same as the microdiscectomy criteria. The exclusion criteria included patients with severe foraminal stenosis and disc degeneration, listhesis, and scoliosis. The pre- and postoperative clinical data, radiographic findings, and surgical technique were investigated.Results: No intraoperative complications developed. All the patients showed progressive improvement of initial neurological deficits with complete recovery of motor weakness and L4, L5 hypoesthesia at 1 month postoperatively. One patient experienced persistent postoperative dysesthesia on the affected leg for ∼1 month.Conclusion: The percutaneous endoscopic TOIO approach is a minimally invasive, safe, and efficacious surgical procedure for the treatment of lumbar foraminal and extraforaminal disc herniation. Proper patient selection is mandatory to ensure a satisfactory outcome. | ||
| 650 | 4 | |a Extraforaminal lumbar disc herniation | |
| 650 | 4 | |a Foraminal lumbar disc herniation | |
| 650 | 4 | |a Lumbar spine | |
| 650 | 4 | |a Minimally invasive spine surgery | |
| 650 | 4 | |a Percutaneous endoscopic lumbar discectomy | |
| 700 | 1 | |a Ascanio, Francesco |e verfasserin |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t World neurosurgery |d Amsterdam : Elsevier, 2010 |g 130, Seite 244-253 |h Online-Ressource |w (DE-627)615134904 |w (DE-600)2530041-6 |w (DE-576)321461150 |x 1878-8769 |7 nnns |
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2019 |
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10.1016/j.wneu.2019.07.005 doi (DE-627)ELV002941503 (ELSEVIER)S1878-8750(19)31901-1 DE-627 ger DE-627 rda eng 610 DE-600 44.90 bkl Fiorenza, Vito verfasserin (orcid)0000-0002-0981-4639 aut Percutaneous Endoscopic Transforaminal Outside-In Outside Technique for Foraminal and Extraforaminal Lumbar Disc Herniations—Operative Technique 2019 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Different transforaminal endoscopic approaches have been developed for the surgical treatment of lumbar disc herniation: Kambin (intradiscal), Yeung (intraforaminal intradiscal), Ruetten (extreme lateral), transforaminal endoscopic surgical system (intraforaminal extradiscal) approach, and modifications. The operative technique for the treatment of foraminal and extraforaminal lumbar disc herniation through these surgical approaches has not been well described in reported studies. Moreover, each of these surgical approaches has limitations in the removal of migrated intra- or extraforaminal disc herniation. We have described, step by step, the operative technique of a modified percutaneous endoscopic transforaminal approach we have termed the ”percutaneous endoscopic intra- and extraforaminal extradiscal approach or transforaminal outside-in outside [TOIO] approach” for the treatment of foraminal and extraforaminal lumbar disc herniation.Methods: From 2012 to 2018, 48 patients had undergone the percutaneous endoscopic TOIO approach for symptomatic foraminal and extraforaminal lumbar disc herniation. The inclusion criteria were the same as the microdiscectomy criteria. The exclusion criteria included patients with severe foraminal stenosis and disc degeneration, listhesis, and scoliosis. The pre- and postoperative clinical data, radiographic findings, and surgical technique were investigated.Results: No intraoperative complications developed. All the patients showed progressive improvement of initial neurological deficits with complete recovery of motor weakness and L4, L5 hypoesthesia at 1 month postoperatively. One patient experienced persistent postoperative dysesthesia on the affected leg for ∼1 month.Conclusion: The percutaneous endoscopic TOIO approach is a minimally invasive, safe, and efficacious surgical procedure for the treatment of lumbar foraminal and extraforaminal disc herniation. Proper patient selection is mandatory to ensure a satisfactory outcome. Extraforaminal lumbar disc herniation Foraminal lumbar disc herniation Lumbar spine Minimally invasive spine surgery Percutaneous endoscopic lumbar discectomy Ascanio, Francesco verfasserin aut Enthalten in World neurosurgery Amsterdam : Elsevier, 2010 130, Seite 244-253 Online-Ressource (DE-627)615134904 (DE-600)2530041-6 (DE-576)321461150 1878-8769 nnns volume:130 pages:244-253 GBV_USEFLAG_U SYSFLAG_U GBV_ELV GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_165 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 44.90 Neurologie AR 130 244-253 |
| spelling |
10.1016/j.wneu.2019.07.005 doi (DE-627)ELV002941503 (ELSEVIER)S1878-8750(19)31901-1 DE-627 ger DE-627 rda eng 610 DE-600 44.90 bkl Fiorenza, Vito verfasserin (orcid)0000-0002-0981-4639 aut Percutaneous Endoscopic Transforaminal Outside-In Outside Technique for Foraminal and Extraforaminal Lumbar Disc Herniations—Operative Technique 2019 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Different transforaminal endoscopic approaches have been developed for the surgical treatment of lumbar disc herniation: Kambin (intradiscal), Yeung (intraforaminal intradiscal), Ruetten (extreme lateral), transforaminal endoscopic surgical system (intraforaminal extradiscal) approach, and modifications. The operative technique for the treatment of foraminal and extraforaminal lumbar disc herniation through these surgical approaches has not been well described in reported studies. Moreover, each of these surgical approaches has limitations in the removal of migrated intra- or extraforaminal disc herniation. We have described, step by step, the operative technique of a modified percutaneous endoscopic transforaminal approach we have termed the ”percutaneous endoscopic intra- and extraforaminal extradiscal approach or transforaminal outside-in outside [TOIO] approach” for the treatment of foraminal and extraforaminal lumbar disc herniation.Methods: From 2012 to 2018, 48 patients had undergone the percutaneous endoscopic TOIO approach for symptomatic foraminal and extraforaminal lumbar disc herniation. The inclusion criteria were the same as the microdiscectomy criteria. The exclusion criteria included patients with severe foraminal stenosis and disc degeneration, listhesis, and scoliosis. The pre- and postoperative clinical data, radiographic findings, and surgical technique were investigated.Results: No intraoperative complications developed. All the patients showed progressive improvement of initial neurological deficits with complete recovery of motor weakness and L4, L5 hypoesthesia at 1 month postoperatively. One patient experienced persistent postoperative dysesthesia on the affected leg for ∼1 month.Conclusion: The percutaneous endoscopic TOIO approach is a minimally invasive, safe, and efficacious surgical procedure for the treatment of lumbar foraminal and extraforaminal disc herniation. Proper patient selection is mandatory to ensure a satisfactory outcome. Extraforaminal lumbar disc herniation Foraminal lumbar disc herniation Lumbar spine Minimally invasive spine surgery Percutaneous endoscopic lumbar discectomy Ascanio, Francesco verfasserin aut Enthalten in World neurosurgery Amsterdam : Elsevier, 2010 130, Seite 244-253 Online-Ressource (DE-627)615134904 (DE-600)2530041-6 (DE-576)321461150 1878-8769 nnns volume:130 pages:244-253 GBV_USEFLAG_U SYSFLAG_U GBV_ELV GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_165 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 44.90 Neurologie AR 130 244-253 |
| allfields_unstemmed |
10.1016/j.wneu.2019.07.005 doi (DE-627)ELV002941503 (ELSEVIER)S1878-8750(19)31901-1 DE-627 ger DE-627 rda eng 610 DE-600 44.90 bkl Fiorenza, Vito verfasserin (orcid)0000-0002-0981-4639 aut Percutaneous Endoscopic Transforaminal Outside-In Outside Technique for Foraminal and Extraforaminal Lumbar Disc Herniations—Operative Technique 2019 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Different transforaminal endoscopic approaches have been developed for the surgical treatment of lumbar disc herniation: Kambin (intradiscal), Yeung (intraforaminal intradiscal), Ruetten (extreme lateral), transforaminal endoscopic surgical system (intraforaminal extradiscal) approach, and modifications. The operative technique for the treatment of foraminal and extraforaminal lumbar disc herniation through these surgical approaches has not been well described in reported studies. Moreover, each of these surgical approaches has limitations in the removal of migrated intra- or extraforaminal disc herniation. We have described, step by step, the operative technique of a modified percutaneous endoscopic transforaminal approach we have termed the ”percutaneous endoscopic intra- and extraforaminal extradiscal approach or transforaminal outside-in outside [TOIO] approach” for the treatment of foraminal and extraforaminal lumbar disc herniation.Methods: From 2012 to 2018, 48 patients had undergone the percutaneous endoscopic TOIO approach for symptomatic foraminal and extraforaminal lumbar disc herniation. The inclusion criteria were the same as the microdiscectomy criteria. The exclusion criteria included patients with severe foraminal stenosis and disc degeneration, listhesis, and scoliosis. The pre- and postoperative clinical data, radiographic findings, and surgical technique were investigated.Results: No intraoperative complications developed. All the patients showed progressive improvement of initial neurological deficits with complete recovery of motor weakness and L4, L5 hypoesthesia at 1 month postoperatively. One patient experienced persistent postoperative dysesthesia on the affected leg for ∼1 month.Conclusion: The percutaneous endoscopic TOIO approach is a minimally invasive, safe, and efficacious surgical procedure for the treatment of lumbar foraminal and extraforaminal disc herniation. Proper patient selection is mandatory to ensure a satisfactory outcome. Extraforaminal lumbar disc herniation Foraminal lumbar disc herniation Lumbar spine Minimally invasive spine surgery Percutaneous endoscopic lumbar discectomy Ascanio, Francesco verfasserin aut Enthalten in World neurosurgery Amsterdam : Elsevier, 2010 130, Seite 244-253 Online-Ressource (DE-627)615134904 (DE-600)2530041-6 (DE-576)321461150 1878-8769 nnns volume:130 pages:244-253 GBV_USEFLAG_U SYSFLAG_U GBV_ELV GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_165 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 44.90 Neurologie AR 130 244-253 |
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10.1016/j.wneu.2019.07.005 doi (DE-627)ELV002941503 (ELSEVIER)S1878-8750(19)31901-1 DE-627 ger DE-627 rda eng 610 DE-600 44.90 bkl Fiorenza, Vito verfasserin (orcid)0000-0002-0981-4639 aut Percutaneous Endoscopic Transforaminal Outside-In Outside Technique for Foraminal and Extraforaminal Lumbar Disc Herniations—Operative Technique 2019 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Different transforaminal endoscopic approaches have been developed for the surgical treatment of lumbar disc herniation: Kambin (intradiscal), Yeung (intraforaminal intradiscal), Ruetten (extreme lateral), transforaminal endoscopic surgical system (intraforaminal extradiscal) approach, and modifications. The operative technique for the treatment of foraminal and extraforaminal lumbar disc herniation through these surgical approaches has not been well described in reported studies. Moreover, each of these surgical approaches has limitations in the removal of migrated intra- or extraforaminal disc herniation. We have described, step by step, the operative technique of a modified percutaneous endoscopic transforaminal approach we have termed the ”percutaneous endoscopic intra- and extraforaminal extradiscal approach or transforaminal outside-in outside [TOIO] approach” for the treatment of foraminal and extraforaminal lumbar disc herniation.Methods: From 2012 to 2018, 48 patients had undergone the percutaneous endoscopic TOIO approach for symptomatic foraminal and extraforaminal lumbar disc herniation. The inclusion criteria were the same as the microdiscectomy criteria. The exclusion criteria included patients with severe foraminal stenosis and disc degeneration, listhesis, and scoliosis. The pre- and postoperative clinical data, radiographic findings, and surgical technique were investigated.Results: No intraoperative complications developed. All the patients showed progressive improvement of initial neurological deficits with complete recovery of motor weakness and L4, L5 hypoesthesia at 1 month postoperatively. One patient experienced persistent postoperative dysesthesia on the affected leg for ∼1 month.Conclusion: The percutaneous endoscopic TOIO approach is a minimally invasive, safe, and efficacious surgical procedure for the treatment of lumbar foraminal and extraforaminal disc herniation. Proper patient selection is mandatory to ensure a satisfactory outcome. Extraforaminal lumbar disc herniation Foraminal lumbar disc herniation Lumbar spine Minimally invasive spine surgery Percutaneous endoscopic lumbar discectomy Ascanio, Francesco verfasserin aut Enthalten in World neurosurgery Amsterdam : Elsevier, 2010 130, Seite 244-253 Online-Ressource (DE-627)615134904 (DE-600)2530041-6 (DE-576)321461150 1878-8769 nnns volume:130 pages:244-253 GBV_USEFLAG_U SYSFLAG_U GBV_ELV GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_165 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 44.90 Neurologie AR 130 244-253 |
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10.1016/j.wneu.2019.07.005 doi (DE-627)ELV002941503 (ELSEVIER)S1878-8750(19)31901-1 DE-627 ger DE-627 rda eng 610 DE-600 44.90 bkl Fiorenza, Vito verfasserin (orcid)0000-0002-0981-4639 aut Percutaneous Endoscopic Transforaminal Outside-In Outside Technique for Foraminal and Extraforaminal Lumbar Disc Herniations—Operative Technique 2019 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Different transforaminal endoscopic approaches have been developed for the surgical treatment of lumbar disc herniation: Kambin (intradiscal), Yeung (intraforaminal intradiscal), Ruetten (extreme lateral), transforaminal endoscopic surgical system (intraforaminal extradiscal) approach, and modifications. The operative technique for the treatment of foraminal and extraforaminal lumbar disc herniation through these surgical approaches has not been well described in reported studies. Moreover, each of these surgical approaches has limitations in the removal of migrated intra- or extraforaminal disc herniation. We have described, step by step, the operative technique of a modified percutaneous endoscopic transforaminal approach we have termed the ”percutaneous endoscopic intra- and extraforaminal extradiscal approach or transforaminal outside-in outside [TOIO] approach” for the treatment of foraminal and extraforaminal lumbar disc herniation.Methods: From 2012 to 2018, 48 patients had undergone the percutaneous endoscopic TOIO approach for symptomatic foraminal and extraforaminal lumbar disc herniation. The inclusion criteria were the same as the microdiscectomy criteria. The exclusion criteria included patients with severe foraminal stenosis and disc degeneration, listhesis, and scoliosis. The pre- and postoperative clinical data, radiographic findings, and surgical technique were investigated.Results: No intraoperative complications developed. All the patients showed progressive improvement of initial neurological deficits with complete recovery of motor weakness and L4, L5 hypoesthesia at 1 month postoperatively. One patient experienced persistent postoperative dysesthesia on the affected leg for ∼1 month.Conclusion: The percutaneous endoscopic TOIO approach is a minimally invasive, safe, and efficacious surgical procedure for the treatment of lumbar foraminal and extraforaminal disc herniation. Proper patient selection is mandatory to ensure a satisfactory outcome. Extraforaminal lumbar disc herniation Foraminal lumbar disc herniation Lumbar spine Minimally invasive spine surgery Percutaneous endoscopic lumbar discectomy Ascanio, Francesco verfasserin aut Enthalten in World neurosurgery Amsterdam : Elsevier, 2010 130, Seite 244-253 Online-Ressource (DE-627)615134904 (DE-600)2530041-6 (DE-576)321461150 1878-8769 nnns volume:130 pages:244-253 GBV_USEFLAG_U SYSFLAG_U GBV_ELV GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_165 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 44.90 Neurologie AR 130 244-253 |
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Fiorenza, Vito |
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Fiorenza, Vito ddc 610 bkl 44.90 misc Extraforaminal lumbar disc herniation misc Foraminal lumbar disc herniation misc Lumbar spine misc Minimally invasive spine surgery misc Percutaneous endoscopic lumbar discectomy Percutaneous Endoscopic Transforaminal Outside-In Outside Technique for Foraminal and Extraforaminal Lumbar Disc Herniations—Operative Technique |
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610 DE-600 44.90 bkl Percutaneous Endoscopic Transforaminal Outside-In Outside Technique for Foraminal and Extraforaminal Lumbar Disc Herniations—Operative Technique Extraforaminal lumbar disc herniation Foraminal lumbar disc herniation Lumbar spine Minimally invasive spine surgery Percutaneous endoscopic lumbar discectomy |
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Fiorenza, Vito Ascanio, Francesco |
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percutaneous endoscopic transforaminal outside-in outside technique for foraminal and extraforaminal lumbar disc herniations—operative technique |
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Percutaneous Endoscopic Transforaminal Outside-In Outside Technique for Foraminal and Extraforaminal Lumbar Disc Herniations—Operative Technique |
| abstract |
Background: Different transforaminal endoscopic approaches have been developed for the surgical treatment of lumbar disc herniation: Kambin (intradiscal), Yeung (intraforaminal intradiscal), Ruetten (extreme lateral), transforaminal endoscopic surgical system (intraforaminal extradiscal) approach, and modifications. The operative technique for the treatment of foraminal and extraforaminal lumbar disc herniation through these surgical approaches has not been well described in reported studies. Moreover, each of these surgical approaches has limitations in the removal of migrated intra- or extraforaminal disc herniation. We have described, step by step, the operative technique of a modified percutaneous endoscopic transforaminal approach we have termed the ”percutaneous endoscopic intra- and extraforaminal extradiscal approach or transforaminal outside-in outside [TOIO] approach” for the treatment of foraminal and extraforaminal lumbar disc herniation.Methods: From 2012 to 2018, 48 patients had undergone the percutaneous endoscopic TOIO approach for symptomatic foraminal and extraforaminal lumbar disc herniation. The inclusion criteria were the same as the microdiscectomy criteria. The exclusion criteria included patients with severe foraminal stenosis and disc degeneration, listhesis, and scoliosis. The pre- and postoperative clinical data, radiographic findings, and surgical technique were investigated.Results: No intraoperative complications developed. All the patients showed progressive improvement of initial neurological deficits with complete recovery of motor weakness and L4, L5 hypoesthesia at 1 month postoperatively. One patient experienced persistent postoperative dysesthesia on the affected leg for ∼1 month.Conclusion: The percutaneous endoscopic TOIO approach is a minimally invasive, safe, and efficacious surgical procedure for the treatment of lumbar foraminal and extraforaminal disc herniation. Proper patient selection is mandatory to ensure a satisfactory outcome. |
| abstractGer |
Background: Different transforaminal endoscopic approaches have been developed for the surgical treatment of lumbar disc herniation: Kambin (intradiscal), Yeung (intraforaminal intradiscal), Ruetten (extreme lateral), transforaminal endoscopic surgical system (intraforaminal extradiscal) approach, and modifications. The operative technique for the treatment of foraminal and extraforaminal lumbar disc herniation through these surgical approaches has not been well described in reported studies. Moreover, each of these surgical approaches has limitations in the removal of migrated intra- or extraforaminal disc herniation. We have described, step by step, the operative technique of a modified percutaneous endoscopic transforaminal approach we have termed the ”percutaneous endoscopic intra- and extraforaminal extradiscal approach or transforaminal outside-in outside [TOIO] approach” for the treatment of foraminal and extraforaminal lumbar disc herniation.Methods: From 2012 to 2018, 48 patients had undergone the percutaneous endoscopic TOIO approach for symptomatic foraminal and extraforaminal lumbar disc herniation. The inclusion criteria were the same as the microdiscectomy criteria. The exclusion criteria included patients with severe foraminal stenosis and disc degeneration, listhesis, and scoliosis. The pre- and postoperative clinical data, radiographic findings, and surgical technique were investigated.Results: No intraoperative complications developed. All the patients showed progressive improvement of initial neurological deficits with complete recovery of motor weakness and L4, L5 hypoesthesia at 1 month postoperatively. One patient experienced persistent postoperative dysesthesia on the affected leg for ∼1 month.Conclusion: The percutaneous endoscopic TOIO approach is a minimally invasive, safe, and efficacious surgical procedure for the treatment of lumbar foraminal and extraforaminal disc herniation. Proper patient selection is mandatory to ensure a satisfactory outcome. |
| abstract_unstemmed |
Background: Different transforaminal endoscopic approaches have been developed for the surgical treatment of lumbar disc herniation: Kambin (intradiscal), Yeung (intraforaminal intradiscal), Ruetten (extreme lateral), transforaminal endoscopic surgical system (intraforaminal extradiscal) approach, and modifications. The operative technique for the treatment of foraminal and extraforaminal lumbar disc herniation through these surgical approaches has not been well described in reported studies. Moreover, each of these surgical approaches has limitations in the removal of migrated intra- or extraforaminal disc herniation. We have described, step by step, the operative technique of a modified percutaneous endoscopic transforaminal approach we have termed the ”percutaneous endoscopic intra- and extraforaminal extradiscal approach or transforaminal outside-in outside [TOIO] approach” for the treatment of foraminal and extraforaminal lumbar disc herniation.Methods: From 2012 to 2018, 48 patients had undergone the percutaneous endoscopic TOIO approach for symptomatic foraminal and extraforaminal lumbar disc herniation. The inclusion criteria were the same as the microdiscectomy criteria. The exclusion criteria included patients with severe foraminal stenosis and disc degeneration, listhesis, and scoliosis. The pre- and postoperative clinical data, radiographic findings, and surgical technique were investigated.Results: No intraoperative complications developed. All the patients showed progressive improvement of initial neurological deficits with complete recovery of motor weakness and L4, L5 hypoesthesia at 1 month postoperatively. One patient experienced persistent postoperative dysesthesia on the affected leg for ∼1 month.Conclusion: The percutaneous endoscopic TOIO approach is a minimally invasive, safe, and efficacious surgical procedure for the treatment of lumbar foraminal and extraforaminal disc herniation. Proper patient selection is mandatory to ensure a satisfactory outcome. |
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| score |
7.399905 |