Publications by authors named "Henri d'Astorg"
Article Synopsis
- The study evaluated the effectiveness of transforaminal full-endoscopic lumbar discectomy (FELD) in treating lateral lumbar disc herniation in 58 adult patients over 12 months post-surgery.
- Significant improvements in pain and disability scores were observed, with a high patient satisfaction rate of 91% and a low reoperation rate of 6.9%.
- Key factors such as the duration of symptoms and preoperative radicular pain levels were identified as predictors of better outcomes, highlighting the technique as safe and effective but indicating a need for further research.
In this case report, we encountered a pseudocyst as a complication of endoscopic lumbar discectomy in a high-level athlete within 3 months, which is atypical according to the literature. The recurrence of this pathology is even rarer, in this case, the patient presented a recurrence of the pseudocyst after resection. This case report outlines a review of the patient's clinical report, imaging, operative procedure, and complications, together with a literature review on pseudocysts after endoscopic lumbar discectomy.
View Article and Find Full Text PDFObjective: This cohort study aims to evaluate the impact of obesity on the outcomes of full endoscopic lumbar discectomy (FELD) in patients with lumbar disc herniation.
Methods: We conducted a retrospective analysis of 156 adult patients who underwent FELD for lumbar disc herniation from January 2015 to February 2023. Patients were divided into 3 groups: obese endoscopic ( = 71), obese open surgery ( = 31), and nonobese endoscopic ( = 54).
Article Synopsis
- - The study analyzed the accuracy and repeatability of Cobb angle measurements from different imaging methods like radiographs and EOS (stereo-radiographs), following systematic review guidelines and a thorough literature search.
- - Out of nearly 3000 records, 14 studies were included, showing that Cobb angle measurements can vary significantly based on the imaging method and patient position, with standing radiographs often giving higher angles than supine MRI and CT scans.
- - The findings highlight significant agreements across imaging methods but also caution that differences in angles (up to 11º) may affect scoliosis diagnosis, urging clinicians to be cautious when comparing results from different modalities and positions.
Objective: This study aimed to systematically review the literature for comparative and non-comparative studies reporting on clinical outcomes of patients with lumbar foraminal stenosis treated by either endoscopic foraminotomy or fusion.
Methods: In adherence with Preferred Reporting Items for Systematic reviews and Meta-Analyses guidelines, a literature search was done on January 17, 2022, using Medline and Embase. Clinical studies were eligible if they reported outcomes following fusion or endoscopic foraminotomy, in patients with primary lumbar foraminal stenosis.
Article Synopsis
- The study compares the clinical and radiological outcomes of two surgical techniques, TLIF and ALIF plus posterior instrumentation, for treating low-grade isthmic spondylolisthesis over a two-year period.
- Patients who underwent ALIF experienced shorter medical leave from work and faster relief from lumbar pain compared to TLIF, though they had longer hospital stays.
- While both procedures were effective, ALIF showed a more significant increase in lordosis and a correlation between lordosis changes and pain reduction post-surgery.
Introduction: Low-grade isthmic spondylolisthesis (ISPL) is generally treated by circumferential fusion with interbody graft, although there is no consensus on technique.
Hypothesis: The various interbody fusion strategies provide satisfactory fusion rates and clinical results.
Methods: A multicenter retrospective study analyzed lumbar interbody fusion for low-grade ISPL performed between March 2016 and March 2019.
Introduction: Cage impactions (CI) of Oblique Lumbar Interbody Fusion (OLIF) appear to be a frequent mechanical complication with a potential functional impact.
Objectives: To determine the rate of CI occurrence, their risk factors and clinical implications in the case of combined single-level arthrodesis.
Method: A retrospective analysis of prospectively collected data was performed.
Purpose: To determine within-patient fusion rates of chambers filled with bioactive glass versus autologous iliac crest bone on computed tomography (CT) following anterior lumbar interbody fusion (ALIF).
Methods: A consecutive series of 40 patients (58 levels) that underwent single-level (L5-S1 only) or two-level (L5-S1 and L4-L5) ALIF were assessed. Indications for fusion were one or more of the following: degenerative disc disease with or without Modic changes, spondylolisthesis, and stenosis.
Background: A high degree of vigilance is warranted for a spinal infection, particularly in a patient who has undergone an invasive procedure such as a spinal injection. The average delay in diagnosing a spinal infection is 2-4 mo. In our patient, the diagnosis of a spinal infection was delayed by 1.
View Article and Find Full Text PDFObjective: To obtain real-life data on the most common practices used for management of incidental durotomy (ID) in France.
Methods: Data were collected from spinal surgeons using a practice-based online questionnaire. The survey comprised 31 questions on the current management of ID in France.
Background: Enhanced recovery after surgery (ERAS) protocols aim to reduce the physiological stress induced by surgery. These protocols are persistently associated with improved outcomes and reduced costs in several orthopaedic subspecialties. Recently, spine surgery has been explored in the literature as a potential and beneficial domain for ERAS protocols.
View Article and Find Full Text PDFSince the outbreak of coronavirus disease 2019 (COVID-19) in December 2019 in China, various measures have been adopted in order to attenuate the impact of the virus on the population. With regard to spine surgery, French physicians are devoted to take place in the national plan against COVID-19, the French Spine Surgery Society therefore decided to elaborate specific guidelines for management of spinal disorders during COVID-19 pandemic in order to prioritize management of patients. A three levels stratification was elaborated with Level I: Urgent surgical indications, Level II: Surgical indications associated to a potential loss of chance for the patient and Level III: Non-urgent surgical indications.
View Article and Find Full Text PDFBackground Context: Compared with other approaches, anterior lumbar interbody fusion (ALIF) is believed to be more effective at restoring segmental lordosis and reducing risks of adjacent-segment disease. It remains controversial, however, whether ALIF improves global lumbar lordosis or influences pelvic parameters, possibly because of the heterogeneity of implants and levels studied.
Purpose: To report clinical outcomes of stand-alone ALIF with anterior plate fixation for L5-S1 and to determine the effect on global lumbar lordosis and pelvic parameters.
Purpose: To assess post-operative pain in patients who underwent arthroscopic anterior cruciate ligament (ACL) reconstruction by the all-inside technique.
Methods: A prospective randomized comparative parallel trial was performed in 2010-2011 including all patients who underwent an ACL reconstruction in an orthopaedic department in accordance with the CONSORT statement 2010. Patients were randomized to the surgical procedure, all-inside or classical, and were blinded to the surgical technique.