Enhanced technique of dural closure using autologous fat graft and Gelfoam for effective management of dural tear following interlaminar endoscopic lumbar spine surgery.

Background: Incidental dural tears are common complications in lumbar spine surgery, particularly in endoscopic procedures where primary closure via suturing is challenging. The absence of a standardized approach for dural closure in endoscopic spine surgery necessitates exploring alternative techniques.

Objective: This study introduces a surgical technique for dural closure utilizing fat graft and Gelfoam, offering an effective alternative to standard approaches in endoscopic spine surgery.

Comparison between minimally invasive and open transforaminal lumbar interbody fusion.

Objective: To compare the clinical and radiographic outcomes between minimally invasive and open transforaminal lumbar interbody fusion (TLIF) for treatment of lumbar spondylolisthesis

Material And Method: A retrospective clinical study of24 consecutive cases of lumbar spondylolisthesis treated by minimally invasive TLIF (n = 12) or open TLIF (n = 12) was done at Ramathibodi Hospital between June 2008 and December 2009. The following parameters were compared between the two groups, clinical and radiographic outcomes, blood loss, operative time, length of hospital stay, and complications.

Results: The average duration of follow-up was 28 months (range, 24 months to 38 months).

Factors predicting failure of conservative treatment in lumbar-disc herniation.

Objective: To explore factors predicting failure of conservative treatment in lumbar-disc herniation.

Background: Sciatica due to lumbar-disc herniation is a common complaint of spine patients. Even though the natural course is favorable, surgery is necessary in at least 10% of cases.

Full endoscopic lumbar discectomy via interlaminar approach: 2-year results in Ramathibodi Hospital.

Objective: To present the surgical outcome of the full-endoscopic lumbar discectomy via interlaminar approach.

Material And Method: Analysis of the prospectively collected data. The indication for full endoscopic discectomy is the same as for microscopic discectomy.

Result of full endoscopic uniportal lumbar discectomy: preliminary report.

Objective: Several techniques of minimal invasive spinal surgery are now becoming common roles in the treatment of spinal diseases in many spinal centers. In the present report, the authors present a retrospective, cohort evaluation of 46 consecutive patients who underwent full endoscopic lumbar discectomy. The purpose of the present report was to present outcomes in this initial series of patients and to present outlines of the operative technique; the full endoscopic uniportal lumbar discectomy.