Publications by authors named "Harshavardhan Raorane"
Background Context: Conventional open lumbar decompression is a widely accepted procedure for degenerative lumbar disease. However, it is associated with morbidity due to damage to the paraspinal muscles and posterior ligamentous complex. Endoscopic spine surgery (ESS) is considered the least invasive type of spine surgery in modern times and was developed to minimize the iatrogenic injury to the paraspinal muscles.
View Article and Find Full Text PDFRetrospective cohort study.Full-endoscopic decompression of lumbar spinal canal stenosis is being performed by endoscopic surgeons as an alternative to micro-lumbar decompression in the recent years. The outcomes of the procedure are reported by few authors only.
View Article and Find Full Text PDFObjectives: The aim of this retrospective case study was to analyze the outcomes of minimal nerve root retraction in patients with impending neurologic deficit in degenerative lumbar spine disease using the full-endoscopic spine surgery.
Materials And Methods: Thirty-seven consecutive patients with impending neurologic deficit underwent endoscopic spine surgery through either the transforaminal or the interlaminar approach. Their clinical outcomes were evaluated with visual analog scale (VAS) leg pain score, Oswestry Disability Index (ODI), and MacNab's criteria.
Background: A paucity of literature on the effect of spinal endoscopic surgery replacing a large percentage of open and microscopic minimally invasive surgery on outcomes in patients.
Objective: Evaluation of the effect of endoscopic practice expansion in degenerative spinal conditions and disc herniations on patients' outcome as we shifted from first-generation endoscopic discectomy to second-generation decompression and finally third generation of endoscopic spinal fusion practice.
Subjects And Methods: Retrospective cohort study on surgical treatment of degenerative spinal conditions for 616 spinal cases.
Purpose: Cervical radiculopathy is a common disabling cervical spine condition. Open anterior and posterior approaches are the conventional surgical treatment approaches with good clinical outcomes. However, the soft tissue damage in these procedures can lead to increase perioperative morbidity.
View Article and Find Full Text PDFArticle Synopsis
- Endoscopic spine surgery has significantly progressed over the past 30 years due to advancements in optics and instrumentation, reducing its traditional limitations.
- The transforaminal approach has faced challenges due to anatomical obstacles, leading to the development of the outside-in approach, which also has its own limitations.
- The newer mobile outside-in technique combines the benefits of both previous methods, allowing for safe and versatile treatment of various disc prolapse types, but requires a longer learning period for practitioners.
Background: Severe collapsed disc secondary to degenerative spinal conditions leads to significant foraminal stenosis. We hypothesized that uniportal posterolateral transforaminal lumbar interbody fusion with endoscopic disc drilling technique could be safely applied to the collapsed disc space to improve patients' pain score, restore disc height, and correct the segmental angular parameters.
Methods: We included patients who met the indication criteria for lumbar fusion and underwent uniportal full endoscopic posterolateral transforaminal lumbar interbody fusion with pre-operative Computer Tomography mid disc height of less than or equal to 5 mm and MRI of Grade 3 Foraminal Stenosis.
Background: Schmorls node (SN) are mostly asymptomatic and incidental findings on MRI. However, sometimes they present like acute onset low back pain or acute exacerbation of chronic back pain after minor trauma.
Case Presentation: We present rare case of symptomatic infected SN in 67 years female patient presented with complains of low back pain radiating to right buttock.
Objective: We sought to review the types of incidental durotomies (IDs) that occurred during the endoscopic stenosis lumbar decompression through interlaminar approach (ESLD) and discuss the management strategies according to our classification.
Methods: A retrospective evaluation was performed for patients with spinal stenosis who underwent ESLD. Out of 330 patients, 27 patients of ID were clinically evaluated preoperatively and postoperatively on the basis of a visual analog scale score, Oswestry Disability Index, and MacNab's criteria.
How I do it? Transforaminal endoscopic decompression of intraspinal facet cyst.
Acta Neurochir (Wien)
September 2019
Background: Transforaminal endoscopic surgery provides equivalent results to open surgery with added advantages of feasibility under local anesthesia, no injury to posterior elements, preservation of the ligamentum flavum, ease of revision surgery, and cost-effectiveness. The technique of transforaminal endoscopic excision of cysts of facet or zygapophyseal joints is scarcely described in literature.
Methods: The transforaminal endoscopy is applicable to cyst lying in the extraforaminal, foraminal, and intraspinal regions.
Background: Enchondroma protuberans (EP) is rare, benign cartilaginous bone tumor arising from the intramedullary cavity of long bones and usually protrudes beyond the cortex with an exophytic growth pattern resembling osteochondroma. This study reports on a rare case of EP arising from the transverse process of the D8 vertebra and extending to the adjacent 7th and 8th ribs and the paraspinal tissues.
Methods: A 45-year-old female patient came in with complaints of upper back pain radiating up to the left costal margin for the past 6 months.